Would you ever recommend a breast boost using BID fractionation due to patient scheduling?
We don't usually give the breast boost BID (due to patient scheduling or other reasons) but we will deliver a daily concomitant boost (270cGy to whole breast with simultaneous integrated daily boost of 320cGy to tumor bed for total dose of 4050cGy to whole breast and 4800cGy to tumor bed) as per our...
I agree with @Dr. First Last in terms of the recent ASTRO guideline update recommending sequential boost, and this has always been my preferred and standard practice. I have...in rare instances...given the last two 2 Gy fractions of a boost in BID fashion, but this was always in the context of a pat...
I used this concomitant boost ,By IMRT or Rapid Arc,my easy fractionation is 270 cgy times 15 fractions (4,050),
While the lumpectomy site receives 300cgy times 15 fractions(4,500) all finished in three weeks,well tolerated,good cosmesis ,no severe fibrosis.patients loves it as quick as possible esp...