Breast · Organ at risk

Uninvolved Ipsilateral Breast

Educational Summary

Dose constraints

Partial Breast

ScheduleConstraintSource
All schedules
40.05 Gy/15 fx · 30 Gy/5 fx · 26 Gy/5 fx
V95% ≤25% (ideal), ≤40% (acceptable)ASTRO PBI 2023
V50% ≤50% (ideal), ≤60% (acceptable)ASTRO PBI 2023

Ipsilateral breast tissue minus PTV.

Quoted from eviQ 3658, checked 2026-09-23. Full table with references →

Anatomy

The rest of the treated breast outside the partial breast target.

Why it matters

The point of partial breast irradiation is to treat only the tumor bed region and spare the rest of the breast. How much of the remaining breast receives high and intermediate dose is therefore the measure of whether the technique is doing its job — which is why partial breast guidelines limit it with Vx metrics expressed as a percentage of the prescription.

How to contour

It is defined as the ipsilateral breast tissue minus the PTV. The whole-breast contour itself comes from the breast atlases below.

Further reading

  • ASTRO PBI 2023 — Partial Breast Irradiation for Patients With Early-Stage Invasive Breast Cancer or Ductal Carcinoma In Situ: An ASTRO Clinical Practice Guideline Source
  • IMPORT LOW — Partial-breast radiotherapy after breast conservation surgery for patients with early breast cancer (UK IMPORT LOW trial): 5-year results from a multicentre, randomised, controlled, phase 3, non-inferiority trial Source

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