ESTRO Multidisciplinary Management of Breast Cancer 2017
Example of constraints: the DBCG criteria
For 40 Gy /15 fr
Target: CTV breast/chest wall: V
≥98%, V
≤2%, V
=0
95%
107%
108%
Heart: V
≤ 5%, V
≤ 1%, max dose ≤ 40 Gy
17Gy
35Gy
Ipsilateral lung: mean dose ≤ 16 Gy, V 17Gy
≤ 25%
Contralateral breast: as little as possible (esp. young patients)
PRIORITIES ??
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