How do you approach the use of IMRT/VMAT boost for grossly involved internal mammary nodes in breast cancer patients?

If electrons are unable to be used, or if the patient's anatomy precludes use of electron treatment, what is your general approach to using IMRT in this scenario?

Answer from: Radiation Oncologist at Community Practice

We have to get over this idea that "IMRT/VMAT IS BAD FOR BREAST CANCER" mentality. ASTRO pursued this for nearly a decade, but finally removed from "Choosing Wisely". VMAT/IMRT is a tool like any other tool. It is (usually) as good or as bad as the contouring and treatment planning. In some c...

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Radiation Oncologist at Northeast Alabama Regional Medical Center
Completely agree with all this. Would like to copy...

Radiation Oncologist at Upper Cumberland Oncology
Agree! Insurance denials are the major reason we d...

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How do you approach the use of IMRT/VMAT boost for grossly involved internal mammary nodes in breast cancer patients?

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