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Systematic review of published doses to the heart

Taylor IJROBP 2015

Mean dose to the heart

IMC irradiation 4 Gy vs 8 Gy

Technique:

Lowest: protons and prone

Highest: IMRT (fixed field or rotational)

Breathing adaptation (DIBH)

3 Gy vs 1 Gy without IMC (tangents)

9 Gy vs 4 Gy with IMC (tangents)