When do you use IMRT in breast radiotherapy?

Do you also use DIBH in these cases?

Answer from: Radiation Oncologist at Community Practice

We seldom use it. Our limited dosimetric experience shows that even though coverage of regional nodes improves, the V10 and V20 of the lung and the mean heart dose also increase. Thus, the small benefit of improved coverage (EORTC and Canadian data showed small improvement in DFS) has to be weighed ...

Comments

Radiation Oncologist at Florida Cancer Specialists and Research Institute Ocala
Is this still applicable in 2023?

Radiation Oncologist at Varian Medical Systems/Allegheny health network
I would say IMRT/VMAT use has increased for RNI to...

Radiation Oncologist at Munson Medical Center
I have yet to see a plan where mean heart dose and...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Deeper nodal location is not necessarily for IM bu...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
I have not seen a good VMAT plan for RNI that does...

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When do you use IMRT in breast radiotherapy?

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