What is your approach for a PMRT patient that cannot tolerate prone or supine sim with necessary arm positioning?

In terms of tolerating simulation following mastectomy, the most common issue I have faced is raising the arm. One option is to try a referral to breast therapy to assist with range of motion, cording as needed.

If the patient is still unable to raise arm needed for prone/supine, as needed, I have u...

I would discuss the option of referral for proton therapy with the patient. Ideally, the center would have a high level of experience in the delivery of proton therapy for breast cancer and pencil-beam scanning technology, which has potential advantages over aperture and compensator based proton the...