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Conclusions Boost

The definition of the tumor bed boost volume is still challenge for

different teams and multidisciplinary approach with collaboration of

radiation oncologist, surgeon, radiologist, pathologist is recommended

as well as written protocols for the clips placement.

This will contribute to substantially reduce long-term toxicity and

preserve the cosmesis.

To improve the definition of tumor bed volume, all available

methods as the pre- and postoperative image registration, placement of

clips protocols, margins information, as well as the post operative

deformation have to be used.