If CBCT is not an option, what is your preferred IGRT strategy for prone breast patients?
2 Answers
Mednet Member
Radiation Oncology · Michigan Healthcare Professionals, PC
We have never used CBCT for whole breast prone patients.
Daily lateral MV is our standard approach + weekly ports.
Could consider KV daily, as well.
Mednet Member
Radiation Oncology · USC Keck School of Medicine
It's really not ideal in the modern era to do prone breast without CBCT because there's no other way to pick up the variability in subtle rotation, contralateral breast tissue pull, and ipsilateral breast skin shape/taut. Once you see the setup errors picked up by 3D imaging you can't unsee them. Ma...