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IMRT for Tangent Beams
 Dose homogeneity and reduced hotspots
 Kestin & Sharpe et al 2000
 Donovan et al 2002
 Vicini & Sharpe et al 2002
 Dose to Critical Structures
(lung, heart, contra breast)
 Ajay et al 2006
 Selvaraj et al 2007
 Control of treatment side effects:
 moist desquamation, tissue changes.
 Donovan et al 2008
 Pignol et al 2008
 IMRT in Breast is controversial:
 Potters et al IJROPB 56(3) 609 (2003).
 Smith et al JNCI 103(10) 798 (2011).
 Depends on reimbursement and workload efficiency
Benefits Criticisms
Safety
Time
Cost
Evidence
Prompt care
Rapid planning &
treatment
Reproducible
Higher quality
treatment