Matt Spraker, MD, PhD has accepted the role of Med Dir of
#RadOnc
at
@SitemanCenter
Christian Hospital - Northwest Healthcare. He will remain Chief of the Radiation Oncology Sarcoma service. Please join us in congratulating
@SprakerMDPhD
!
Phase II trial of Proton CSI versus photon IFRT for breast or NSCLC leptomeningeal disease shows a survival benefit for protons at
#ASCO22
#radonc
Nice study!
Im Jewish, and many family/friends are scared and angry. Seeing it more in my life too. I don't speak up nearly enough.
Yesterday I promised that would change, so here we go.
I hope to follow
#MedTwitter
#RadOnc
role models here in speaking up against all hate.
Read it all 👇
This is a randomized trial showing superiority of radiotherapy over steroid injection for plantar fasciitis pain and function.
Interestingly, UpToDate (rheum-authored) recommends steroids and calls radiation experimental and unproven.
@drbeckta
Some hot tips from
@DrEmmaHolliday
talk at
#ACRO2023
Loved the practical nature of this session (anal and pancreas), good stuff in the age of copious online
#MedEd
After years of watching others (
@TargetingCancer
), we hosted a
#RadOnc
open house for our hospital's Kids Alive program.
Just myself and one other, low effort, so much fun.
Maybe we inspired a future RO/MP or scientist.
Highly recommend considering this for your center! ♥️
The Accelerators are excited to announce a new project: The Accelerators Anthology!
It's an "academic" publishing pilot.
We are seeking
#RadOnc
submissions of any type (ex. sci research, editorial) due July 31st.
Why submit? We are paying authors and reviewers.
More... 1/x
Today I had a P2P with a
#RadOnc
. She said "I am approving SBRT, this is a niche situation with very limited data (
#sarcoma
) and this is obviously the best treatment based on first principles"
Literally I was speechless. Me.
#FixPriorAuth
is possible.
@chadinabhan
@NEJM
I’ll bite. Unsurprising results and (biased) position of editorial.
10% recurrence is high for some patients. Endocrine therapy is brutal for some.
I offer these women 5 days of radiotherapy with very few side effects.
Obs vs. RT vs. endo will show what is “over treatment”.
Well hey, The Accelerators Podcast has 25,000 downloads!
We are extremely grateful for our listeners, our partners at
@ACRORadOnc
, and everyone else that gives us so much to talk about 😉
Some big news coming, get excited for the future!
Happy 14th (!!) anniversary to
@mellysprakes
!
We’ve had so many great years and lots of life changes, but this one has to be at the top!
Thanks for all your support and love along the way to our happy place! 😍
🏔️🐶❤️🍣
New & available
#OpenAccess
| Proton beam
#radiotherapy
shows improved local control and progression-free survival in randomized trial for patients with hepatocellular carcinoma.
@OncoAlert
#HPBCSM
The
@ASTRO_org
#sarcoma
slides are out! These cover *a lot* of ground, and we hope they can enhance teaching at your center!
Get 'em free:
Looking forward to hearing your feedback here or on ROHub!
As promised, here is a
#tweetorial
on spatially-fractionated radiotherapy aka Lattice aka GRID.
If you missed the
#CTOS2019
talk by
@Notorious_RBE
, this one is for you!
Updated UCLA pre-op extremity
#sarcoma
30 Gy in 5 fractions continue to show excellent outcomes: min 2 years, 6.5% LR, 13% late RT tox, 26.7% major WC.
They're teasing 25 Gy in 5 fractions with chemotherapy too 😃
When is it standard?
@ShaunaRadOnc
@CShahMD
@DrChowdharyMD
Fun ☢️ fact: a dental X-ray gives you about the same amount of radiation as a 2 or 3 hour flight.
Or eating about 50 bananas.
(Feel free to still refuse X-rays, flights, or bananas)
Byeee
#ASTRO21
!
It felt amazing to connect again, leaving very inspired. Our field is packed with talented people!
Thanks to
@ASTRO_org
@WatsonCristin
for a great meeting in tough times 🙏👏❤️
I “tipped” the hosts with an ASTRO PAC donation, you all should too ☺️
"Medicine" has applied enormous pressure to maximize clinical efficiency, so our notes have become a mess of confusing, copy-pasted noise.
Just in time to open them up to patients. 🤔
This is my mom in her freshman year of college. She went on to become a teacher then an MBA slash single mom who put me through college. Non-stop support through PhD, MD, and starting on faculty.
