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The book provides, in a comprehensive yet concise way, essential information to improve the knowledge and skills of all healthcare providers involved in the treatment of patients with breast cancer. The content does not focus on general information that is widely available via different sources, but on technical aspects – “hands-on” daily practices and principles of radiation oncology that are not included in other books. Drawing on information taught in courses at e.g. the ESTRO School, as well as the authors’ broad clinical experience, the respective contributions reflect and share the expertise of leading experts in breast cancer radiation therapy, supported by sound data and evidence. Each chapter includes a short introduction summarizing the evidence in the literature and “pearls” (a short bullet-point summary), and is enriched by tables, figures and illustrations to provide a concise, easy-to-follow and appealing overview.
The book, containing also useful electronic supplementary material, will be of interest to a wide range of readers, including radiation oncologists, radiation technicians, medical physicists, and others involved in breast cancer care.
Pages i-xx
Front Matter
Pages 1-1
Pages 3-5
Pages 7-9
Front Matter
Pages 11-11
Pages 13-18
International Criteria for Excellence Breast Centres
Pages 19-22
Organisational Quality Assurance: Certification and Accreditation
Pages 23-26
Quality Assurance Programmes in Radiation Oncology
Pages 27-31
Pages 33-38
Pages 39-48
Pages 49-59
Pages 61-66
Front Matter
Pages 67-67
Pages 69-79
Risk Assessment: Calculating the Benefit of RT for Individual Patients
Pages 81-90
Pages 91-96
Breast Cancer Radiobiology: The Basics
Pages 97-101
Pages 103-109
Front Matter
Pages 111-111
Pages 113-119
Pages 121-128
Pages 129-132
Target Volume Definition and Contouring
Pages 133-138
Target Volume Definition and Delineation Boost/PBI/SIB
Pages 139-150
Pages 151-156
Front Matter
Pages 157-157
Treatment Planning Including Dose Calculation
Pages 159-166
Pages 167-173
Treatment Planning for Challenging Anatomies
Pages 175-180
Treatment Planning for Boost/SIB/PBI
Pages 181-186
Dosimetric Issues and the Transition from 3DCRT to IMRT/VMAT
Pages 187-196
Front Matter
Pages 197-197
Pages 199-201
Pages 203-207
Pages 209-218
Front Matter
Pages 219-219
Follow-up Guidelines, Evidence, and Recommendations
Pages 221-224
Pages 225-229
Pages 231-234
Pages 235-244
Front Matter
Pages 245-245
Postmastectomy Irradiation in the Setting of Implant-Based Breast Reconstruction
Pages 247-256
Oncoplastic Breast Conserving Surgery
Pages 257-264
Pages 265-275
Pages 277-285
Techniques to Reduce Dose to Organs at Risk
Pages 287-295
Pages 297-302
Pages 303-310
Pages 311-317
Intraoperative Radiation Therapy
Pages 319-330
Front Matter
Pages 331-331
Defining the Target Volumes and Radiation Doses after Primary Systemic Therapy
Pages 333-340
Pages 341-346
Pages 347-358
Pages 359-364
Pages 365-371
Genetic Syndromes and RT for Breast Cancer
Pages 373-381
Pages 383-392
Oligometastatic and Oligoprogression Disease
Pages 393-400
Pages 401-412
Re-irradiation Combined with Hyperthermia
Pages 413-419
Concomitant Radiation and Systemic Therapy in the Adjuvant and Metastatic Setting
Pages 421-434
Front Matter
Pages 435-435
Risk Assessment and Quality Management in Radiation Oncology
Pages 437-442
Treatment-Related Quality Assurance
Pages 443-447
Patient-Specific Quality Assurance
Pages 449-451
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