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Take home message:

image-guidance for breast cancer

MV can be acceptable is you have a good surrogate (e.g.

visible clips, not only ribs)

The less robust your treatment technique, the more advanced

the IGRT

For robust treatments, an offline strategy (NAL, eNAL, SAL,

etc…) will go a long way towards reducing uncertainties

Surface image has interesting potential and properties (no

dose) but shouldn’t be the only modality for set-up (rotations,

DIBH…)

Deep inspiration: just do it !