Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients

Shan-Ho Chan,1 Ya-Yu Huang,2 Shu-Huei Tsai,2 Jui-Chu Wang,3 Yi-Ren Chen,2 Chen-Lin Kang1,2 1Department of Medical Imaging and Radiology, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan; 2Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung Univ...

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Main Authors: Chan SH, Huang YY, Tsai SH, Wang JC, Chen YR, Kang CL
Format: Article
Language:English
Published: Dove Medical Press 2022-11-01
Series:Cancer Management and Research
Subjects:
Online Access:https://www.dovepress.com/evaluation-of-the-position-error-of-wearing-surgical-masks-during-radi-peer-reviewed-fulltext-article-CMAR
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author Chan SH
Huang YY
Tsai SH
Wang JC
Chen YR
Kang CL
author_facet Chan SH
Huang YY
Tsai SH
Wang JC
Chen YR
Kang CL
author_sort Chan SH
collection DOAJ
description Shan-Ho Chan,1 Ya-Yu Huang,2 Shu-Huei Tsai,2 Jui-Chu Wang,3 Yi-Ren Chen,2 Chen-Lin Kang1,2 1Department of Medical Imaging and Radiology, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan; 2Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; 3Department of Anatomical Pathology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, TaiwanCorrespondence: Chen-Lin Kang, Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital, No. 123, Dapi Road, Niaosong Dist, Kaohsiung, 833, Taiwan, Tel +886 7 7317123&num;7115, Fax +886 7 7322813, Email k1074.kang@gmail.comPurpose: Wearing a mask during the coronavirus disease 2019 epidemic (COVID-19) is a preventive way to reduce droplet and aerosol transmission. The purpose of this study was to evaluate the position error of wearing a surgical mask during radiotherapy in head and neck cancer patients.Patients and Methods: We collected and analyzed 2351 kV X-ray image records of 81 patients with head and neck cancer who underwent image-guided radiotherapy (IGRT). Patients with/without a surgical mask were divided into the head-neck (HN) mask group and head-neck-shoulder (HNS) mask group. The position error in the X (left-right), Y (superior-inferior), Z (anterior-posterior), 3D (three dimensional) vectors, as well as the pitch and yaw axes were compared between the four groups.Results: We found that patients wearing surgical masks in the HN mask group showed no significant differences in the mean position error of the different types of headrest (p> 0.05). In the HNS mask group, only the type C headrest group showed significant differences (P < 0.05). The X axis values were − 0.05± 0.07 and − 0.11± 0.01 cm (P = 0.04), and the pitch axis values were 0.34± 0.29° and 0.83± 0.08° (P = 0.01).Conclusion: The mean position error of most patients wearing surgical masks was not greater than patients without a surgical mask. Patients wearing while receiving treatment is a low-cost and easy-to-implement prevention method.Keywords: COVID-19, head and neck cancer, image-guided radiotherapy, setup error
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spelling doaj.art-24fbb02ca11a414aa1c66c8d8d66f5f92022-12-22T04:38:23ZengDove Medical PressCancer Management and Research1179-13222022-11-01Volume 143131313779469Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer PatientsChan SHHuang YYTsai SHWang JCChen YRKang CLShan-Ho Chan,1 Ya-Yu Huang,2 Shu-Huei Tsai,2 Jui-Chu Wang,3 Yi-Ren Chen,2 Chen-Lin Kang1,2 1Department of Medical Imaging and Radiology, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan; 2Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; 3Department of Anatomical Pathology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, TaiwanCorrespondence: Chen-Lin Kang, Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital, No. 123, Dapi Road, Niaosong Dist, Kaohsiung, 833, Taiwan, Tel +886 7 7317123&num;7115, Fax +886 7 7322813, Email k1074.kang@gmail.comPurpose: Wearing a mask during the coronavirus disease 2019 epidemic (COVID-19) is a preventive way to reduce droplet and aerosol transmission. The purpose of this study was to evaluate the position error of wearing a surgical mask during radiotherapy in head and neck cancer patients.Patients and Methods: We collected and analyzed 2351 kV X-ray image records of 81 patients with head and neck cancer who underwent image-guided radiotherapy (IGRT). Patients with/without a surgical mask were divided into the head-neck (HN) mask group and head-neck-shoulder (HNS) mask group. The position error in the X (left-right), Y (superior-inferior), Z (anterior-posterior), 3D (three dimensional) vectors, as well as the pitch and yaw axes were compared between the four groups.Results: We found that patients wearing surgical masks in the HN mask group showed no significant differences in the mean position error of the different types of headrest (p> 0.05). In the HNS mask group, only the type C headrest group showed significant differences (P < 0.05). The X axis values were − 0.05± 0.07 and − 0.11± 0.01 cm (P = 0.04), and the pitch axis values were 0.34± 0.29° and 0.83± 0.08° (P = 0.01).Conclusion: The mean position error of most patients wearing surgical masks was not greater than patients without a surgical mask. Patients wearing while receiving treatment is a low-cost and easy-to-implement prevention method.Keywords: COVID-19, head and neck cancer, image-guided radiotherapy, setup errorhttps://www.dovepress.com/evaluation-of-the-position-error-of-wearing-surgical-masks-during-radi-peer-reviewed-fulltext-article-CMARcovid-19head and neck cancerimage-guided radiotherapysetup error
spellingShingle Chan SH
Huang YY
Tsai SH
Wang JC
Chen YR
Kang CL
Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients
Cancer Management and Research
covid-19
head and neck cancer
image-guided radiotherapy
setup error
title Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients
title_full Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients
title_fullStr Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients
title_full_unstemmed Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients
title_short Evaluation of the Position Error of Wearing Surgical Masks During Radiotherapy in Head and Neck Cancer Patients
title_sort evaluation of the position error of wearing surgical masks during radiotherapy in head and neck cancer patients
topic covid-19
head and neck cancer
image-guided radiotherapy
setup error
url https://www.dovepress.com/evaluation-of-the-position-error-of-wearing-surgical-masks-during-radi-peer-reviewed-fulltext-article-CMAR
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