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What hotspot and heterogeneity metrics do you utilize when delivering PMRT to a patient who has had breast reconstruction?

How do you use 105%, 107% and max dose metrics differently compared with non-reconstructed cases?
1 Answer
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

I try to follow the same as intact breast.

Limiting hot spot < 110 and V 105 < 5-10% and not hot spot in IM fold.

Patel et al., PMID 30145393

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