Vertebral Marrow Attention Trial (VMAT)

Exclusion Criteria

• •History of thoracic irradiation
• •History of palliative radiation for the current malignancy under consideration
• •Patients not being treated with definitive standard of care to the chest
• •History of bone marrow disease and or leukemia
• •History of prior cytotoxic chemotherapy for a disease other than for the current malignancy
• •Polymetastatic disease, defined here as ≥3 or more extrathoracic metastases
• •Administration of concurrent immunotherapy during radiation therapy, either as part of another clinical trial or otherwise