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SIB: 25 x 2 Gy = 50 Gy whole bilateral breasts

25 x 2.5 = 62.5 Gy (left boost) & 25 x 2.35 Gy (right boost)

2 isocentric arcs

516 + 522 MU

76 + 74 sec

Lungs MLD = 10.4 Gy

Heart mean dose = 8 Gy

PTV

Whole

breasts

PTV

Boost L

PTV

Boost L

Lbreast: 520 cm

3

Rbreast: 551 cm

3

Lboost: 50 cm

3

Rboost: 32 cm

3

Bilateral treatment with Intensity-modulated arc

therapy

Nicolini et al, Radiation Oncology 2009