Can she be an honorary
#WomenWhoCurie
? 🙏👏🙌😀
#GOATMentor
Huge congratulations to Sai Duriseti (
@Notorious_RBE
, graduating PGY5 😉) for leading the first article from the
@WashURadOnc
Spatial Frac Team.
This is a white paper on Lattice SBRT treatment planning and QA 👉
Tx seems really effective.
Commentary...
Super excited to share the first reports of LITE SABR M1, a phase 1 trial of Lattice SBRT.
Its like a double album for science!
Initial trial results:
Planning design and dosimetric endpoints:
#RadOnc
#MedPhys
"We cant afford to pay reviewers"
"Paying reviewers would lower the quality of reviews"
"There are no generalizable alternatives"
"[Scientists] are beneficiaries"
Sure.
#RadOnc
Elsevier’s scientific publishing arm reported profits of £724 million on £2 billion in revenue - a 36% profit margin—higher than Apple, Google, or Amazon- where authors generate the “product”, pay open-access fees, reviewers peer review for free & institutions pay to access 🤯
Carmody is a rare voice in medicine that goes deep on a topic with vital context and nuance, and is not afraid to say the uncomfortable (yet true) stuff.
If you want to discuss The Match, "anti-trust" in
#RadOnc
, and our problems, this series is required listening.
This Friday at 12pm ET, residency applicants will finally find out where they matched.
But if you need something to keep you occupied till then…
…might I recommend this sprawling and expansive 6-part video series sharing the untold history of the Match?
(links ⬇️)
We at
@PhotonMediaOnc
♥️ our listeners...
Let us buy you a beer!
Please join us for the Accelerators Unofficial
#ASTRO23
Kick-Off Party!
Saturday 9/30 830PM at Half Door Brewing!
All are welcome, see you soon! 😎☀️⛱️ 🏄♂️
The data *is* the data.
Some shows protons are the same as photons, some shows side effects are worse. None shows it’s better.
If I had to get radiotherapy for prostate cancer, I would not travel to a proton center.
The data is the data.
This MD Anderson study clearly demonstrates that protons are a safe and effective treatment with excellent outcomes for localized prostate cancer.
Randomized trial data is coming but likely will face standard criticisms as well.
Excited for this crossover event!
TAP x
@RadoncROVER
are teaming up for what is sure to be a popular
#MedEd
event.
Cases by experts
@SBRT_CR
and
@ParikhSimul
with a special pre-game show featuring
@drbeckta
.
Sign up at the ROVER website!
Peace out
#ASTRO19
!✌️❤️ Thanks for letting me talk at you all week.
I have many thoughts (obvs 😂), but for now I’ll just say this:
I’ve never been more excited to be a
#RadOnc
The data could argue that exercise has a larger effect than this drug in the same population.
2.5 hours a week is all it takes.
A single patient-year of this drug would pay for 2000 patient-years of gym memberships.
The very beginnings of the
#RadOnc
Free Lending Library in the waiting room of our North Country satellite!
Goal is to offer science/
#MedEd
books for patients with varied reading levels and/or their families.
Will add some materials from
@RTAnswers_org
.
Other suggestions?
Just got a nice message from the
@ABR_Radiology
:
"2022 will be the final year that we will require diplomates completing their OLA annual progress requirement to complete self-assessment CME (SA-CME)"
#RadOnc
#MedPhys
@IvyRadOncMD
Unsolicited advice: *aggressively* seek balance because few will stop you from overstretching yourself and your natural dedication to patients for the benefit of "the institution".
The one piece of advice I wish I had when I started.
Ok bragg (ha) tweet, but I recently learned our Lattice SBRT planning paper was the
#6
downloaded paper from Advances in
#RadOnc
in 2021! 🙏😍
The goal was to get this out there and learn to treat huge tumors better together. So thrilled. More to come!
I have a new collaboration with *the*
@ParikhSimul
and
@annalaucis
, and it’s so much fun.
Introducing The Accelerators
I can’t wait to hear your thoughts!
Check it 👇❤️🙏
#RadOnc
#MedPhys
Congratulations to all the medical students that matched in to
#RadOnc
in
#Match2023
!
I'll never forget that Monday, read the email while in my in-laws garage trying to keep myself busy.
Then 4 full days of wondering whether I'm staying home or moving to one of 8 states! 😂 😍
Excited to share that my (our) first
#sarcoma
clinical trial is open!
