Is radiation therapy the same quality everywhere?
Bone biopsy came out and it is tentatively stage 4 NSCLC adenocarcinoma. We have two options to choose from after the orthopedic surgery to radiate the bone metastases. They said it was okay to start radiation asap, but whether or not we wanted to wait was up to us.
1) NCI facility
Pros: experienced and is ranked in US News and World Reports
Cons: three week wait time until radiation can begin
2) local hospital
Pros: can offer radiation treatment this week
Cons: not NCI, unranked in lung cancer, honestly it's only residents after 3PM and on the weekends
I know chemotherapy is standardized so it's the same drug everywhere, but is radiation the same everywhere or does technology and experience factor into what quality of radiation is given? I was advised that the insurance wouldn't pay for radiation mapping twice, so it won't be possible to start at one place and switch over for radiation. I am not sure if that means just one radiation spot or if they map all the spots needed to radiate at once.
Any advice is much appreciated.