Slide 1

More advanced planning techniques

in breast cancer patients

Aim: Reduction of RT-induced toxicity

•

Forward-MRT

vs.

2D planning: less acute toxicity (dermatitis,

oedema)

Pignol JCO 2008

•

2D planning

vs.

forward-

IMRT: 1.7 times more likely to have

change in breast appearance (after follow-up of 5 years)

Donovan Radiother Oncol 2007

•

Forward-IMRT

vs.

3DCRT planning: superior cosmesis and

reduction in telangiectasia (after follow-up of 5 years)

Mukesh JCO 2015