Strahlenther Onkol 2017 Oct 23;193(10):800-811. Epub 2017 Jun 23.
Department of Radiation Oncology, Coburg Cancer Center, Ketschendorferstraße 33, 96450, Coburg, Germany.
Background: Given the reduction in death from breast cancer, as well as improvements in overall survival, adjuvant radiotherapy is considered the standard treatment for breast cancer. However, left-sided breast irradiation was associated with an increased rate of fatal cardiovascular events due to incidental irradiation of the heart. Recently, considerable efforts have been made to minimize cardiac toxicity of left-sided breast irradiation by new treatment methods such as deep-inspiration breath-hold (DIBH) and new radiation techniques, particularly intensity modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT). Read More