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follow-up CT or PET-CT continues for months after the last fraction."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After the final fraction, if no acute side effects; fitness to fly confirmed by the oncologist."},"follow_up_visits":[{"purpose":"assessment","after":{"min":14,"max":28,"unit":"days","qualifier":"Toxicity check, such as esophagitis and skin reaction, 2-4 weeks after treatment ends."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":120,"unit":"days","qualifier":"Response imaging with CT or PET-CT, often at home."},"requirement":"routine"},{"purpose":"assessment","after":{"min":180,"max":210,"unit":"days","qualifier":"Surveillance imaging and symptom review."},"requirement":"routine"}],"indications":["Non-small cell lung cancer, stage I-III, as definitive therapy","Early-stage disease in patients unfit for surgery","Locally advanced disease combined with chemotherapy","Small cell lung cancer, limited stage","Palliation of symptoms such as cough, bleeding or airway obstruction","Brain metastasis prophylaxis or treatment"],"main_risks":["Fatigue","Radiation esophagitis with painful swallowing","Radiation pneumonitis","Skin redness and irritation","Cough and shortness of breath","Lung fibrosis","Rib fracture or chest wall pain (SBRT)","Heart toxicity (late)"],"pain":"Treatment itself is painless. Throat or chest pain on swallowing and skin soreness may appear in weeks 2-4 and are managed with medication.","preparation":["Staging PET-CT and chest CT","Pulmonary function tests","Planning CT simulation with immobilization mask or cradle","Dental and general fitness check","Smoking cessation","Breathing-control training if gating is used"],"recovery_timeline":[{"phase":"During treatment (weeks 1-7)","description":"Daily outpatient sessions; fatigue, cough, and swallowing discomfort build gradually.","restrictions":["Avoid sun exposure on the treated skin","Avoid hot water and rubbing on marked skin","Eat soft foods if swallowing hurts"]},{"phase":"Weeks 1-4 after treatment","description":"Acute side effects peak and then settle; fatigue gradually eases.","restrictions":["Avoid strenuous exercise"]},{"phase":"Months 2-6","description":"Possible radiation pneumonitis window; response imaging at about 3 months.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Time for fatigue and esophagitis to settle after the last fraction."},"result_longevity":"Local tumor control can last years; long-term outcome depends on stage, histology and follow-up therapy, with regular surveillance imaging needed.","revision_rate_pct":null,"scars":"No surgical scars. Small skin tattoo marks for alignment; temporary skin darkening in the treated area.","sessions_or_stages":{"sessions":{"min":30,"max":33,"unit":"visits","qualifier":"Conventional course: about 30-33 daily fractions over 6-7 weeks."},"stages":[{"code":"planning","label":"Simulation CT and treatment planning","after":{"min":0,"max":7,"unit":"days","qualifier":"Before the first fraction."}},{"code":"fractions","label":"Daily radiotherapy fractions, weekdays","after":{"min":0,"max":7,"unit":"days","qualifier":"Starts within a week of planning; conventional course lasts 6-7 weeks."}}],"qualifier":"Typical protocol is conventional fractionation, often combined with chemotherapy."},"success":{"metric":"5-year overall survival","value":35,"unit":"percent","horizon":"5 years","population":"Stage III non-small cell lung cancer, chemoradiation, with or without consolidation immunotherapy","evidence_status":"limited"},"techniques":[{"name":"Intensity-modulated radiotherapy (IMRT/VMAT)","suits_whom":"Locally advanced or central tumors, usually with chemotherapy","recovery":"Daily sessions over 6-7 weeks; fatigue and esophagitis settle within weeks."},{"name":"Stereotactic body radiotherapy (SBRT)","suits_whom":"Early-stage small peripheral tumors, patients unfit for surgery","recovery":"3-8 sessions; mild fatigue, quick return to normal activity."},{"name":"Proton therapy","suits_whom":"Large or complex tumors near the heart or spinal cord","recovery":"Similar to conventional course; daily sessions over 6-7 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Per daily session including setup; beam-on time is only minutes."},"initial_assessment_documents":["Biopsy or pathology report","Chest CT scan report and images","PET-CT report","Pulmonary function test results","Oncologist treatment summary","Brain MRI report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single stay of 6-7 weeks for conventional course; follow-up imaging usually at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden shortness of breath after treatment","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22298-stereotactic-body-radiation-therapy-sbrt","host":"my.clevelandclinic.org","quote":"Contact your healthcare provider right away if you suddenly feel short of breath after SBRT for lung cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Chest pain that is becoming more 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from your lung.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":374}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"intensity-modulated","name":"Intensity-modulated radiotherapy (IMRT/VMAT)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"stereotactic-body","name":"Stereotactic body radiotherapy (SBRT)","how_it_works":{"text":"Multiple small beams deliver high-dose radiation shaped to the tumor","source":{"url":"https://my.clevelandclinic.org/health/treatments/22298-stereotactic-body-radiation-therapy-sbrt","host":"my.clevelandclinic.org","quote":"As it does, it delivers multiple small beams of high-dose radiation that conform to the shape of your 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