Breast plan normalization point

[probiotic]

Hi guys
I am confused about where should i routinely normalize (prescription point) breast plans using conventional wedge pair tangents.
center of breast or anterior to chest wall (pectoralis m.) in early stage cases?
in the former we have less superficial hot spots but suboptimal target coverage and in the latter more coverage but more heterogeneous dose and unacceptable hot spots.

thanks for your help

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[Gfunk6]

I discussed this in depth on a thread about 1.5 years ago. Here is the link:http://forums.studentdoctor.net/threads/dosimetry-during-residency.966727/#post-13360271