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