ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Dosimetric potential of DIBH for lung RT

DIBH facilitates reduced dose to OAR Mean lung dose ~2-4 Gy

Lung V20 ~5% Lung V5 ~12%

Mean heart dose ~3-4 Gy Heart V5 ~11%

High & mean doses to oesophagus, trachea, bronchi Panakis RO 2008; Brock IJROBP 2011; Giraud et al. JTO 2011; Josipovic Acta Oncol 2013; Persson Acta Oncol 2015; Ottosson RO 2015