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New York University Department of Radiation Oncology Prospective Randomized Trial of Prone Accelerated Intensity Modulated Whole Breast Radiation Therapy with a Daily Versus Weekly Boost to the Tumor Bed: 3-Year Results B.T. Cooper 1 , G.F. Formenti-Ujlaki 1 , S.M. Shin 1 , M. Fenton-Kerimian 1 , D. Roses 2 , A. Guth 2 , G. Jozsef 1 , J.K. Dewyngaert 1 and S.C. Formenti 1 1 Department of Radiation Oncology, 2 Department of Surgery, New York University School of Medicine and Langone Medical Center, New York, New York

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Page 1: New York University Department of Radiation Oncology Prospective Randomized Trial of Prone Accelerated Intensity Modulated Whole Breast Radiation Therapy

New York University Department of Radiation Oncology

Prospective Randomized Trial of Prone Accelerated Intensity Modulated Whole Breast Radiation Therapy with a Daily Versus

Weekly Boost to the Tumor Bed: 3-Year Results

B.T. Cooper1, G.F. Formenti-Ujlaki1, S.M. Shin1, M. Fenton-Kerimian1, D. Roses2, A.

Guth2, G. Jozsef1, J.K. Dewyngaert1 and S.C. Formenti 1

1Department of Radiation Oncology, 2Department of Surgery, New York University School of Medicine and Langone Medical Center, New York, New York

Page 2: New York University Department of Radiation Oncology Prospective Randomized Trial of Prone Accelerated Intensity Modulated Whole Breast Radiation Therapy

New York University Department of Radiation Oncology

• 400 pts• Cosmesis data

available in 70% of patients

• Median f/u 40 months• Provider and patient

reported cosmesis were recorded based on the LENT/SOMA criteria.

Page 3: New York University Department of Radiation Oncology Prospective Randomized Trial of Prone Accelerated Intensity Modulated Whole Breast Radiation Therapy

New York University Department of Radiation Oncology

More patients reporting good or excellent cosmesis in Arm 2 that approached significance (80% vs 88%; p = 0.08)

P = 0.08 P = 0.25

Page 4: New York University Department of Radiation Oncology Prospective Randomized Trial of Prone Accelerated Intensity Modulated Whole Breast Radiation Therapy

New York University Department of Radiation Oncology

There was no statistical difference in 3 year recurrence free survival between the two arms (98% vs 97%; log-rank p = 0.7)

• One local and two distant recurrences in Arm 1

• Three local and one distant recurrences in Arm 2

P = 0.7