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Radiation oncology is not like other medical specialties. This section deals with existing quality initiatives and cost-effectiveness.

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Modern breast radiotherapy reduces cardiac risks

"Risk and Risk Reduction of Major Coronary Events Associated With Contemporary Breast Radiotherapy"

(JAMA Intern Med. 2014;174(1):158-160. doi:10.1001/jamainternmed.2013.11790)

 

This scientific work was published in JAMA Internal Medecine in january 2014, by Dr Brenner et al.

The authors conclude :

"Cardiac doses from breast radiotherapy have generally decreased during recent decades (although not for all modern treatment techniques), so typical risks of major cardiac events associated with contemporary radiotherapy are lower than in earlier eras. Estimated lifetime risks of major coronary events for patients who receive radiotherapy for breast cancer are now in the range from 0.05% to 3.5%, with a typical value of 0.3% for a typical scenario."

The proposed modern radiotherapy techniques to reduce exposure of the heart to irradiation, like treatment in prone position, are available in Belgium.

22 January 2014

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