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What criteria do you use to determine the utility of DIBH for breast cancer patients?

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Radiation Oncology · Varian Medical Systems/Allegheny health network

For PMRT or anyone getting RNI, favor DIBH for all (irrespective of side) to reduce lung (more important as some of the patients get TDM1 and Pembro with RT) and heart dose (as long as the patient can tolerate the procedure).

For non-RNI, make a determination only for the left-sided breast based on ...

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What criteria do you use to determine the utility of DIBH for breast cancer patients? | Mednet