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Principles and Practice of Modern Radiotherapy Techniques in Breast Cancer pp 299–318Cite as

Application of Tomotherapy in Breast Cancer Patients

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Abstract

Breast cancer is currently the most common carcinoma among women. Adjuvant radiotherapy (RT) plays an important role in the treatment of early breast cancer after lumpectomy and in selected cases after mastectomy. Adjuvant RT has traditionally been delivered using two tangential fields with or without direct fields for regional lymph node treatment after two-dimensional planning. Recently, new treatment planning and delivery options have emerged aiming to improve the dose distribution, reduce inhomogeneities, and clinically confer better locoregional control with reduced toxicities. Even more advanced RT techniques, such as helical intensity modulated radiotherapy (IMRT) (tomotherapy), might offer new solutions to further improve treatment planning and therefore, possibly clinical outcomes in comparison with traditional RT techniques. In this chapter, the current literature about applications of tomotherapy in breast cancer patients is being reviewed and our breast tomotherapy practice at the University of Lausanne, CHUV, Switzerland is being presented.

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Acknowledgment

The Vlaamse Liga Tegen Kanker supported this publication via the Emmanuel van der Schueren Fellowship 2011–2012 grant.

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Authors and Affiliations

  1. Department of Radiation Oncology, Ankara Oncology Hospital, Ankara, Turkey

    Mehtap Coskun

  2. EORTC 2011–2012, EORTC HQ, Avenue Mounier, 83/11, 1200, Brussels, Belgium

    Mehtap Coskun

  3. Department of Radiation Oncology, CHUV, Rue du Bugnon 46, CH 1011, Lausanne, Switzerland

    Mahmut Ozsahin, Wendy Jeanneret Sozzi & Pelagia Tsoutsou

Authors
  1. Mehtap Coskun
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  2. Mahmut Ozsahin
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  3. Wendy Jeanneret Sozzi
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  4. Pelagia Tsoutsou
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Corresponding author

Correspondence to Mahmut Ozsahin .

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Editors and Affiliations

  1. Faculty of Medicine, Department of Radiation Oncology, Ege University, Ege Unv. Hastanesi, Izmir, 35100, Turkey

    Ayfer Haydaroglu

  2. Faculty of Medicine, Department of Radiation Oncology, Hacettepe University, Hacettepe Hastanesi, Ankara, 06100, Turkey

    Gokhan Ozyigit

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Coskun, M., Ozsahin, M., Sozzi, W.J., Tsoutsou, P. (2013). Application of Tomotherapy in Breast Cancer Patients. In: Haydaroglu, A., Ozyigit, G. (eds) Principles and Practice of Modern Radiotherapy Techniques in Breast Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5116-7_23

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  • DOI: https://doi.org/10.1007/978-1-4614-5116-7_23

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5115-0

  • Online ISBN: 978-1-4614-5116-7

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