What is the maximum acceptable hot spot for hypofractionation breast?   

For hypofrac breast patient (such as 40 Gy in 15 fractions), what is the maximum hot spot that you will accept anywhere in the breast?  107-8%? 110%? If that acceptable hot spot is not able to be achieved, do you switch to standard fractionation (50 Gy in 25 fractions)?



Answer from: Radiation Oncologist at Community Practice