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Voluntary breath-hold technique for reducing heart dose in left breast radiotherapy

Bartlett, FR, Colgan, RM, Donovan, EM, Carr, K, Landeg, S, Clements, N, McNair, HA, Locke, I, Evans, PM, Haviland, JS, Yarnold, JR and Kirby, AM (2014) Voluntary breath-hold technique for reducing heart dose in left breast radiotherapy Journal of Visualized Experiments (89).

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Abstract

Breath-holding techniques reduce the amount of radiation received by cardiac structures during tangential-field left breast radiotherapy. With these techniques, patients hold their breath while radiotherapy is delivered, pushing the heart down and away from the radiotherapy field. Despite clear dosimetric benefits, these techniques are not yet in widespread use. One reason for this is that commercially available solutions require specialist equipment, necessitating not only significant capital investment, but often also incurring ongoing costs such as a need for daily disposable mouthpieces. The voluntary breath-hold technique described here does not require any additional specialist equipment. All breath-holding techniques require a surrogate to monitor breath-hold consistency and whether breath-hold is maintained. Voluntary breath-hold uses the distance moved by the anterior and lateral reference marks (tattoos) away from the treatment room lasers in breath-hold to monitor consistency at CT-planning and treatment setup. Light fields are then used to monitor breath-hold consistency prior to and during radiotherapy delivery. © JoVE 2006-2014. All Rights Reserved.

Item Type: Article
Subjects : Medical Radiation Imaging
Divisions : Faculty of Engineering and Physical Sciences > Electronic Engineering > Centre for Vision Speech and Signal Processing
Authors :
AuthorsEmailORCID
Bartlett, FRUNSPECIFIEDUNSPECIFIED
Colgan, RMUNSPECIFIEDUNSPECIFIED
Donovan, EMUNSPECIFIEDUNSPECIFIED
Carr, KUNSPECIFIEDUNSPECIFIED
Landeg, SUNSPECIFIEDUNSPECIFIED
Clements, NUNSPECIFIEDUNSPECIFIED
McNair, HAUNSPECIFIEDUNSPECIFIED
Locke, IUNSPECIFIEDUNSPECIFIED
Evans, PMUNSPECIFIEDUNSPECIFIED
Haviland, JSUNSPECIFIEDUNSPECIFIED
Yarnold, JRUNSPECIFIEDUNSPECIFIED
Kirby, AMUNSPECIFIEDUNSPECIFIED
Date : 3 July 2014
Identification Number : 10.3791/51578
Copyright Disclaimer : Copyright 2014 Journal of Visualized Experiments
Additional Information : Copyright 2014 Journal of Visualized Experiments
Depositing User : Symplectic Elements
Date Deposited : 18 Feb 2016 15:18
Last Modified : 23 Feb 2016 14:39
URI: http://epubs.surrey.ac.uk/id/eprint/809813

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