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 ??