Advanced TP

Comparison of 3D-CRT, IMRT, VMAT locoregional RT including IMN

VMAT: • Improved / similar dose conformity • Reduction in mean heart and ipsilateral lung dose • Shorter delivery time • Reduced number of monitor units • However,

Slight increase in mean contralateral lung and breast dose Volume of the heart receiving low dose was higher Only mean heart dose reduction if 3.2 Gy or higher

Osman RO 2014, Popescu IJROBP 2010, Qi Med Dosimetry 2014