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IMRT is an advanced technique, which only in a
limited
extent has
been tested in a
randomized
manner
↓ toxicity (H&N, breast)
OS: no robust clinical data
IMRT/RA is a more
resource intense
and
complex
technique
Indications for the use of IMRT/RA should be considered, weighing
potential
gains
and
risks
according to treatment site, patient
characteristics, aim, resources, equipment…
Not all
radiotherapy treatments
require
the
highest order of accuracy
that is technologically achievable and fiscally affordable.
50
Take home messages…