Heart dose in breast-RT

I have been reading the ASTRO guideline on breast cancer and they make the point that heart dose should be minimized by blocking it out of the tangent fields when treating the breast. Interestingly a similar question was asked on the mednet and the posted reply also states the same. It seems that people think we should do EVERYTHING possible to limit heart dose to 1-2 Gy. I am not comfortable with that. I have several patients whose anatomy prohibits adequate coverage of the breast, if I... Heart dose in breast-RT
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums