ATP 2016

Recommendations VMAT and m-IMRT

Valid treatment option for breast cancer patients: • with high heart dose using 3DCRT or forward-IMRT or • when irradiation of the internal mammary lymph-node chain is indicated In these ‘special cases’ the risk of late cardiac complications with a tangential technique might outweigh the increased second cancer risk with a multibeam IMRT technique

Abo Madyan RO 2014, Ibrahim BMC Cancer 2012, Boyce NEJM 2002