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Review
.2015 Mar;62(1):74-81.
doi: 10.1002/jmrs.96. Epub 2015 Feb 16.

Review of deep inspiration breath-hold techniques for the treatment of breast cancer

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Review

Review of deep inspiration breath-hold techniques for the treatment of breast cancer

Drew Latty et al. J Med Radiat Sci.2015 Mar.

Abstract

Radiation treatment to the left breast is associated with increased cardiac morbidity and mortality. The deep inspiration breath-hold technique (DIBH) can decrease radiation dose delivered to the heart and this may facilitate the treatment of the internal mammary chain nodes. The aim of this review is to critically analyse the literature available in relation to breath-hold methods, implementation, utilisation, patient compliance, planning methods and treatment verification of the DIBH technique. Despite variation in the literature regarding the DIBH delivery method, patient coaching, visual feedback mechanisms and treatment verification, all methods of DIBH delivery reduce radiation dose to the heart. Further research is required to determine optimum protocols for patient training and treatment verification to ensure the technique is delivered successfully.

Keywords: Breast neoplasms; breath holding; heart; radiation therapy.

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Figures

Figure 1
Figure 1
Demonstration of an active breathing coordinator (ABC) set up. The green thumb switch held in the right hand must be pressed during the breath hold manoeuvre; the release of the button signals interruption of breath-hold. Photo courtesy of Nepean Cancer Care Centre.
Figure 2
Figure 2
Demonstration of a real-time position (RPM) set up with the marker box (block) positioned on the xiphoid process. Visual feedback is provided using modified video goggles. Photo courtesy of Crown Princess Mary Cancer Centre.
See this image and copyright information in PMC

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