The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review

Objectives The development of new techniques in radiotherapy (RT) provides a better planned target volume (PTV) dose distribution while further improving the protection of organs at risk (OARs). The study aims to present the dosimetric results of studies using hybrid techniques in whole-breast radio...

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Main Author: Sibel Karaca PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:Technology in Cancer Research & Treatment
Online Access:https://doi.org/10.1177/15330338221143937
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author Sibel Karaca PhD
author_facet Sibel Karaca PhD
author_sort Sibel Karaca PhD
collection DOAJ
description Objectives The development of new techniques in radiotherapy (RT) provides a better planned target volume (PTV) dose distribution while further improving the protection of organs at risk (OARs). The study aims to present the dosimetric results of studies using hybrid techniques in whole-breast radiotherapy (WBRT). Methods: This systematic literature review was conducted by scanning the relevant literature in PubMed, Scopus, and Web of Science following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Among the parameters are dose values for PTV and OARs beam contribute ratios, the value of monitors, and treatment times for different RT techniques. Initially, 586 articles were identified; 196 duplicate articles were removed leaving 391 articles for screening. Three-hundred and thirty-seven irrelevant articles were excluded, leaving 54 studies assessed for eligibility. A total of 22 articles met the search criteria to evaluate dosimetric results of hybrid and other RT techniques in WBRT. Results: According to the dosimetric data of the studies, hybrid intensity-modulated RT (H-IMRT) and hybrid volumetric-modulated arc therapy (H-VMAT) techniques give dosimetrically advantageous results in WBRT compared to other RT techniques. Conclusion: Hybrid techniques using appropriate beams contribute value and show great promise in improving dosimetric results in WBRT. However, there is a need for new studies showing the long-term clinical results of hybrid RT.
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spelling doaj.art-ca65623004cb47bb8d03329bb0bbe1182023-03-28T09:04:23ZengSAGE PublishingTechnology in Cancer Research & Treatment1533-03382022-12-012110.1177/15330338221143937The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic ReviewSibel Karaca PhDObjectives The development of new techniques in radiotherapy (RT) provides a better planned target volume (PTV) dose distribution while further improving the protection of organs at risk (OARs). The study aims to present the dosimetric results of studies using hybrid techniques in whole-breast radiotherapy (WBRT). Methods: This systematic literature review was conducted by scanning the relevant literature in PubMed, Scopus, and Web of Science following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Among the parameters are dose values for PTV and OARs beam contribute ratios, the value of monitors, and treatment times for different RT techniques. Initially, 586 articles were identified; 196 duplicate articles were removed leaving 391 articles for screening. Three-hundred and thirty-seven irrelevant articles were excluded, leaving 54 studies assessed for eligibility. A total of 22 articles met the search criteria to evaluate dosimetric results of hybrid and other RT techniques in WBRT. Results: According to the dosimetric data of the studies, hybrid intensity-modulated RT (H-IMRT) and hybrid volumetric-modulated arc therapy (H-VMAT) techniques give dosimetrically advantageous results in WBRT compared to other RT techniques. Conclusion: Hybrid techniques using appropriate beams contribute value and show great promise in improving dosimetric results in WBRT. However, there is a need for new studies showing the long-term clinical results of hybrid RT.https://doi.org/10.1177/15330338221143937
spellingShingle Sibel Karaca PhD
The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review
Technology in Cancer Research & Treatment
title The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review
title_full The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review
title_fullStr The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review
title_full_unstemmed The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review
title_short The use of Hybrid Techniques in Whole-Breast Radiotherapy: A Systematic Review
title_sort use of hybrid techniques in whole breast radiotherapy a systematic review
url https://doi.org/10.1177/15330338221143937
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