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3D CRT for APBI

Baglan et al, IJROBP 2003

First developed at William Beaumont Institute,

Baglan et al 2003

ADVANTAGES:

-non-invasive

-improved dose homogeneity compared to other APBI techniques

-lower risk of fat necrosis compared to invasive APBI techniques

-more wide-spread use possible

Technique: Supine, standard treatment position, CT scan, CTV was lumpectomy

cavity + 15mm, PTV=CTV +10mm inside breast CTV

First 5 pts 34 Gy / 10 fr / 5 days, thereafter 38.5 Gy / 10 fr / 5 days

IMPORTANT: use clips in lumpectomy cavity and written guidelines for contouring