ESTRO IMRT Course, May 2013
First clinical data
- 3D-CRT in Patients with small heart volumes irradiated with tangents
- IMRT in Patients that would have had large volumes irradiated to high
doses with tangents
Mean Heart dose is potentially not the best parameter
(ASTRO 2015: in RTOG 0617 V45 was the best predictor…….)
-Noisy data
-In both groups temporary
depression of heart function parameters
-In both groups recovery at 2 years
-No relevatn difference between groups
Heggemann et al., IJROBP, 2015