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Palliative Radiation Treatment of Breast Cancer

Preparation

  • To prepare a treatment plan, it is necessary to have overview of tumor localization in both the actual treatment area and in other regions.
  • It is usually necessary to perform imaging of the treatment area: X-ray, bone scintigraphy, MRI for skeletal metastases, CT of the chest for lung metastases, ultrasound, or CT for lymph node or soft tissue/subcutaneous metastases. MRI of the head is preferable for brain metastases.

Simulation

  • "Simplified" CT-based dose planning is often performed.
  • It is important that the patients are well medicated for pain and can lie on their back during simulation.

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