The effect of interfractional patient movement on dosimetry has beeninvestigated for breast radiotherapy. Errors in patient set-up and changes inbreast volume were simulated individually to determine how each contributes tothe total dosimetric error. Two treatment techniques were investigated: aconventional treatment and an intensity-modulated treatment delivered usingcompensators. Six patients were investigated and anterior-posterior (AP) andsuperior-inferior (SI) displacements were simulated by displacing theisocentre in both directions by 2, 5 and 10 mm. A model of the breast wasdeveloped from the six patients to simulate changes in breast volume. In thismodel, the breast was described as a set of semi-ellipses. The volume of thebreast was changed by varying the magnitude of the semi-major and semi-minoraxes. Anisotropic changes in breast volume were also investigated. Thedosimetric error was evaluated for each dose plan by calculating the volumeoutside the 95-105% dose range resulting from the simulations. A number ofparameters describing the size and shape of the breast were also investigatedto determine whether a susceptibility of outline sets to interfractionalpatient movement could be predicted. A parameter describing the increase inthe breast volume outside the 95-105% dose range was calculated for AP andSI set-up errors of ±3 mm and changes in breast volume of 5%.Results revealed that set-up errors were likely to cause larger increases inthe volume outside the 95-105% dose range than changes in breast volume fortypical set-up errors and changes in breast volume that occur duringtreatment. The magnitude of the set-up errors and changes in breast volumewere observed to be dependent on the shape outline set. Statisticallysignificant linear correlation was observed between the increase in the volumeoutside the 95-105% dose range and several of the evaluation parameters.