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Breast Planning Techniques

What technique do you typically use when planning Right Breast Tangents?

  • Answered: 54
  • Skipped: 6
Created with Highcharts 10.3.30%10%20%30%40%50%60%70%80%90%100%10…
Physical Wedges
EDW, Virtual
Wedge,
OmniWedge
Forward
Planned Field
In Field
Inverse
Planned IMRT
Physical Wedges
7.41%
4
EDW, Virtual Wedge, OmniWedge
14.81%
8
Forward Planned Field In Field
75.93%
41
Inverse Planned IMRT
1.85%
1
TOTAL54
Q2 w

What technique do you typically use when planning Left Breast Tangents?

  • Answered: 54
  • Skipped: 6
Created with Highcharts 10.3.30%10%20%30%40%50%60%70%80%90%100%10…
Physical Wedge
EDW, Virtual
Wedge,
OmniWedge
Forward
Planned Field
In Field
Inverse
Planned IMRT
Physical Wedge
3.70%
2
EDW, Virtual Wedge, OmniWedge
11.11%
6
Forward Planned Field In Field
72.22%
39
Inverse Planned IMRT
12.96%
7
TOTAL54
Q3 w

What percentage of your breast tangent patients are treated with Inverse Planned IMRT technique?

  • Answered: 59
  • Skipped: 1
Created with Highcharts 10.3.30%10%20%30%40%50%60%70%80%90%100%10…
0%1% - 24%25% - 49%50% - 74%75% - 99%100%
0%
59.32%
35
1% - 24%
30.51%
18
25% - 49%
1.69%
1
50% - 74%
5.08%
3
75% - 99%
3.39%
2
100%
0.00%
0
TOTAL59
Q4 w

Please add any comment relevant to the used of Inverse Planned IMRT for Breast Tangents

  • Answered: 13
  • Skipped: 47
When using IMRT tangents, we use open tangents + IMRT tangents
7/21/2014 11:45 AM
What about DIBH ?
7/16/2014 08:58 AM
Inappropriate!
7/15/2014 01:54 PM
For the most part- not necessary and just adds to health care costs and manpower
7/15/2014 01:48 PM
Unless restricted to the tangent beam angle it generally results in unacceptable low dose to normal tissue. With a little time and effort an acceptable plan can be created with FIF
7/15/2014 07:24 AM
Typically use IMRT for thin Chest wall irradiation areas where excessive lung doses appear
7/15/2014 02:42 AM
Cannot seem to obtain insurance approval, therefore we are using FiF, even with SIB plans for L side
7/14/2014 10:24 PM
Imrt breasts not allowed here.
7/14/2014 10:05 PM
We MapCheck our tangent fields and charge a spec phys cons. We feel that this is needed to verify the transfer and accuracy of the unique MLC patterns.
7/14/2014 09:34 PM
It would be different if people paid themselves
7/14/2014 09:30 PM