Andy Gaya
@andygaya
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Clinical oncologist treating gastrointestinal cancers in London. Father of two. Travel & food fanatic. long suffering Arsenal supporter. views are my own.
London
Joined June 2009
This is an essential thread from @ProfKarolSikora on the state of cancer services in the UK right now. As an oncologist, I echo everything he has said. Please do share this warning, it is a terrible situation we're in. If you have any persistent symptoms, please get checked!
There has been a lot of focus on the two week wait figures for cancer patients, and it is good that they are improving but the situation is worse than people fear. I was on the committee that devised the scheme in 1999: they only account for around 26% of cancer patients.
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How to select pts with HCC for various local therapies? RFA ,MWA , TACE , SIRT , SBRT . Useful for clinical decision-making. Taken from #asco25 @ASCO Do u agree ? @dr_yakupergun @NiuSanford @jryckman3 @OncoAlert @medicalwatchBC
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“First they ignore you, then they laugh at you, then they fight you, then patients win.”
Totally agree w @ldawsonmd that it’s past time for SBRT to be included in HCC guidelines! There is randomized data showing benefit to SBRT in HCC across settings (curative to palliative, with improvements in OS & QOL). @HCCLIVEConf
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🔥🔥 Long-term outcomes from phase 2 SMART pancreas trial now in press 🔥🔥 ➡️ 136 BRPC/LAPC pts, 50 Gy/5 fx on #MRidian ➡️ Median F/U 22.9 mo from dx, 14.2 mo from SMART ➡️ 2-yr OS 53.6% from dx, 40.5% from SMART ➡️ Grade 3+ late GI toxicity minimal https://t.co/VKKIDntnFX
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I’m doing the Thames Path marathon for @macmillancancer on 15th July. An incredible organisation that supports patients & families through the rollercoaster of emotion and the anxiety of cancer. #cancer So grateful please click below and sponsor me! https://t.co/6bqzoUxy0g
justgiving.com
Help Andy Gaya raise money to support Macmillan Cancer Support
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#GCSABR23 Fantastic overview by @DrCorreaRO of role of SABR on management of metastatic disease. “It’s difficult to justify withholding ablative therapy in favour of palliative systemic therapy alone”
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Hugely thought-provoking panel discussion today at #GCSABR23 @GenesisCare Thank you to all the panel members for sharing your expertise! @drjamesgood @DrCorreaRO @andygaya
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Phenomenal talk from @CharlesSwanton on the evolutionary biology of lung cancer and how it might relate to locally ablative therapies at the @GenesisCare symposium #GCSABR23 @crispinhiley @andygaya @PaulGearing1
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Fantastic day at #GCSABR23 groundbreaking talks from @CharlesSwanton @crispinhiley @DrCorreaRO and superman himself @drjamesgood thanks @GenesisCare #sabr #sbrt #cancer #radiotherapy #oncology
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Privileged to be part of the @GenesisCare team delivering the UK’s first dose escalated adaptive rectal cancer treatment on #MRIdian this week @drjamesgood @andygaya @paulgearing1
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A few places remain at our free, CPD-accredited annual SABR symposium at @RCPhysicians in London. This year’s focus is on the established and emerging science of oligometastatic and polymetastatic disease, plus reirradiation, with some world class speakers as well as practical
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This is the best photo you will ever see should get a Pulitzer Prize
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5-year survival by type of cancer vs. volume of research as measured by number of entries in PubMed.
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Is this the future of metastatic disease - SABR to all tumours, even if there are 30 of them?
What did we learn? Planning to 30 Gy in 5 fractions was feasible in the patients with 24 and 30 GTVs, but we ran into lung constraint issues in the patient with 50 GTVs. This case needed to be deescalated to 12 Gy in 2 fractions. Sample plans:
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Fully adaptive stereotactic liver radiotherapy #SABR in London on the #MRLinac at @CromwellHosp @GenesisCare @viewray
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2wks before @gbdeclaration UK scientists @BallouxFrancois @BrainardJulii @Nickcolegrave @SepsisUK @rwjdingwall @andygaya @SunetraGupta @carlheneghan @ProfSyK @OrmerodPaul @cricketwyvern @ProfKarolSikora @SelfHarmRes etc argued #FocusedProtection Thank you! https://t.co/9RjSS0miQU
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The @GenesisCare #MRIdian team in London get going with fully adaptive, MR-guided #SABR ☢️ under the watchful eye of @andygaya and the amazing Angela Trask from @viewray 🚀 https://t.co/TuIbWFnIpD
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ARREST is underway... pushing the metastatic SABR paradigm to new lengths! https://t.co/zoAMas24BU
bmccancer.biomedcentral.com
Background Patients with polymetastatic cancer are most often treated with systemic therapy to improve overall survival and/or delay progression, with palliative radiotherapy reserved for sites of...
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