Evidence map›Paper›PMID 41425971›Full record

ArticleBJR case reports2025

Navigating technical hurdles: implementing a tailored Vac-Lok prone pillow technique to optimize radiotherapy in a case of large pendulous breast.

Pranav Nair, Ajay Sasidharan, Sruthi Kalavagunta, Prasath Bhaskaran, Alma Peter, Annex Edapattu Haridas, Debnarayan Dutta

Abstract read
In one paragraph

Article in BJR case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Pranav NairRadiation Oncology, Amrita Institute of Medical Sciences, Kochi, India.ORCID https://orcid.org/0000-0003-4224-5690
Ajay SasidharanRadiation Oncology, Amrita Institute of Medical Sciences, Kochi, India.ORCID https://orcid.org/0000-0001-7355-8249
Sruthi KalavaguntaRadiation Oncology, Amrita Institute of Medical Sciences, Kochi, India.
Prasath BhaskaranRadiation Oncology, Amrita Institute of Medical Sciences, Kochi, India.
Alma PeterMedical Physics, Amrita Institute of Medical Sciences, Kochi, India.
Annex Edapattu HaridasMedical Physics, Amrita Institute of Medical Sciences, Kochi, India.
Debnarayan DuttaRadiation Oncology, Amrita Institute of Medical Sciences, Kochi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast radiotherapy, typically administered using tangential fields in the supine position, employs various strategies to improve dose uniformity and minimize radiation exposure to sensitive organs. However, managing patients with large or pendulous breasts presents technical challenges, leading to the investigation of prone position radiotherapy, which has shown benefits in reducing skin reactions and lung radiation dose. Herein, we present a technical note detailing the implementation of a customized Vac-Lok prone pillow setup for adjuvant radiotherapy in a patient with extremely large pendulous breasts. The use of polystyrene foam slabs of 7 cm each and a Vac-Lok over it with a groove to place the ipsilateral breast hanging down and away from the midline and arms extended overhead on a customized prone pillow, enabled a comfortable position for the patient. Compared to the plan generated in the supine position, the prone plan showed a significant reduction in radiation dose to the ipsilateral lung.

Indexed as

breastproneradiotherapyVac-Lok

Identifiers

PMID41425971
PMCPMC12714379

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.