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Page Background

Radiotherapy in breast cancer: Heart Toxicity

Latency of 15-20 years

Myocardial scintigraphy can detect perfusion changes as early as 6 mo

Target structures:

Myocardium (e.g. left ventricle)

Vessels (e.g. left anterior descending coronary artery)

Toxicity

Myocardial infarction

Angina

CHF

Valvular disorders

Electrical conductivity alterations

Dose threshold??

03/01/13