ESTRO Multidisciplinary Management of Breast Cancer 2017

What is IMRT ???

Forward IMRT

inverse-planned IMRT

Forward planning for dose homogeneity – field-in- field/electronic compensation

Inverse planning with dosimetric constraints

Extended field arrangement, including non-coplanar fields and non-tangent angles

Field arrangement as for standard 3D-CRT (basically tangents)

Evidence from clinical trials (reviews: Staffurth Clin Oncol 2010 McCormick Semin Radiat Oncol 2011)