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British Journal of Radiology (1995) 68, 1004-1008
© 1995 British Institute of Radiology
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The British Journal of Radiology, Vol 68, Issue 813 1004-1008, Copyright © 1995 by British Institute of Radiology


ARTICLES

Estimating the volume of lung irradiated during tangential breast irradiation using the central lung distance

AJ Neal and JR Yarnold
Department of Radiotherapy, Royal Marsden NHS Trust, Sutton, Surrey, UK.

The aim of this study was to evaluate the central lung distance (CLD) as a surrogate for the volume of lung irradiated during tangential breast radiotherapy. 20 women underwent a planning computed tomography (CT) scan and three-dimensional (3D) treatment planning for both breasts. The field size was perturbed in a systematic manner to give a number of plans with the CLD increasing from 0 to 30 mm. The volume of lung irradiated was determined directly using dose-volume histograms of the lung and correlated with the known CLD. The results indicate that absolute and percentage lung volumes increase with increasing CLD according to a quadratic relationship which is different for both left and right lungs. It is concluded that while there is no substitute for a 3D plan and a lung dose-volume histogram calculation, CLD may be used as a guide to the volume of lung included within the tangential fields used for breast radiotherapy.





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