There is a Phase I trial here using real time Ct scans to modify the treatment based on anatomical changes and/or tumor size reduction. The SBRT is given in 5 fractions, a day off, 5 fractions, day off, etc. The cumulative dose is expected to be 4,500 Gy over a week and a half with expectations of minimal collateral damage.

For the first time, I really heard a radiation oncologist apologize for the damage we receive, too.

SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023