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    The vaginal dilator tended to be inserted more inferiorly during treatment than during simulation. For these ten patients, this did not compromise tumor coverage. Combined with IMRT treatment planning, use of a vaginal dilator could allow for maximum sparing of female genitalia for patients undergoi …

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    • @NiuSanford https://t.co/DhBSNdd9nQ We should simulate and treat with vaginal dilators, and treat all women with rectal ca with IMRT optimized to maximally spare ~180-270 degrees of vaginal canal, Bartholin glands, introitus, etc.

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    This randomized clinical trial determines the efficacy of bacterial decolonization to reduce the severity of acute radiation dermatitis compared with standard of care.

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    • Since I learned about BD a few month ago, I’ve been instructing my patients to do it. Washing the irradiated area with an OTC antibacterial soap has made a tremendous difference in mitigating radiation dermatitis. https://t.co/nI6Co2FlxI