What ratio of lumpectomy cavity volume to normal breast tissue do you consider reasonable for treating a patient with APBI?
For example, if partial breast RT results in the prescription dose to 80% of the breast, is that reasonable? 50% of the breast?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
In the Italian study, they used 50% prescription dose to 50% or less of breast volume outside PTV. I generally limit PTV volume to the total breast volume ratio of <25-30% to decide if PBI is an appropriate treatment, as dose constraints to the uninvolved breast get harder as PTV volume percentage o...
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