Re-Irradiation Strategies and Complex Case Management

Re-irradiation presents unique clinical challenges requiring advanced planning and risk assessment. This session explores modern imaging techniques, cumulative dose evaluation, and adaptive planning strategies that enable safe retreatment. Proton therapy, stereotactic approaches, and image-guided techniques are improving precision in previously treated areas. Experts will discuss patient selection criteria, toxicity mitigation, and multidisciplinary coordination in complex recurrent cases. Emerging evidence supports carefully tailored re-irradiation protocols that balance tumor control with organ preservation. Clinical case studies will provide practical insights into decision-making frameworks. With evolving technologies and improved dosimetric modeling, re-irradiation is becoming a viable option for select patients requiring additional therapeutic intervention.

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