I don't recall your cancer, but if it's HNSCC, it usually takes 50Gy IMRT or more to kill the cancer. I guess you can have lesser IMRT, in conjunction other boost treatments, like brachytherapy, IORT, but that's radiation too, in a different form, and would add up go even more radiation. They both can be done alone, but more often as a boost.

After 5 weeks, or 25 treatments, IMRT's effectiveness becomes less each day, and that is worked into the treatment plan. so more is not better, and reason why they usually do treatments in 7-8 weeks, 2Gy a day. There are other different radiation treatments using 5, 6 weeks with accelerated radio delivery, other names I forget, that work to counter this decrease in effectiveness, tumor kill in an allotted time.

Side effects also depends on the fractions, usually between 1.8 to 2Gy, higher is usually unacceptable. Also the amount of time for each delivery. There is much more to it than that, and radiation treatment is very complicated to understand, explain, and say the dosimetrist is like the wizard of oz.

Another type, is photon treatment, which I'm not really familiar with to say, but has been mentioned recently on the board. That may be lesser than other radiation modalities.

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