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Review
. 2024 Feb 17;9(6):101476.
doi: 10.1016/j.adro.2024.101476. eCollection 2024 Jun.

Master Breast Radiation Planning: Simple Guide for Radiation Oncology Residents

Mona Arbab  1 , Romona Frame  1 , Prasanna Alluri  1 , David Parsons  1 , Mu-Han Lin  1 , Jennifer Cleaton  1 , Asal Rahimi  1
Affiliations
Review

Master Breast Radiation Planning: Simple Guide for Radiation Oncology Residents

Mona Arbab et al. Adv Radiat Oncol. .

Abstract

This article focuses on various aspects of breast radiation treatment planning, from simulation to field design. It covers the most common techniques including tangents, mono isocentric, dual isocentric, electron-photon match, and VMAT. This can serve as a guide for radiation oncology residents and medical students to advance their understanding of key aspects of breast radiation treatment and planning processes.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1
Figure 1
Isocenter (yellow) in prone setup.
Figure 2
Figure 2
Non-divergent tangential beams in the supine setup.
Figure 3
Figure 3
Supraclavicular field in the monoisocentric technique. SCLV lymph nodes (cyan), axillary level III (blue), and axillary level II (green) are covered by the SCLV field. The pedicles and humeral head are blocked by the MLCs.
Figure 4
Figure 4
PAB field with blocks for the lung, humeral head, and above the clavicle.
Figure 5
Figure 5
Dual isocentric technique. There is no overlap between the SCLV and tangents as there has been gantry, couch, and collimator rotation for the tangents in addition to gantry rotation for the SCLV field.
Figure 6
Figure 6
Partially wide tangents for IMN coverage.
Figure 7
Figure 7
Electron/photon match.
Figure 8
Figure 8
Electron/photon match at skin. The electron field is divided into two fields with different energies.
See this image and copyright information in PMC

References

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