ArticleJournal of applied clinical medical physics2016
Evaluation of target and cardiac position during visually monitored deep inspiration breath-hold for breast radiotherapy.
Article in Journal of applied clinical medical physics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Cardiac substructure delineation in radiation therapy - A state-of-the-art review.Journal of medical imaging and radiation oncology · 2024Review
- Deep inspiratory breath-hold radiotherapy on a Helical Tomotherapy unit: Workflow and early outcomes in patients with left-sided breast cancer.Technical innovations & patient support in radiation oncology · 2024Article
- Automated review of patient position in DIBH breast hybrid IMRT with EPID images.Journal of applied clinical medical physics · 2023Article
- Reproducibility and stability of spirometer-guided deep inspiration breath-hold in left-breast treatments using an optical surface monitoring system.Journal of applied clinical medical physics · 2023Article
- A method for beam's eye view breath-hold monitoring during breast volumetric modulated arc therapy.Physics and imaging in radiation oncology · 2023Article
- Reproducibility of Deep-Inspiration Breath Hold treatments on Halcyon™ performed using the first clinical version of AlignRT InBore™: Results of CYBORE study.Clinical and translational radiation oncology · 2022Article
- The effect of respiratory capacity for dose sparing in left-sided breast cancer irradiation with active breathing coordinator technique.Frontiers in oncology · 2022Article
- Appropriate margin for planning target volume for breast radiotherapy during deep inspiration breath-hold by variance component analysis.Radiation oncology (London, England) · 2021Article
- A rapid transition to voluntary breath hold from device-assisted moderate deep inspiration breath hold for patients receiving breast radiotherapy during the COVID-19 pandemic.Advances in radiation oncology · 2020Article
- Cardiac Sparing with Personalized Treatment Planning for Early-stage Left Breast Cancer.Cureus · 2020Article
- Single-institution report of setup margins of voluntary deep-inspiration breath-hold (DIBH) whole breast radiotherapy implemented with real-time surface imaging.Journal of applied clinical medical physics · 2018Article
- Continuous breath-hold assessment during breast radiotherapy using portal imaging.Physics and imaging in radiation oncology · 2018Article
- Deep Inspiratory Breath-Hold Radiation for Left-Sided Breast Cancer using Novel Frame-based Tactile Feedback.Journal of medical physicsArticle
- Retrospective Study on Left-Sided Breast Radiotherapy: Dosimetric Results and Correlation with Physical Factors for Free Breathing and Breath Hold Irradiation Techniques.Technology in cancer research & treatmentArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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 heart distance (MHD) were manually measured on cine images and compared to the planned positions based on the digitally reconstructed radiographs (DRRs). An in-house program was designed to measure left anterior descending artery (LAD) and chest wall separation on the planning DIBH CT scan with respect to breath-hold level (BHL) during simulation to determine a minimum BHL for VM-DIBH eligibility. Systematic and random setup uncertainties of 3.0 mm and 2.6 mm, respectively, were found for VM-DIBH treatment from the chest wall measurements. Intrabeam breath-hold stability was found to be good, with over 96% of delivered fields within 3 mm. Average treatment MHD was significantly larger for those patients where some of the heart was planned in the field compared to patients whose heart was completely shielded in the plan (p < 0.001). No evidence for a minimum BHL was found, suggesting that all patients who can tolerate DIBH may yield a benefit from it.
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