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 car...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-04-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fonc.2018.00087/full |
| _version_ | 1819294571560960000 |
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| author | Carmen Bergom Adam Currey Nina Desai An Tai Jonathan B. Strauss |
| author_facet | Carmen Bergom Adam Currey Nina Desai An Tai Jonathan B. Strauss |
| author_sort | Carmen Bergom |
| collection | DOAJ |
| description | 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 advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques. |
| first_indexed | 2024-12-24T04:28:26Z |
| format | Article |
| id | doaj.art-15062e804331452396d32a787e8a84a8 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-24T04:28:26Z |
| publishDate | 2018-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-15062e804331452396d32a787e8a84a82022-12-21T17:15:29ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2018-04-01810.3389/fonc.2018.00087347058Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer IrradiationCarmen Bergom0Adam Currey1Nina Desai2An Tai3Jonathan B. Strauss4Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United StatesDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United StatesDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United StatesDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United StatesDepartment of Radiation Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesHistorically, 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 advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques.http://journal.frontiersin.org/article/10.3389/fonc.2018.00087/fulldeep inspiration breath holdbreast cancerradiationactive breathing controlreal-time position managementheart |
| spellingShingle | Carmen Bergom Adam Currey Nina Desai An Tai Jonathan B. Strauss Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation Frontiers in Oncology deep inspiration breath hold breast cancer radiation active breathing control real-time position management heart |
| title | Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation |
| title_full | Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation |
| title_fullStr | Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation |
| title_full_unstemmed | Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation |
| title_short | Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation |
| title_sort | deep inspiration breath hold techniques and advantages for cardiac sparing during breast cancer irradiation |
| topic | deep inspiration breath hold breast cancer radiation active breathing control real-time position management heart |
| url | http://journal.frontiersin.org/article/10.3389/fonc.2018.00087/full |
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