How do you approach the use of IMRT/VMAT boost for grossly involved internal mammary nodes in breast cancer patients?

We have to get over this idea that "IMRT/VMAT IS BAD FOR BREAST CANCER" mentality. ASTRO pursued this for nearly a decade, but finally removed from "Choosing Wisely".

VMAT/IMRT is a tool like any other tool. It is (usually) as good or as bad as the contouring and treatment planning. In some cases, ...