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Take home message:

IGRT for whole breast (+/- nodes)

•Imaging only in the beam direction will underestimate the

set up error

•No clear benefit of CBCT in terms of accuracy for “robust”

techniques (3D tangents)

but other considerations: workflow? SIB? IMRT?

•Surface image has interesting potential and properties

(no dose) but shouldn’t be the only modality for set-up

(rotations, DIBH…)