So,
which technique
should we use for MRT
•
DIBH in all cases?
•
Yes
•
B-VMAT for all cases?
•
Benefit for
V5-V10 lung
and
V4 breast
•
Full arc VMAT
may be preferred:
•
(High neck disease)?
•
Axillary disease
•
Heart constraints can not be met with B-VMAT: eg
PTV extends inf around heart
(ant/lat/post)
•
Butterfly-IMRT or B-VMAT?
•
Local set up and expertise
•
B-VMAT: class-solution, rapid delivery, narrower corridor
•
B-IMRT: more individualised?