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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