Cardiac risk and MCNP/SISCODES doses in RT of the left internal mammary chain with photon and electron portals

To RCP-AF, the Co60 portal for IMC-RT presented more attractive dose distribution, whose 16 Gy for photon-component produced less CR increase, 5% lower than the other photon portals. Considering electron portals, the smallest CR increase was produced by 8 MeV portal while 12-16 MeV made the risk higher. There is a call for a less hardened energetic spectrum in order to reduce CR; however, holding suitable IMC penetration. A combined Co60/8-12 MeV may bring benefits, reducing CR. The lowest risk was found to 46 Gy electron portals exclusively.