Yes, it's a good thing being HPV-16 positive in the oropharynx, which usually responds better to treatment, and has better prognostics all across the board. If you smoked, you can be at risk of a more aggressive HPV sub type that behaves more like non HPV, but that may depend on the number of pack years smoked, and deescalation of treatments may not be advised then.

Tomotherapy is a form of IMRT with CT imaging that radiates slice by slice around the patient in a CT like machine, which may be more conformal, have less side effects, take less time to radiate than IMRT. It's usually good for moving tumors such as in the lungs, and tumors close to vital structures like the brain stem, whereby a CT scan is taken each time before treatment, conforms to the tumor as it gets smaller as opposed to IMRT that usually takes one CT before treatment in a separate machine. A few here had Tomotherapy, and posted a topics on the subject if you look under the search feature, but I haven't seen much about Tomotherapy in recent years vs IMRT, maybe due to Proton Therapy being more readily availability, and more targeted, and then there is IMGT, Image Guided Radiation Therapy too.

You've already heard about Moffitt, and 2nd what was said about Dr. Harrison.

Good luck


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs