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There was no significant difference in the dose of non-target and contralateral breast using BT and EBRT boost. D to skin, lung, and D to heart were 58.6 Gy vs. 66.7 Gy ( = 0.0025), 32.6 Gy vs. 50.6 Gy ( = 0.0002), and 52.2 Gy vs. 58.1 Gy ( = 0.0009), respectively, while D to ribs was 44.3 Gy vs. 37.7 Gy ( = 0.0062). UDC overestimated D (lung) by 54% ( = 0.0001) and D (ribs) by 28% ( = 0.0003). Based on our biological dose summation method, the total dose of PTV in the breast is higher using BT boost than with EBRT. BT boost yields low