The reason for 20 or 37 fractions is not quite what you might think.
The traditional treatment was 37 x 2Gy = 74Gy. (Gy is the radiation treatment dose.) This is used on prostate and pelvic lymph nodes.
It was discovered that prostate tissue can handle higher doses, and this is even beneficial, requiring a lower total dose for same treatment effect. This is called hypofractionation (fewer fractions) and is delivered as
20 x 3Gy = 60Gy.
However, other tissues such as lymph nodes don't handle 3Gy doses very well, so if they're including the lymph nodes, they go back to using 37 x 2Gy.
Edited by member 14 Nov 2022 at 22:29
| Reason: Not specified