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Take home message:

Image-guidance for partial breast

irradiation

Clips

can

be representative for

•the location of the tumor bed

•the location of the whole breast

Registering on clips is time-efficient and can allow for

Penninkhof Radiother Oncol 2009

margin reduction of the tumour bed PTV

Daily or eNAL

kV-CBCT, MV-CBCT, 2D kV are equivalent in terms of

accuracy if registering on clips

2D MV as well, if clips are visible