Models / BreastCTVp / Breast_L

Structure Detail

Breast_L

Lateralized Structure LEFT
0.900 Avg Dice
0.930 Median Dice
8.44 Avg HD95 (mm)
9.44 Avg MDC (mm)

Delineation Information

Modality
CT
Guideline
The guideline used is Offersen BV, Boersma LJ, Kirkove C, Hol S, Azr MC, Biete Sola A, et al. ESTRO consensus guideline on target volume delineation for elective radiation therapy of early stage breast cancer. Radiother Oncol 2015;114:3–10. https://doi.org/10.1016/j.radonc.2014.11.030.
Method
Manual

Anatomical Boundaries

Cranial
Upper border of palpable/visible breast tissue; maximally up to the inferior edge of the sterno-clavicular joint. In case of mastectomy guided by palpable/visible signs; if appropriate guided by the contralateral breast; maximally up to the inferior edge of the sterno-clavicular joint
Caudal
Most caudal CT slice with visible breast. Guided by palpable/visible signs; if appropriate guided by the contralateral breast
Medial
Lateral to the medial perforating mammarian vessels; maximally to the edge of the sterl bone
Lateral
Lateral breast fold; anterior to the lateral thoracic artery. If Postmastectomy, then guided by the contralateral breast and maximum upto the mid axillary line.
Ventral
5mm under skin surface
Dorsal
Major pectoral muscle or costae and intercostal muscles where no muscle

Additional Metrics

Average MSD
Median MSD
Median HD958.69
Median MDC10.40
Avg Undercontouring MDC4.88
Avg Overcontouring MDC4.56
Average Volume524.53