Advanced TP

More advanced planning techniques in breast cancer patients

Aim: Reduction of RT-induced toxicity

• 3D-CRT vs. X-ray planning: less acute toxicity (dermatitis, edema) Pignol JCO 2008

• X-ray planning vs. tangential- IMRT: 1.7 times more likely to have change in breast appearance (after follow-up of 5 years) Donovan Radiother Oncol 2007 • Forward IMRT vs. X-ray planning : Reduction in telangiectasia, less breast shrinkage (after follow-up of 2 years) Barnett Radiother Oncol 2009