ESTRO Multidisciplinary Management of Breast Cancer 2017

Previous Page

Next Page

Page Background

Example of constraints: the DBCG criteria

CTV

CTV breast/CW

V

95%

>98%, V107% ≤2%, V110%=0

CTV nodes

V

90%

>98%, V107% ≤2%, V110%=0

Organs at risk

Heart

V

20Gy

≤ 10 %, V

40Gy

≤ 5 %

Ipsi

lung V

20Gy

≤ 35 % Mean ≤ 18 Gy

Contralateral breast “as low as possible”

+ spinal cord, brachial plexus, and optimisation constraints

PRIORITIES ??

For 2 Gy x 25