Imaging for early stage breast cancer

Conclusions

There is no optimal technique for APBI, all techniques have pros and cons It is very difficult to directly compare the techniques partly because: • They are fundamentally different • Different definition of target and treated volume • Different total dose, fraction number, dose/fraction • Different timing in relation to surgery and systemic therapy • Different demand for technical skills • Different cost and cost-effectiveness • Some techniques very dependent on breast size, localization of lumpectomy cavity • Different potential for causing acute and late morbidity • Importantly also different local control rates