Christian Flores MD MPH retweeted
New in #practicalRO: ASTRO publishes updated guideline on radiation therapy for localized prostate cancer.
ASTRO’s updated guideline recommends moderate hypofractionation over conventional fractionation for patients across all risk groups.
See ASTRO’s news release for a detailed summary: bit.ly/4sO564F
Christian Flores MD MPH retweeted
Happy to share that our multicenter, randomized, sham-controlled phase II trial of low-dose whole-brain radiotherapy in mild-moderate Alzheimer’s disease is now published in Radiotherapy & Oncology!
Why we did it: LDRT reduced amyloid and neuroinflammation in AD mouse models. Our two dose arms came from early human reports: a CT-dose case report (0.04 Gy; Cuttler et al., 2016) and a single-arm pilot (0.5 Gy; Kim et al., ROJ 2023). Neither had a control group.
What we did: 41 amyloid-PET+ patients were randomized to sham, 0.24 Gy, or 3 Gy (6 fractions over 3 weeks), on top of standard medication.
What we found:
- 6-month ADAS-cog (primary endpoint) was not met
- 12 months (exploratory), −5.4 points with 3 Gy (nominal p = 0.044), though findings were not consistent across other outcomes. No treatment-related adverse events.
What’s next: LDRT was safe, but efficacy is not established. Larger, adequately powered trials with longer follow-up are needed, and we look forward to LDRT-MIND from Dr. Evan Thomas, which will add more robust data and explore maintenance.
Grateful to our patients, and co-investigators across three centers.
🔗 doi.org/10.1016/j.radonc.202…
#Alzheimers #LowDoseRT #ClinicalTrial @EvanThomas84 @jryckman3
Is it the biology or the nodes? Molecular subtype is not associated with differential outcomes after post-mastectomy radiotherapy in SUPREMO-eligible breast cancer: a retrospective SEER cohort study - Clinical Breast Cancer clinical-breast-cancer.com/a…
Christian Flores MD MPH retweeted
🟣 [HCC Interventional Therapy Series] | Part 3
TACE + systemic therapy = better outcomes? Not automatically
In HCC, success depends on more than combining treatments. The key is knowing who benefits, when to treat, and how to sequence therapies
🔎oaepublish.com/articles/2394…
Christian Flores MD MPH retweeted
New in the @IJROBP : breast RT + SIB in 5 fractions, with low objective late side effects at 5 years.
Congratulations to Maia Dzhugashvili this paper forms part of her PhD thesis and all coauthors!
🔗 authors.elsevier.com/sd/arti…
Christian Flores MD MPH retweeted
Marking Baby Loss Awareness Week #WaveOfLight
Christian Flores MD MPH retweeted
Cuando alguien te haga sentir que todo es tu culpa, replantéate su señalamiento. Normalmente, personas con rasgos narcisistas suelen culpar a los demás por lo que en realidad son o hacen ellos.
Christian Flores MD MPH retweeted
ASCO’s decision to reduce the waiting period for members to access meeting content from 12 months to just 30 days is a significant step toward accelerating access to scientific knowledge.
Thank you, @ASCO !
Christian Flores MD MPH retweeted
People who can read intentions and sense fake energy are the most awakened and isolated.
Christian Flores MD MPH retweeted
8th International Consensus Guidelines for the management of advanced breast cancer (ABC8 Guidelines) - The Breast thebreastonline.com/article/…
Christian Flores MD MPH retweeted
Se dijo en la película Comer, rezar, ama: "Deja que las cosas se rompan, no te esfuerces en mantenerlas unidas. Deja que la gente se enoje, que te critiquen; no es tu problema. Permite que todo se derrumbe, sin preocuparte por el después. Lo que está destinado a irse, se irá, y lo que tenga que quedarse, seguirá ahí. Siempre hay espacio para algo nuevo, esa es la ley de la vida. No pienses que no queda nada bueno para ti;
simplemente deja ir lo que ya no."
Christian Flores MD MPH retweeted
Somos lo que vivimos y lo que dejamos en los demás. Somos las sonrisas que provocamos, los abrazos que dimos y las historias que algún día contarán de nosotros. Somos instantes fugaces que se vuelven recuerdos eternos y huellas que permanecen.
Christian Flores MD MPH retweeted
Recuerde que su auténtica labor consiste en que si usted es libre, necesita liberar a otros. Si tiene poder, entonces su tarea es empoderar a otros.
El poder expande la esencia de tu personalidad para bien o para mal. Lo más fácil volverte cínico y ocuparlo para satisfacer tu ego, lo más difícil despojarte de este último para expandir tu bondad.
Buenos días ☕️
Christian Flores MD MPH retweeted
De-escalating Breast Radiotherapy in the Age of Omission: No Retreat, Baby, No Surrender #radonc #bcsm jmedradonc.org/de-escalating…
Christian Flores MD MPH retweeted
News from #ASTRO26: Short-course radiation therapy better preserves physical function before pancreatic cancer surgery
Randomized phase 2 trial finds better patient experience with five-treatment option; longer chemoradiation did not significantly improve tumor response or reduce progression.
As seen in @CancerNetwrk, @ASCOPost, @AuntMinnie, & @Medscape. Presented by William A. Hall, MD, from the Medical College of Wisconsin.
Learn more: bit.ly/3TIu2xi
@whallradonc @MCWRadOnc
Christian Flores MD MPH retweeted
🌶️🧱 ¡TAJÍN SE VUELVE GIGANTE! Una botella de 3 metros construida con piezas de LEGO sorprende en Tala, Jalisco. La escultura celebra los 40 años de la marca y permanecerá en su planta. 🇲🇽
Christian Flores MD MPH retweeted
NRG-BR002: In oligometastatic breast cancer with ≤4 metastases, controlled primary disease, and no progression during ≤12 months of first-line systemic therapy, metastasis-directed ablation did not improve PFS or OS after ~5 years of follow-up.
ascopubs.org/doi/10.1200/JCO…
Christian Flores MD MPH retweeted
☢️ Incremental Value of Radiation Dose for Prognostic Stratification Beyond Performance Status in Palliative Radiation Therapy for Bone Metastases
🔗 advancesradonc.org/article/S…
@ASTRO_org #RadOnc #RadiationOncology #BoneMetastases #PalliativeCare
🔹 Combining PS & prescribed dose enabled more refined risk stratification for predicting both short- and long-term OS in 423 patients.
🔹 This prognostic value remained robust across key clinical subgroups, regardless of primary tumor risk classification or the number of distant metastatic sites.
🔹 Adding prescribed dose to PS provided significant incremental predictive value for OS compared with PS alone.


































