Garrett Green, MD Drew Moghanaki Riad Salem Beau Bosko Toskich, MD FSIR Boston Scientific Sid Padia Here is what I normally see after Y90 - tumor with red arrow and dead liver in green. Big fat miss.

M. Bolton Showing you my cases since you think I don't treat breast. Here is a left sided PMRT with grossly involved IMNs and expanders - using IMPT with mean heart less than 1Gy while giving 63Gy to the grossly involved IMN node.

M. Bolton Right VMAT partial breast, mean heart dose 1.14Gy - more than what I get when doing proton left breast regional nodes including gross IMN nodal boosts.

Health systems that don’t have protons and never refer out their medulloblastoma and other CSI patients are unethical in 2025. I know medicine is a business. And no - the “spray” from VMAT is not beneficial here. #ASTRO #COG #WEWHOCURIE #SNO #PROTONS