What are the advantages/disadvantages of using static IMRT vs VMAT when treating breast cancer?
Would you expect a difference in skin reaction?
Answer from: Radiation Oncologist at Community Practice
I think like most disease sites, you gain conformity and possibly more homogenous dose, while the low-dose bath increases.
For PBI, I strongly prefer VMAT rather than mini-tangents with FIF (a type of IMRT). I have not found tangential inverse-planned RT to be beneficial in these cases. The V...
Comments
Radiation Oncologist at Varian Medical Systems/Allegheny health network Agree for the most part.
Few points:
Tange...
Radiation Oncologist at Cleveland Clinic Would agree with Dr. @Beriwal.
In our practice cu...
Radiation Oncologist at Sarasota Memorial Hospital What is considered acceptable heart dose constrain...
Radiation Oncologist at Varian Medical Systems/Allegheny health network With VMAT, still aim for mean heart dose of less t...
Answer from: Radiation Oncologist at Community Practice
IMRT techniques vary widely. I agree with Dr. @Parikh that the plan quality is very dependent upon the experience and skill of the dosimetrist, and very likely on the planning system capabilities. It is interesting that some are seeing higher mean heart doses with IMRT, as I often use this technique...
Agree for the most part. Few points: Tange...
Would agree with Dr. @Beriwal. In our practice cu...
What is considered acceptable heart dose constrain...
With VMAT, still aim for mean heart dose of less t...