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What is the maximum acceptable hot spot for hypofractionation breast?

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Radiation Oncology · Varian Medical Systems/Allegheny health network

We in our practice follow below guideline

V110 of zero percent

V105 less than 10 percent (accept up to 15)

no V105 in IM fold and nipple areolar region

Try to achieve above with FIF, mixed beams and if can't get above then tangential beam IMRT or prone positioning

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