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Metaphysics margins?

Clinically used margin for breast:

0 mm!

– Adapted from sim-technique - it’s just beam setup

– Clearly not enough according to conventional margin ideas

Clinically used margin for boost: 5 mm

– Let’s see if that’s enough

– Margin: 2.5 * 3.2 + 0.3 * 3.2 =

9 mm

Systematic

Random

Delineation

2.0 mm

-

Setup

1.5 mm

2.5 mm

Shape changes 2.0 mm

2.0 mm

Total

3.2 mm

3.2 mm

Because of

background dose