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Clinical Advances by the MGH Department of Radiation Oncology

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Evolution of Radiation Oncology at Massachusetts General Hospital

Abstract

The unambiguous goal of the MGH Department of Radiation Oncology is to work intensively to substantially increase the proportion of treated patients who are free of tumor and of treatment-related morbidity. There is acute awareness of the high incidence of cancer each year and the fact that we do not achieve our goal of cure in a significant proportion of patients. Thus, we are definitely sensitive to the fact that there are many questions to be posed and that the answering of those questions requires imaginative and thoughtful laboratory and clinical research. Importantly, there is no ambiguity that time is moving on without the slightest delay. The need for critical questions and the relentless progress of time are clearly illustrated by Fig. 1.

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Notes

  1. 1.

    Bill Powers was the first to use tomography in the assessment of glottic carcinoma.

  2. 2.

    These images are based on a lead cut made in our machine shop and placed in an employee’s mouth to simulate the technique of Schulz. This was necessary as the quality of the two images illustrating this technique in the Holmes and Schulz book was not adequate for publication. The colored area on the lip is to indicate the position of a model tumor.

  3. 3.

    The surgical members of his team have varied with time.

  4. 4.

    Berry was an American who had spent some time in Oxford and married an English woman. After a period back in the USA for his 2 years of military duty, actually at the NCI, he returned to Oxford as Head of the Radiation Biology unit. He so enjoyed his time that he became a UK citizen. He did join the Royal Navy and had several long tours as the physician on an attack submarine. He later was appointed Prof of Oncology at the Middlesex Medical School. This was an early example of the “Reverse Brain Drain.”

  5. 5.

    A later study, 1996, of the cellular radiation sensitivity, by Ruka, a research fellow in the Steele laboratory, showed that the SF2s for soft tissue sarcoma cell lines were not different from those derived from breast carcinomas [73].

  6. 6.

    Moved to another center.

  7. 7.

    Deceased.

  8. 8.

    Were the surgical margins positive, additional radiation was administered.

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Correspondence to Herman D. Suit .

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Suit, H.D., Loeffler, J.S. (2011). Clinical Advances by the MGH Department of Radiation Oncology. In: Evolution of Radiation Oncology at Massachusetts General Hospital. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6744-2_10

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