ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Take home message: image-guidance for breast cancer

• MV can be acceptable is you have a good surrogate (e.g. visible clips, not only ribs)

• The less robust your treatment technique, the more advanced the IGRT

• For robust treatments, an offline strategy (NAL, eNAL, SAL, etc…) will go a long way towards reducing uncertainties • Surface image has interesting potential and properties (no dose) but shouldn’t be the only modality for set-up (rotations, DIBH…) • Deep inspiration: just do it !