More advanced planning techniques
in breast cancer patients
Aim: Reduction of RT-induced toxicity
•
3D-CRT
vs.
X-ray planning: less acute toxicity (dermatitis, edema)
Pignol JCO 2008
•
X-ray planning
vs.
tangential-
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.
X-ray planning : Reduction in telangiectasia, less breast
shrinkage (after follow-up of 2 years)
Barnett Radiother Oncol 2009




