Skip to content
cardio.webdr
ToolsSpecialtiesEchoHeart sounds
ToolsSpecialtiesEchoHeart soundsFavoritesPrivate notes
cardio.webdr

Clinical clarity, in seconds. Built for focused decisions—not data collection.

Patient inputs stay on this device.
ExploreAll toolsSpecialtiesEchocardiographyHeart sounds
Your workspaceFavoritesPrivate notesCalculation historyOffline access
PlatformAboutFAQDevelopersFeedbackContact
© 2026 CardioWebdr Clinical support, not a substitute for judgment.PrivacyTermsStorageSupportReport an issue
All tools/Cardio-Oncology Scores
Interactive worksheet3 clinical inputsPatient data not stored

Radiation-Induced Heart Disease (RIHD) Dose Index Calculator

Radiation-Induced Heart Disease (RIHD) Dose Index: Explanation and Clinical Context RIHD Dose Index (RIHD-DI) is a predictive measure used to estimate the risk of cardiac complications in patients receiving thoracic radiotherapy. The index incorporates key dosimetric parameters: Mean Heart Dose, Maximum Heart Dose, and the percentage of heart volume receiving >25 Gy (V25). This model is based on epidemiological and c

Interactive worksheet

Clinical inputs

0/3 filled
Inputs stay on this device
Active structured worksheetActive local worksheet: mapped inputs can be completed, validated, copied, saved, and exported on this device. No numerical score is asserted unless its formula is independently reproducible.
Clinical contextWhy this tool matters and how to interpret it

Understand the result,
not just the number.

Radiation-Induced Heart Disease (RIHD) Dose Index: Explanation and Clinical Context RIHD Dose Index (RIHD-DI) is a predictive measure used to estimate the risk of cardiac complications in patients receiving thoracic radiotherapy. The index incorporates key dosimetric parameters: Mean Heart Dose, Maximum Heart Dose, and the percentage of heart volume receiving >25 Gy (V25). This model is based on epidemiological and clinical studies demonstrating a linear relationship between radiation dose to the heart and subsequent risk of ischemic heart disease and heart failure.

Higher RIHD-DI values indicate a higher likelihood of developing radiation-induced cardiac events and can guide clinicians in optimizing radiotherapy plans to minimize cardiac exposure. Clinical application includes risk stratification, patient counseling, and monitoring strategies for early detection of RIHD.

Evidence & references1 primary source mapped
  1. Source 1

    Darby SC, Ewertz M, McGale P, et al. Risk of ischemic heart disease in women after radiotherapy for breast cancer. N Engl J Med. 2013;368:987-998. doi:10.1056/NEJMoa1209825

Clinical discussionModerated, tool-specific conversation

Loading discussion…

Moderated before publishingNever include patient identifiers.

Workspace mode

Structured worksheet

Active local worksheet: mapped inputs can be completed, validated, copied, saved, and exported on this device. No numerical score is asserted unless its formula is independently reproducible.

On this pageWorksheet Clinical context References Discussion

Privacy by default

Inputs, results, favorites, and notes remain in your browser unless you explicitly export them.

Privacy details
Report formula or content issue
Continue exploring

Related clinical tools

More in this specialty
Interactive worksheet

HFA-ICOS Dynamic Surveillance Index Calculator

Cardio-Oncology Scores
Interactive worksheet

ICOS Biomarker Model Calculator

Cardio-Oncology Scores
Interactive worksheet

Pericardial Radiation Risk Calculator

Cardio-Oncology Scores
Interactive worksheet

Cleveland Clinic Anthracycline-Induced Heart Failure Risk Calculator

Cardio-Oncology Scores
Clinical structure and calculation context point directly to Source 1; additional primary references remain listed for auditability.