On the surface.

Does it ever feel weird talking through regional nodal irradiation A-Z with a patient, highlighting how you will minimize heart dose with incredible modern advancements like deep inspiratory breath hold technique and VMAT treatment delivery, just to get to the simulation scan and explain it involves permanent markers or—even worse—tattoos? Well then this study is for you. Looking back at 24 patients receiving regional nodal irradiation with initial set-ups on standard tattoos, mean vector shifts and treatment times were similar to 24 (unmarked, tattoo-less) patients with initial set-ups on surface imaging alone. | Giantsoudi, Pract Radiat Oncol 2022