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Randomized Trial of IMRT vs. Standard

RT in early breast cancer

• 306 patients

• 50 Gy/25 fractions ± boost 11 Gy/5

Standard

IMRT

p

> 20% of breast

>105% of dose

15%

1%

0.005

Worsen in breast

appearance

58%

40%

0.008

Central breast

fibrosis

32%

21%

0.02

Donovan et al.

Radiother Oncol,

2007