Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 29 · Issue 4 · 2014 pp. 148–156

The effect of whole breast irradiation with coplanar three field technique in breast cancer patients onto hearth and LAD doses

Serap ÇATLI1
1 Gazi Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Ankara
2 Recep Tayyip Erdoğan Üniversitesi, Eğitim ve Araştırma Hastanesi, Radyasyon Onkolojisi, Rize
3 Gazi Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara
Published: 2014 Article ID: 897
Abstract
OBJECTIVES

We evaluate the effect of two conformal technique at Turkish
women contour which developed order to reduce the lung
dose in whole breast radiotherapy at European breast cancer
patients.


METHODS

CTV, PTV, lung, heart, contralateral breast and LAD were contoured
on 20 patients referred for breast radiotherapy. Treatment
planning were made as conventional technique (2F-C),
two field non-coplanar conformal technical (2F-NC), 3 field
coplanar conformal technique (3F-C) at Varian Eclipse TPS.
Critical doses were evaluated at DVH. Conformity and homogeneity
index was calculated. Comparison of three groups
made by Kruskal-Wallis test, two separate groups by Mann-
Whitney U test.


RESULTS

Statistically significant differences in favor of 3F-C were detected
on hearth, LAD, contralateral breast doses. Homogeneity
and conformity index was higher for all patients in 3F-C
technique.


CONCLUSION

3F-C technique is adequate for dosimetric aspects and can be
considered in Turkish women especially have coronary artery
disease.

Keywords: Dosimetric comparison; newest techniques; breast radiotherapy

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