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Would you offer prone APBI with IMRT/VMAT?

There is data from NYU supporting prone APBI with 3D techniques, and the Florence trial supporting IMRT/VMAT. Is there utility or feasibility to deliver APBI while prone utilizing IMRT/VMAT?
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Do you believe it is beneficial to deliver APBI in the prone position using IMRT/VMAT?

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1 Answer
Mednet Member
Mednet Member
Radiation Oncology · Michigan Healthcare Professionals, PC
Answered on

I am not sure one can do VMAT with a patient prone - I was told there are issues with gantry position and the table.

As far as tangential IMRT, that is definitely possible and worth considering if you cannot meet homogeneity/V105 constraints.

With prone breast, however, I rarely have any issues me...

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