Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy

Patients with left breast cancer who undergo radiotherapy have a non-negligible risk of developing radiation-induced cardiovascular disease (CVD). Cardioprotection can be achieved through better treatment planning protocols and through respiratory gating techniques, including deep inspiration breath...

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Main Authors: Falco Michał, Masojć Bartłomiej, Macała Agnieszka, Łukowiak Magdalena, Woźniak Piotr, Malicki Julian
Format: Article
Language:English
Published: Sciendo 2021-01-01
Series:Radiology and Oncology
Subjects:
Online Access:https://doi.org/10.2478/raon-2021-0008
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author Falco Michał
Masojć Bartłomiej
Macała Agnieszka
Łukowiak Magdalena
Woźniak Piotr
Malicki Julian
author_facet Falco Michał
Masojć Bartłomiej
Macała Agnieszka
Łukowiak Magdalena
Woźniak Piotr
Malicki Julian
author_sort Falco Michał
collection DOAJ
description Patients with left breast cancer who undergo radiotherapy have a non-negligible risk of developing radiation-induced cardiovascular disease (CVD). Cardioprotection can be achieved through better treatment planning protocols and through respiratory gating techniques, including deep inspiration breath hold (DIBH). Several dosimetric studies have shown that DIBH reduces the cardiac dose, but clinical data confirming this effect is limited. The aim of the study was to compare the mean heart dose (MHD) in patients with left breast cancer who underwent radiotherapy at our institution as we transitioned from non-gated free-breathing (FB) radiotherapy to gated radiotherapy (FB-GRT), and finally to DIBH.
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spelling doaj.art-4e79c4b0b86a4ebbb2679c4a8722554f2022-12-21T22:53:41ZengSciendoRadiology and Oncology1581-32072021-01-0155221222010.2478/raon-2021-0008Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapyFalco Michał0Masojć Bartłomiej1Macała Agnieszka2Łukowiak Magdalena3Woźniak Piotr4Malicki Julian5Radiation Oncology Department, West Pomeranian Oncology Center, Szczecin, PolandRadiation Oncology Department, West Pomeranian Oncology Center, Szczecin, PolandDepartment of Medical Physics, West Pomeranian Oncology Center, Szczecin, PolandDepartment of Medical Physics, West Pomeranian Oncology Center, Szczecin, PolandRadiation Oncology Department, West Pomeranian Oncology Center, Szczecin, PolandDepartment of Electroradiology, University of Medical Sciences, Poznan, PolandPatients with left breast cancer who undergo radiotherapy have a non-negligible risk of developing radiation-induced cardiovascular disease (CVD). Cardioprotection can be achieved through better treatment planning protocols and through respiratory gating techniques, including deep inspiration breath hold (DIBH). Several dosimetric studies have shown that DIBH reduces the cardiac dose, but clinical data confirming this effect is limited. The aim of the study was to compare the mean heart dose (MHD) in patients with left breast cancer who underwent radiotherapy at our institution as we transitioned from non-gated free-breathing (FB) radiotherapy to gated radiotherapy (FB-GRT), and finally to DIBH.https://doi.org/10.2478/raon-2021-0008breast cancergated radiotherapydeep inspiration breath holdfree breathing gated radiotherapymean heart dose
spellingShingle Falco Michał
Masojć Bartłomiej
Macała Agnieszka
Łukowiak Magdalena
Woźniak Piotr
Malicki Julian
Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
Radiology and Oncology
breast cancer
gated radiotherapy
deep inspiration breath hold
free breathing gated radiotherapy
mean heart dose
title Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
title_full Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
title_fullStr Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
title_full_unstemmed Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
title_short Deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
title_sort deep inspiration breath hold reduces the mean heart dose in left breast cancer radiotherapy
topic breast cancer
gated radiotherapy
deep inspiration breath hold
free breathing gated radiotherapy
mean heart dose
url https://doi.org/10.2478/raon-2021-0008
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