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Joe Y Chang

@JoeChangMD

Endowed Texas 4000 Distinguished Professor and Director, Stereotactic Ablative Radiotherapy Program, MD Anderson Cancer Center
Houston,TX faculty.mdanderson.org/joe_chang/ Joined July 2015
358 Following 3.1K Followers 621 Posts

Latest posts 5

Joe Y Chang @JoeChangMD
Neither emulated analysis nor novel AI tools can overcome the limitations of insufficiently detailed information in population-based studies. Well-controlled prospective studies are needed to answer these questions.
JCO emulated trial, SABR vs surgery: surgery’s benefit was significant for all-cause mortality only; not lung cancer-specific mortality. That signals clinical imbalance, not inferior SABR: ECOG2 26% vs 7%, COPD 46% vs 26%. Salvage & nuanced treatment decision not in registry.
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Joe Y Chang @JoeChangMD
Planning SBRT in MDACC, we have always SIB GTV another spicy 20% of PTV prescription dose.
Drew Moghanaki Verified account @DrewMoghanaki Oct 31
🌶️🌶️ A journal preprint demonstrates what's possible with lung SBRT as long as the prescription is Spicy enough. This is why all my prescriptions have a Dmin of 125% within the IGTV. @HoppeBrad advancesradonc.org/article/S2452-…
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Joe Y Chang @JoeChangMD
Yes, it works in pancreatic cancer.
Shankar Siva Verified account @_ShankarSiva Oct 23
🚨📣 big news at #ESMO26: 🧵1/MASTERPLAN RCT shows adding SABR to perioperative chemotherapy for high-risk localized #pancreatic cancer ⬆️⬆️ median overall survival to 22.0 months vs 14.0 months (HR 0.45). #PancreaticCancer #RadOnc @TROGfightcancer in press @TheLancetOncol - thelancet.com/journals/lanon…
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Joe Y Chang @JoeChangMD
Alternatively, Pope Leo could have stereotactic ablative radiotherapy if his tumor is small, peripherally located, medium/high risk or refusal for lobectomy. 2025 ASTRO presentation comparing SABR vs VATS showed no inferiority in overall survival at 10 years. Manuscript will be published soon.
Stephen V Liu, MD Verified account @StephenVLiu Oct 13
Pope Leo XIV has been diagnosed with lung adenocarcinoma.

While we had hoped for a different diagnosis, the fact that he was able to undergo a lobectomy is encouraging. Surgery is generally pursued when lung cancer appears localized and potentially curable.

Final pathology will help determine prognosis and whether additional treatment is needed.

Wishing the Holy Father a smooth and speedy recovery.

lombardi.georgetown.edu/lombardi-stori…
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