My head and neck people: are you doing 3D or IMRT for early stage larynx these days? If IMRT, how often are you getting CBCT? I know what I “grew up” doing, which is what I would say on orals... but i also know IMRT is becoming more common and some are even doing u/l VC at times.

@sueyom @imrtlee @ACKoongMDPhD @drlorenmell @AnnaLeeMDMPH

This has become a much more interesting thread than I anticipated! I feel like IMRT for early glottic is like the APBI of head and neck, pre-randomized data. I think it makes sense for the small Tis and T1 But makes me me nervous for T2 (not covering a healthy swath of (cont.)

Level 2 nodes. I’ve seen patients fail there after receiving IMRT. Anyway, cool to see how much variety/artistry occurs, and I feel validated in my equipoise! For now, I think I will stick to 3D but have gained a new appreciation for the nuanced field that is early glottic RT https://abs.twimg.com/emoji/v2/... draggable="false" alt="😁" title="Grinsendes Gesicht mit lächelnden Augen" aria-label="Emoji: Grinsendes Gesicht mit lächelnden Augen">