"Induction Paclitaxel Followed by Concurrent Paclitaxel and Radiation Therapy for Cutaneous Angiosarcoma"
Throughout the weekend and beyond, a lot of people noted that the
@ACRORadOnc
meeting was "welcoming". I felt this way too.
This is super important and hard to do in such a small field where a lot of people are friends already.
ACRO should be proud!
Medical students pursuing
#RadOnc
! I HIGHLY recommend joining
@ACRORadOnc
and attending their conference. At
#ACRO23
, residents and attendings made newcomers feel welcome, there was a ton of student-geared events, and you get to make a bunch of new friends! 😊
🥳 Happy birthday to my wife
@mellysprakes
!! 🥳 6 yrs ago, on *her* bday, she went to a party for me. A computer picked her future home. Shes not even in medicine. I am lucky AF to have her. Celebrate your achievements today then thank your partners. Man, do they deserve it.
It’s
#ASTROadvocacy
morning and I’m feeling thankful.
It’s a lucky thing to have the time and space to explore how best to impact change for
#RadOnc
physicians, patients, staff, and trainees.
Today I got to be a
#RadOnc
in the cloud 😆
Consult via
@zoom_us
(w/ resident!) with sim-free RT planning. Pt doesn't leave their home until the day of treatment.
Exceptional leadership by
@jmmrad
, Mac Daly, et al to increase
#SocialDistancing
and save lives! cc
@WashURadOnc
Happy (belated) Birthday to my partner in crime
@mellysprakes
! We were out celebrating so I forgot to post 😂
A genuine light, life with you keeps getting better!
Can't wait for what the future holds ♥️🍾
@stef_corradini
Incentives. Publishing is required to advance one's career. Reviewing is free work that gets basically no recognition.
To change behavior, change the incentives.
#ASTRO23
was inspiring!
The reasons are so different than the last time I was here (interviewing for my first job).
I feel lucky to be a
#RadOnc
❤️🤩
Thanks to all who are leading the way!
(Sorry, I just had to post this art again)
This is my new favorite TAP!
We host
@alison_tree
,
@HimanshuNagarMD
, and
@VedangMurthy
to discuss radiotherapy for prostate cancer around the globe.
#pcsm
Part 1 out now.
Hope you're ready for the next episode (hey, hey, hey, hey)
If you are quoting the STRASS trial as a reason to forgo radiation in *recurrent* retroperitoneal
#sarcoma
, you should stop.
Also go ahead and read this paper about
@ASCO
abstracts and subsequent publications for clinical trials:
We're hiring
#RadOnc
in Longmont!
Join a great team with an exciting network vision!
Org culture that values docs, balance, and high quality care.
New grads welcome!
If u were here, you could snowmobile to the continental divide this weekend 😍🏔️❄️
Thanks to
#RadOnc
residents for all you do, teaching, learning, caring, visiting, and questioning all things oncology!
You are what I miss most about academics, so thanks for continuing to reach out 😃
#ThankAResidentDay
Congrats to all of the PGY-2 residents starting your
#RadOnc
journey! Welcome!
Check out our podcasts to supplement all you will learn:
The Accelerators - news/views from
@ParikhSimul
,
@jaguaranna27
, and I
Out.Of.The.Basement - unlocking
#RadMed
knowledge with
@drbeckta
1/2
1/x Got to read, here are some thoughts. First, agree with the overall finding. Pre-op RT should not be recommended to all comers.
Congrats to the PIs and authors, this study was needed and will change my practice 👏😃
Here are my concerns:
#RadOnc
's favorite podcast is back!
@MayoRadOnc
GI expert
@KrishanJethwa
and RO physician resident
@yazshaz
join us for a discussion of the
@ParikhSimul
rads dosing poll for esophageal cancer, therapeutic open mindedness, protons, and carbon!
Get it!
Thank you, listeners, for an absolutely lovely 2022!
We greatly appreciate your support and are continually energized by your feedback!
Thank you to our guests as we've learned so much!
It's clear there is so much more to learn. Onward to 23!
@ParikhSimul
@jaguaranna27
Accrual of our phII Lattice trial is almost done. Enrolled and treated patients at 5 different centers, including blood collection/banking.
The infrastructure is an amazing achievement of
@SitemanCenter
trials (
@SBRT_CR
) and
@WashURadOnc
#MedPhys
team (hiring!)
Key for IITs!