Is there any role for differential cardiac substructure dose tolerances when treating with radiation for breast cancer?
Do you contour cardiac vessels and/or heart substructures? If so, which one(s) and what dose tolerances do you assign them?
Answer from: Radiation Oncologist at Academic Institution
There is growing literature on the role of defining cardiac substructures and potential dosimetric constraints for these substructures as an improved methodology for cardiac DVH assessment, as compared to mean heart dose (Jacob et al., PMID 30732640).However, at this time, we do not have robust long...