Standard Tangential Radiation Fields Do Not Provide Incidental Coverage to the Internal Mammary Nodes
Loganadane G, Kassick M, Kann BH, Young MR, Knowlton CA, Evans SB, Higgins SA, Belkacemi Y, Potenziani M, Saltmarsh N, Wilson LD, Moran MS. Standard Tangential Radiation Fields Do Not Provide Incidental Coverage to the Internal Mammary Nodes. Practical Radiation Oncology 2019, 10: 21-28. PMID: 31394256, DOI: 10.1016/j.prro.2019.07.014.Peer-Reviewed Original ResearchConceptsInternal mammary nodesClinical target volumePlanning target volumeIMN chainMean doseTangential radiation fieldsTarget volumePostmastectomy radiationMammary nodesRadiation therapyAdjuvant whole breast radiation therapyWhole breast radiation therapyRegional nodal radiationConformal radiation therapyNodal radiationPrimary endpointMedian doseTherapeutic coverageStudy cohortTherapeutic dosesBreast cancerIncidental doseAxillary fieldKruskal-Wallis testSupraclavicular fieldPatient-Reported Outcomes and Cosmesis in a Feasibility Study of 4-Dimensional Simulated Image Guided Accelerated Partial Breast Irradiation
Rahimy E, Weidhaas J, Wei W, Lannin D, Horowitz N, Higgins S, Wilson LD, Knowlton C, Moran MS, Young MR, Killelea B, Chagpar A, Yeboa DN, Zelterman D, Evans S. Patient-Reported Outcomes and Cosmesis in a Feasibility Study of 4-Dimensional Simulated Image Guided Accelerated Partial Breast Irradiation. Practical Radiation Oncology 2019, 9: e257-e265. PMID: 30796975, DOI: 10.1016/j.prro.2019.01.013.Peer-Reviewed Original ResearchConceptsPartial breast irradiationDosimetric constraintsBreast irradiationCosmetic outcomePoor cosmesisToxicity gradeBreast cancerKarnofsky performance status scoreTarget volumeAccelerated Partial Breast IrradiationSmaller planning target volumesAcceptable cosmetic outcomeAdverse cosmetic outcomePathologic tumor sizePerformance status scoreI breast cancerBreast-conserving surgeryThree-dimensional conformalDose-volume relationshipPlanning target volumeComputed tomography simulationDaily image guidanceLocoregional recurrencePrimary endpointTumor size