Cardiac Toxicity
- 1. A Note of Caution: Early Toxicity
• Prospective MGH/BIDMC protocol of 3-D conformal
APBI:
– 3/198 developed pneumonitis, all received 36 Gy in 9
fractions
• Tufts 3-D conformal APBI (38.5 in 10 fractions; n=60)
– 8% grade 3-4 fibrosis
– 25% fat necrosis
– 1 pericarditis
– 1 rib fracture
– 18% fair or poor cosmetic result
IJROBP 72 (1, suppl), 2008