Cited 4 times in
Heart-Sparing Capability and Positional Reproducibility of Continuous Positive Airway Pressure in Left-Sided Breast Radiation Therapy
DC Field | Value | Language |
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dc.contributor.author | 장지석 | - |
dc.contributor.author | 김용배 | - |
dc.contributor.author | 김진성 | - |
dc.contributor.author | 김지훈 | - |
dc.contributor.author | 양고운 | - |
dc.date.accessioned | 2022-12-22T04:17:37Z | - |
dc.date.available | 2022-12-22T04:17:37Z | - |
dc.date.issued | 2022-09 | - |
dc.identifier.issn | 1879-8500 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/192091 | - |
dc.description.abstract | Purpose: Our purpose was to investigate the interfraction and intrafraction reproducibility and practical applicability of continuous positive airway pressure (CPAP) for left breast volumetric modulated arc therapy (VMAT). Methods and materials: Interfraction reproducibility of the position of the heart was evaluated by measuring the heart-to-target distance on 20 planning computed tomography (CT) and 300 daily cone beam CT of 20 patients with left breast cancer treated with a 15-fraction VMAT. The dosimetric metrics of the whole heart and its substructures were compared between CPAP and free-breathing based VMAT plans. Intrafraction reproducibility was evaluated by measuring the motions of the breast target and diaphragm in 4-dimensional CT of 20 female patients with nonbreast cancer. Lastly, we analyzed the CPAP compliance data of 237 consecutive patients with left-sided breast cancer with and without internal mammary node irradiation (IMNI). Results: The heart position was reproducible as evidenced by an absolute average heart-to-target distance error of 2.0 ± 2.0 mm. Compared with free-breathing, CPAP significantly reduced the mean heart dose and the dose to the left ventricle and left anterior descending artery. The average intrafraction position variation of the breast target was 0.5 ± 0.5, 2.5 ± 2.0, and 1.8 ± 1.4 mm in the mediolateral, craniocaudal, and anteroposterior directions, respectively. CPAP was successfully applied in 221 patients (93%), with a mean heart dose of 1.6 ± 0.7 Gy (IMNI: 2.0 Gy and no IMNI: 1.1 Gy). Conclusions: CPAP has adequate heart-sparing capability and sufficient reproducibility in VMAT for left-sided breast cancer treatment, with a high compliance rate. Thus, CPAP is applicable in routine practice for left-sided breast cancer radiation therapy. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | PRACTICAL RADIATION ONCOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Breast Neoplasms* / diagnostic imaging | - |
dc.subject.MESH | Breast Neoplasms* / etiology | - |
dc.subject.MESH | Breast Neoplasms* / radiotherapy | - |
dc.subject.MESH | Continuous Positive Airway Pressure | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Four-Dimensional Computed Tomography | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Organs at Risk / radiation effects | - |
dc.subject.MESH | Radiotherapy Dosage | - |
dc.subject.MESH | Radiotherapy Planning, Computer-Assisted / methods | - |
dc.subject.MESH | Radiotherapy, Intensity-Modulated* / methods | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Unilateral Breast Neoplasms* / diagnostic imaging | - |
dc.subject.MESH | Unilateral Breast Neoplasms* / radiotherapy | - |
dc.title | Heart-Sparing Capability and Positional Reproducibility of Continuous Positive Airway Pressure in Left-Sided Breast Radiation Therapy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiation Oncology (방사선종양학교실) | - |
dc.contributor.googleauthor | Min Seo Choi | - |
dc.contributor.googleauthor | Jee Suk Chang | - |
dc.contributor.googleauthor | Ryeong Hwang Park | - |
dc.contributor.googleauthor | Yong Jae Kwon | - |
dc.contributor.googleauthor | Yong Bae Kim | - |
dc.contributor.googleauthor | Jin Young Moon | - |
dc.contributor.googleauthor | Gowoon Yang | - |
dc.contributor.googleauthor | Jihun Kim | - |
dc.contributor.googleauthor | Jin Sung Kim | - |
dc.identifier.doi | 10.1016/j.prro.2021.12.016 | - |
dc.contributor.localId | A04658 | - |
dc.contributor.localId | A00744 | - |
dc.contributor.localId | A04548 | - |
dc.contributor.localId | A05823 | - |
dc.relation.journalcode | J04363 | - |
dc.identifier.eissn | 1879-8519 | - |
dc.identifier.pmid | 35151923 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1879850022000509?via%3Dihub | - |
dc.contributor.alternativeName | Chang, Jee Suk | - |
dc.contributor.affiliatedAuthor | 장지석 | - |
dc.contributor.affiliatedAuthor | 김용배 | - |
dc.contributor.affiliatedAuthor | 김진성 | - |
dc.contributor.affiliatedAuthor | 김지훈 | - |
dc.citation.volume | 12 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | e368 | - |
dc.citation.endPage | e375 | - |
dc.identifier.bibliographicCitation | PRACTICAL RADIATION ONCOLOGY, Vol.12(5) : e368-e375, 2022-09 | - |
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