I had the same question when I installed my twin turbos. I had the PRXB elbow brake. After a WHOLE lot of phone calls to twins kit people and checking things out, I decided to add 5" exhaust at the same time I was putting the twins in and got the 5" in-line brake. Ended the congestion problem at the downpipe and the in-line works just like the elbow. All I had to do was run the air line back, no other changes. While the ATS turbos MAY fit, and that IS a tight fit from what I have heard, I didn't want the ATS setup. so I just bit the bullet and got the in-line.
As has already been said, the factory brake leaves much to be desired in vac pump issues, that's why I did not have it put in when I got my truck, having to carry a special belt to deal with failures was NOT on my toolbox/tool list. The Pac system has never failed me, good to go all the time.
CD