Would you offer a third course of palliative radiation after two courses of 8 Gy in 1 fx?

Hip pain can mean different things - is it the ilium, ischium, acetabulum, femur, or L-spine causing the pain?

If it is the exact same bone as previously treated, a third fraction of 8 Gy can generally be safely given over the course of 4 years, especially if pain relief each time has lasted ~2 years...

There are rarely definitive answers to questions like these, but I’ll do my best to detail some of my thoughts on how I would approach this situation, since I was asked to fill this request. I would usually have a conversation with a patient about the risks and benefits, and then utilize a shared, i...