Imaging for early stage breast cancer

How to avoid the late side effects with APBI ??

[Gy]

Organ

Constraints

Ipsilateral non-

V 90

< 10%

target breast

V 50

< 40%

Skin (5 mm)

D 1cm 3

< 90%

D 0.2cm 3

<100%

Rib

D 0.1cm 3

< 90%

D 1cm 3

< 80%

Heart (mean

MHD < 8%

heart dose)

D 0.1cm 3

< 50%

<3 Gy

Ipsilateral lung

MLD < 8%

<1,5 Gy

MLD < 1-1,5 Gy

D 0.1cm 3

< 60%

1-1,5 Gy

1-1,5 Gy

University Hospital Erlangen