A Novel Method to Set Appropriate Gating Window for Deep Inspiration Breath Hold Patients

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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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Development of a deep inspiration breath‐hold system for radiotherapy utilizing a laser distance measurer

Deep inspiration breath-hold (DIBH) is a technique for treating left-sided breast cancer (LSBC). In modern radiotherapy, one of the main aims is to exclude the heart from the beam aperture with an individualized beam design for LSBC. A deep inhalation will raise the chest wall while the volume of the lungs increase, this will again push the heart away from the breast to be treated. There are a ...

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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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Single 20-second acquisition of deep-inspiration breath-hold PET/CT: clinical feasibility for lung cancer.

UNLABELLED This study was designed to compare tumor (18)F-FDG uptake between a single 20-s acquisition of deep-inspiration breath-hold PET/CT and free-breathing PET/CT for lung cancer. METHODS Before the clinical study, a phantom study was performed to determine the optimum breath-hold time for the PET scan. We studied 47 patients with lung cancer who underwent free-breathing PET/CT with the ...

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Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation

Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes ad...

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ژورنال

عنوان ژورنال: International Journal of Radiation Oncology*Biology*Physics

سال: 2015

ISSN: 0360-3016

DOI: 10.1016/j.ijrobp.2015.07.675