What ratio of lumpectomy cavity volume to normal breast tissue do you consider reasonable for treating a patient with APBI?
1 Answers
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network
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...