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Also can we just talk about how scientifically incorrect this attitude is."what constraints are you not able to meet with 3D?" They often don't accept "well, randomized trials shows IMRT better here."
In a trial, treatment X (control, non-IMRT) was compared against treatment Y (experiment, IMRT), and treatment Y was shown superior. In multiple randomized trials. There have been more randomized trials of breast IMRT versus any other body site.
Now "post hoc," the rad oncs come in and say re treatment X:
1) treatment X was not planned as nicely as treatment Y
2) treatment Y was really a form of treatment X (or treatment A... not even actually a form of X or Y)
3) The fundamental issue is homogeneity... not a fundamental difference between X and Y... and X achieves homogeneity of an acceptable amount
Total scientific dumba$$ery at best, chicanery at worst.