A gated deep inspiration breath-hold radiation therapy technique using a linear position transducer

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A gated deep inspiration breath‐hold radiation therapy technique using a linear position transducer

For patients with thoracic and abdominal lesions, respiration-induced internal organ motion and deformations during radiation therapy are limiting factors for the administration of high radiation dose. To increase the dose to the tumor and to reduce margins, tumor movement during treatment must be minimized. Currently, several types of breath-synchronized systems are in use. These systems inclu...

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Improving Intra-Fractional Target Position Accuracy Using a 3D Surface Surrogate for Left Breast Irradiation Using the Respiratory-Gated Deep-Inspiration Breath-Hold Technique

PURPOSE To evaluate the use of 3D optical surface imaging as a surrogate for respiratory gated deep-inspiration breath-hold (DIBH) for left breast irradiation. MATERIAL AND METHODS Patients with left-sided breast cancer treated with lumpectomy or mastectomy were selected as candidates for DIBH treatment for their external beam radiation therapy. Treatment plans were created on both free breat...

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Challenges of maintaining breath-hold conformity for breast patients while using the deep inspiration breath-hold technique

Deep inspiration breath-hold (DIBH) is used for whole breast radiotherapy, as a means of providing better dose homogeneity. This can be achieved by lower doses to the organs at risk, less patient movement and better set up. Most patients offered DIBH treatment are left-sided breast cancer, or ductal carcinoma in situ (DCIS) patients, due to the proximity of the heart to the chest wall so it is ...

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A Comparative Study of 3-D Conformal Radiotherapy Treatment Plans with and Without Deep Inspiration Breath-Hold Technique for Left-Sided Breast Cancer

Introduction: The rate of cardiac diseases have increased among patients who underwent radiotherapy for left-sided breast cancer. The study’s aim was evaluate the dose to organs at risk in free-breathing 3-dimensional conformal (FB-3DCRT) against 3-dimensional conformal deep inspiration breath-hold (3DCRT-DIBH) in patients with left-sided breast cancer. Ma...

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Evaluation of target and cardiac position during visually monitored deep inspiration breath‐hold for breast radiotherapy

A low-resource visually monitored deep inspiration breath-hold (VM-DIBH) technique was successfully implemented in our clinic to reduce cardiac dose in left-sided breast radiotherapy. In this study, we retrospectively characterized the chest wall and heart positioning accuracy of VM-DIBH using cine portal images from 42 patients. Central chest wall position from field edge and in-field maximum ...

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ژورنال

عنوان ژورنال: Journal of Applied Clinical Medical Physics

سال: 2005

ISSN: 1526-9914

DOI: 10.1120/jacmp.v6i1.1995