TURKISH JOURNAL OF ONCOLOGY 2014 , Vol 29 , Num 4
The effect of whole breast irradiation with coplanar three field technique in breast cancer patients onto hearth and LAD doses
Serap ÇATLI,1 Fatih DEMİRCİOĞLU,2 Diclehan KILIÇ,1 Gonca ERBAŞ3
1Gazi Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Ankara
2Recep Tayyip Erdoğan Üniversitesi, Eğitim ve Araştırma Hastanesi, Radyasyon Onkolojisi, Rize
3Gazi Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara
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