Challenges in lung and heart avoidance for postmastectomy breast cancer radiotherapy: Is automated planning the answer?
Postmastectomy radiotherapy (PMRT) has been shown to improve the overall survival for invasive breast cancer patients. However, it represents a challenging treatment geometry and individualized planning strategies with complex field arrangements are usually adopted to decrease radiotoxicity to heart and lungs. Automated treatment planning has the potential to improve plan quality consistency and planning efficiency. Herein, we describe the application of the Pinnacle3 Autoplanning engine as a valuable technological resource able to allow the treatment of challenging patients theoretically unfit for radiotherapy for major cardiac and pulmonary comorbidities.
Source: Medical Dosimetry - Category: Radiology Authors: Savino Cilla, Gabriella Macchia, Carmela Romano, Vittoria Emanuela Morabito, Mariangela Boccardi, Vincenzo Picardi, Vincenzo Valentini, Alessio Giuseppe Morganti, Francesco Deodato Source Type: research