Seeing all the Halloween stuff coming out makes me think of ghosts, aliens, myths and...wait. Myths, like normal application of lotion to skin has a bolus effect? What a great Out of the Basement topic! So let's explore just that: open.spotify.com/episode/14MroF…
This is one of those classic RadMed (#radonc) campfire tales that we just can't seem to shake. A wonderful paper in @JAMAOnc convincingly demonstrated that normal application of agents, EVEN SILVADENE, had unremarkable dosimetric effects.
Down the rabbit hole: a different study demonstrated that the beloved thermoplastic mask caused surface dose to be 128% relative to control...and 5mm of bolus was 158%. "Realistic" topic agents? 106-111%. So using a H&N mask is implicit agreement that myth=busted.
Make sure your skincare recommendations don't predate the pilot episode of Scooby-Doo. Washing with gentle soap and water and using an oil-based moisturizing cream is so fetch. And please: don't be scared of Silvadene!
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2022: cancer staging? There's an app for that. Memorizing AJCC manuals harkens from a time of phone booths and Blockbuster. Except for RadOnc! Since I don't believe in brute-force techniques, I created a "Mind Map" for mentally consuming the AJCC 8th edition:
Everything can be grouped into 3 buckets: 1) size vs invasion? 2) are there nodes, and how much do details matter? 3) is there a unique system which dictates our management instead?
While my personal notes are still messy, I'll work on buffing them up to share. First, in continuing honor of @jryckman3 , here's lymphoma staging, with some of my favorite Germans: