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3D-CRT

%

IMRT

%

Tomo

%

Proton

%

Ipsilat. non-PTV breast - V50

40.9

33.3

22.8

16.5

Ipsilat. lung - V20

6.0

2.3

14.2

0.4

Heart - V20

1.5

1.2

8.0

0.0

-

all four techniques

showed acceptable coverage of the PTV

-

IMRT spared more normal breast

tissue and lung than 3D-CRT

- non-PTV breast sparing was achieved at the cost of considerable dose

exposure to the lung and heart in Tomo

-

proton beam

irradiation provided the

less dose

to organs at risk

Moon et al. Radiother Oncol 90:66-73. 2009

Results and conclusions