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Recommendations VMAT and m-IMRT
Valid treatment option for breast cancer patients:
•
with high heart dose using 3DCRT or forward-IMRT or
•
when irradiation of the internal mammary lymph-node chain is
indicated
In these ‘special cases’ the risk of late cardiac complications with a
tangential technique might outweigh the increased second cancer
risk with a multibeam IMRT technique
Abo Madyan RO 2014, Ibrahim BMC Cancer 2012, Boyce NEJM 2002