ArticleThe British journal of radiology2015
Voluntary breath-holding for breast cancer radiotherapy is consistent and stable.
Article in The British journal of radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Changes in radiotherapy fractionation-breast cancer.The British journal of radiology · 2019Pooled it
- Mean heart dose variation over a course of breath-holding breast cancer radiotherapy.The British journal of radiology · 2016Trial
- Evaluation of image-guided and surface-guided radiotherapy for breast cancer patients treated in deep inspiration breath-hold: A single institution experience.Technical innovations & patient support in radiation oncology · 2022Article
- Voluntary versus ABC breath-hold in the context of VMAT for breast and locoregional lymph node radiotherapy including the internal mammary chain.Clinical and translational radiation oncology · 2021Article
- A new respiratory monitor system for four-dimensional computed tomography by measuring the pressure change on the back of body.The British journal of radiology · 2020Article
- The effect of respiratory motion on electronic portal imaging device dosimetry.Journal of applied clinical medical physics · 2019Article
- Low-cost Kinect Version 2 imaging system for breath hold monitoring and gating: Proof of concept study for breast cancer VMAT radiotherapy.Journal of applied clinical medical physics · 2018Article
- Voluntary Deep Inspiration Breath-hold Reduces the Heart Dose Without Compromising the Target Volume Coverage During Radiotherapy for Left-sided Breast Cancer.Radiology and oncology · 2018Article
- Evaluation of the radiobiological gamma index with motion interplay in tangential IMRT breast treatment.Journal of radiation research · 2016Article
- Evaluation of target and cardiac position during visually monitored deep inspiration breath-hold for breast radiotherapy.Journal of applied clinical medical physics · 2016Article
- Skin recurrence in the radiation treatment of breast cancer.Advances in radiation oncologyArticle
- Voluntary breath-hold reduces dose to organs at risk in radiotherapy of left-sided breast cancer.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation OncologyArticle
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate breath-hold stability and constancy for a voluntary breath-hold (VBH) technique in a retrospective analysis.
methodsMovie loop sequences of electronic portal image data from multiple breath holds in a cohort of 19 patients were used to assess within and between breath-hold stability. In vivo dosimetry data based on electronic portal imaging (EPI) were analysed for 31 VBH patients plus a cohort of free-breathing (FB) patients to provide a reference. A phantom experiment simulated the impact on dose of FB, breath hold and unplanned release of breath hold.
results165/174 (93%) movie loop data sets had no detectable displacement. For the remaining 12, median displacement = 1.5 mm and maximum displacement = 3 mm (one patient on one fraction). In vivo dosimetry data analysis showed a median dose difference measured to planned of -0.2% (VBH) and -0.1% (FB). Dose distribution evaluation (γ) pass rates were 84% (VBH) and 91% (FB) including the lung region; 93% and 96% with a lung override. Unplanned release of phantom breath-hold position changed median dose by ≤1% and degraded γ pass rates to 79-62%. Failing regions were mostly in the periphery of the treated volume.
conclusionThe data confirmed that multiple VBHs using visual monitoring are stable; in vivo dose verification via EPI was within expected and acceptable levels. ADVANCES IN KNOWLEDGE: These data provide further reassurance that VBH is a safe technique for cardiac sparing breast radiotherapy and support its rapid, widespread implementation.
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