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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?