Breast · Organ at risk

Contralateral Lung

Educational Summary

Dose constraints

Whole Breast

ScheduleConstraintSource
40.05 Gy / 15 fx
or 42.56 Gy / 16 fx
V5 Gy <10%eviQ 3650

Quoted from eviQ 3650, checked 2026-09-23. Full table with references →

Partial Breast

ScheduleConstraintSource
All schedules
40.05 Gy/15 fx · 30 Gy/5 fx · 26 Gy/5 fx
V10% ≤5% (ideal)ASTRO PBI 2023
V5% ≤15% (acceptable)ASTRO PBI 2023

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

Post-Mastectomy Chest Wall

ScheduleConstraintSource
50 Gy / 25 fxV5 Gy <10%eviQ 1925

Quoted from eviQ 1925, checked 2026-09-23. Full table with references →

Regional Nodal Irradiation

ScheduleConstraintSource
45–50 Gy / 25 fx
1.8–2 Gy per fraction
V5 Gy <10%eviQ 1924

Quoted from eviQ 1924, checked 2026-09-23. Full table with references →

Anatomy

The lung on the opposite side from the treated breast or chest wall.

Why it matters

With well-placed tangents the contralateral lung gets very little dose. Its limit is a low-dose metric — a small volume allowed to receive a few gray — because it mainly catches low-dose spread from IMRT, VMAT or beams that enter from the opposite side.

How to contour

Contour the whole opposite lung; it is evaluated on its own, not combined with the ipsilateral lung. The Kong thoracic atlas covers lung contouring.

Related concepts