ASTRO Guideline on Radiation Therapy for the Whole Breast

Published: May/June 2018 (Web posted March 2018)
(Replaces 2011 guideline)

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This guideline replaces the original 2011 version in light of considerable new evidence that  accumulated in the intervening years. The guideline covers five key questions regarding whole breast irradiation (WBI) fractionation and technique. It includes recommendations on preferred dose-fractionation for patients receiving WBI, with and without a tumor bed boost, and when a boost is indicated. It also discusses how tumor and patient characteristics impact these questions and evaluation of the preferred treatment planning techniques for WBI and for tumor bed boost.

Endorsed by:

• Society of Surgical Oncology
• The Royal Australian and New Zealand College of Radiologists

Resources:

Breast Cancer Refresher - 2017 (CME)
Phase II Trial of Once-Weekly Hypofractionated Breast Irradiation for Early-Stage Breast Cancer (CME)
Podcast with guideline chair
Guideline Slide Set
Patient Brochure