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. 2022 Jul 23;10(6):611–630. doi: 10.1007/s40336-022-00513-9

Table 1.

Summary of main indication for cancer types

Site Patient setting RT management RT schedules COVID + (asymptomatic/mild symptomatic) COVID + (symptomatic)
Lung cancer [7282] General

Increase HFRT

Increase SBRT

Continue RT(CT) with close monitoring of clinical conditions

Postpone after confirmed healing

Interrupt or preliminarily terminate ongoing treatments

NSCLC

Delay post-operative RT

Avoid twice-daily treatments

NSLC

(early stage)

Increase SBRT

50–60 Gy in 5 fr (central tumors)

48 Gy in 4 fr (adjacent/contact with chest wall)

SCLC

Delay PCI

Consider delivering PCI during concurrent RT(CT)

Hematological cancer [83] General Shorten RT course
Palliative Omission RT treatments
Localized low-grade

Omission RT for completely excised

Delay for asymptomatic patients

Delay RT
Localized nodular LH

Omission RT for completely excised

Delay for asymptomatic patients

Diffuse large B/aggressive LNH Omission RT for consolidation
Head & Neck [72, 8493] General Increase HFRT

Continue RT(CT) with close monitoring of clinical conditions

Use surgical mask with immobilization setup

Prostate

[9499]

General

Increase HFRT

Consider starting RT up to 6 months after OT

Low-risk

Increase HFRT

Increase SBRT

36.25 Gy in 5 fr twice-week
Gastrointestinal [98, 100110] Esophageal cancer 40 Gy in 15 fr
Inoperalble Cholangiocarcinoma Consider SBRT
Pancreatic cancer Consider SBRT in inoperable LAPC
Anal cancer Increase HFRT

36/40 Gy in 20 fr to elective volume;

50 Gy in 20 fr to primary tumor with SIB

Liver cancer

Carbon ION RT for unresectable disease

Consider SBRT for Hepato Cellular Carcinomas

30–60 Gy in 3–5 fr
Rectal cancer Prefer short course treatments
Skin [112116] General

Delay or omit adjuvant RT

Consider HFRT

Consider contact skin RT

Breast [98, 117121] General

Delay or omit adjuvant RT in older adult EBC

Consider HFRT

Soft tissues – Sarcomas [122] General Consider HFRT

30 Gy in 10 fr

30 Gy in 5 fr

28 Gy in 8 fr

25 Gy in 5 fr

Gynecological [123, 124] General Consider HFRT
Uterine cancer Do not exceed 6 weeks after surgery for adjuvant RT

RT radiation therapy, HFRT Hypofractionated radiation therapy, SBRT Stereotactic body radiation therapy, NSCLC Non-small cell lung cancer, SCLC Small cell lung cancer, PCI prophylactic cranial irradiation, LH Hodgkin lymphomas, LNH Non-Hodgkin lymphomas, LAPC Locally advanced pancreatic cancer, SIB simultaneous integrated boost, EBC Early breast cancer