Physics Bucharest 2017

Take home messages…

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.

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