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Conclusion

In favor of VMAT:

Better dose conformity, less dose to non-target breast tissue, MHD reduced in

particular in patients where MHD >0.5 Gy with 3D CRT, less dose to

ipsilateral lung

Not in favor of VMAT:

Slight (but acceptable) increase in dose to contralateral breast and lung

Essers et al, Acta Oncol 2014

Is there a role for VMAT and DIBH in APBI?