ESTRO Multidisciplinary Management of Breast Cancer 2017

How much can you gain? Systematic reviews of the effect of DIBH

Target

Heart (mean dose)

Ipsilateral lung (mean dose)

Breast / CW

- 2.5 Gy

- 1 Gy

Breast/CW + axilla/SCF

-2 Gy

Breast/CW + axilla/SCF+ IMC

- 5 Gy

- 3 Gy

Sources: Taylor et al, IJROBP 2015 Aznar et al (in preparation)