Would you treat your left sided breast cancer patients with DIBH (deep inspiration breath hold) and IMRT when the target includes regional lymph nodes?

Do concerns about matching with 3D plans justify IMRT?

Answer from: Radiation Oncologist at Community Practice

We do treat with tangential beam RT where match between tangent and supraclav is Same half beam block with no issue with matching

Comments

Radiation Oncologist at Varian Medical Systems/Allegheny health network
I meant tangential beam IMRT and not multibeam

Answer from: Radiation Oncologist at Academic Institution

I dont believe the issues with matching justify IMRT. I favor 3D with DIBH and potential cardiac block as needed.