Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system.
Voluntary deep inspiration breath hold technique (vDIBH) is considered as the key to achieving the widest cardiac sparing in whole breast irradiation. Several techniques have been implemented to achieve a reproducible, fast and friendly treatment. The aim of the present study is to implement vDIBH u...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5945040?pdf=render |
| _version_ | 1818036144050274304 |
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| author | Edy Ippolito Michele Fiore Alessia Di Donato Sonia Silipigni Carla Rinaldi Patrizia Cornacchione Erminia Infusino Cristina Di Venanzio Carlo Greco Lucio Trodella Sara Ramella Rolando Maria D'Angelillo |
| author_facet | Edy Ippolito Michele Fiore Alessia Di Donato Sonia Silipigni Carla Rinaldi Patrizia Cornacchione Erminia Infusino Cristina Di Venanzio Carlo Greco Lucio Trodella Sara Ramella Rolando Maria D'Angelillo |
| author_sort | Edy Ippolito |
| collection | DOAJ |
| description | Voluntary deep inspiration breath hold technique (vDIBH) is considered as the key to achieving the widest cardiac sparing in whole breast irradiation. Several techniques have been implemented to achieve a reproducible, fast and friendly treatment. The aim of the present study is to implement vDIBH using the ExacTrac (BrainLAB AG, Germany) monitoring system.Women with left-sided breast cancer, younger than 50 years or with cardiac disease, underwent whole breast RT with vDIBH using the ExacTrac (BrainLAB AG, Germany) monitoring system. Simulations were performed with patients positioned supine on a breast board with both arms raised above the head. Five optical markers were placed on the skin around the border of the left breast gland and their position was referenced with ink marking. Each patient received a training session to find the individual deep inspiration level. Finally, a vDIBH CT was taken. All patients were also studied in free breathing (FB) in order to compare the dose distribution for PTV, heart and left anterior descending coronary artery (LAD). Pre-treatment verification was carried out through the ExacTrac (BrainLAB AG, Germany) system and verified with electronic portal imaging (EPI). Moreover, daily real time EPIs in during modality (captured during the beam delivery) were taken in order to check the reproducibility.34 patients have been evaluated and 30 were eligible for vDIBH. Most patients showed small setup errors during the treatment course of below 5 mm in 94.9% of the recorded fields. Mean Displacement was less in cranio-caudal direction. Mean intra-fraction displacement was below 3 mm in all directions. vDIBH plans provided better cardiac dosimetry.vDIBH technique using ExacTrac (BrainLAB AG, Germany) monitoring system was applied with good reproducibility. |
| first_indexed | 2024-12-10T07:06:16Z |
| format | Article |
| id | doaj.art-84a5cbce51e64c4dbd4f322cea3ecf6b |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T07:06:16Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-84a5cbce51e64c4dbd4f322cea3ecf6b2022-12-22T01:58:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01135e019550610.1371/journal.pone.0195506Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system.Edy IppolitoMichele FioreAlessia Di DonatoSonia SilipigniCarla RinaldiPatrizia CornacchioneErminia InfusinoCristina Di VenanzioCarlo GrecoLucio TrodellaSara RamellaRolando Maria D'AngelilloVoluntary deep inspiration breath hold technique (vDIBH) is considered as the key to achieving the widest cardiac sparing in whole breast irradiation. Several techniques have been implemented to achieve a reproducible, fast and friendly treatment. The aim of the present study is to implement vDIBH using the ExacTrac (BrainLAB AG, Germany) monitoring system.Women with left-sided breast cancer, younger than 50 years or with cardiac disease, underwent whole breast RT with vDIBH using the ExacTrac (BrainLAB AG, Germany) monitoring system. Simulations were performed with patients positioned supine on a breast board with both arms raised above the head. Five optical markers were placed on the skin around the border of the left breast gland and their position was referenced with ink marking. Each patient received a training session to find the individual deep inspiration level. Finally, a vDIBH CT was taken. All patients were also studied in free breathing (FB) in order to compare the dose distribution for PTV, heart and left anterior descending coronary artery (LAD). Pre-treatment verification was carried out through the ExacTrac (BrainLAB AG, Germany) system and verified with electronic portal imaging (EPI). Moreover, daily real time EPIs in during modality (captured during the beam delivery) were taken in order to check the reproducibility.34 patients have been evaluated and 30 were eligible for vDIBH. Most patients showed small setup errors during the treatment course of below 5 mm in 94.9% of the recorded fields. Mean Displacement was less in cranio-caudal direction. Mean intra-fraction displacement was below 3 mm in all directions. vDIBH plans provided better cardiac dosimetry.vDIBH technique using ExacTrac (BrainLAB AG, Germany) monitoring system was applied with good reproducibility.http://europepmc.org/articles/PMC5945040?pdf=render |
| spellingShingle | Edy Ippolito Michele Fiore Alessia Di Donato Sonia Silipigni Carla Rinaldi Patrizia Cornacchione Erminia Infusino Cristina Di Venanzio Carlo Greco Lucio Trodella Sara Ramella Rolando Maria D'Angelillo Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system. PLoS ONE |
| title | Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system. |
| title_full | Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system. |
| title_fullStr | Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system. |
| title_full_unstemmed | Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system. |
| title_short | Implementation of a voluntary deep inspiration breath hold technique (vDIBH) using BrainLab ExacTrac infrared optical tracking system. |
| title_sort | implementation of a voluntary deep inspiration breath hold technique vdibh using brainlab exactrac infrared optical tracking system |
| url | http://europepmc.org/articles/PMC5945040?pdf=render |
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