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The deep inspiration breath hold technique using Abches reduces cardiac dose in patients undergoing left-sided breast irradiation

DC Field Value Language
dc.contributor.author금기창-
dc.contributor.author김용배-
dc.contributor.author김준원-
dc.contributor.author박광우-
dc.contributor.author서창옥-
dc.contributor.author이익재-
dc.contributor.author장지석-
dc.date.accessioned2014-12-18T09:54:38Z-
dc.date.available2014-12-18T09:54:38Z-
dc.date.issued2013-
dc.identifier.issn2234-1900-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89058-
dc.description.abstractPURPOSE: We explored whether the deep inspiration breath hold (DIBH) technique using Abches during left-sided breast irradiation was effective for minimizing the amount of radiation to the heart and lung compared to free breathing (FB). MATERIALS AND METHODS: Between February and July 2012, a total of 25 patients with left-sided breast cancer underwent two computed tomography scans each with the DIBH using Abches and using FB after breast-conserving surgery. The scans were retrospectively replanned using standardized criteria for the purpose of this study. The DIBH plans for each patient were compared with FB plans using dosimetric parameters. RESULTS: All patients were successfully treated with the DIBH technique using Abches. Significant differences were found between the DIBH and FB plans for mean heart dose (2.52 vs. 4.53 Gy), heart V30 (16.48 vs. 45.13 cm(3)), V20 (21.35 vs. 54.55 cm(3)), mean left anterior descending coronary artery (LAD) dose (16.01 vs. 26.26 Gy, all p < 0.001), and maximal dose to 0.2 cm(3) of the LAD (41.65 vs. 47.27 Gy, p = 0.017). The mean left lung dose (7.53 vs. 8.03 Gy, p = 0.073) and lung V20 (14.63% vs. 15.72%, p = 0.060) of DIBH using Abches were not different significantly compared with FB. CONCLUSION: We report that the use of a DIBH technique using Abches in breathing adapted radiotherapy for left-sided breast cancer is easily feasible in daily practice and significantly reduces the radiation doses to the heart and LAD, therefore potentially reducing cardiac risk.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfRADIATION ONCOLOGY JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleThe deep inspiration breath hold technique using Abches reduces cardiac dose in patients undergoing left-sided breast irradiation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiation Oncology (방사선종양학)-
dc.contributor.googleauthorHa Yoon Lee-
dc.contributor.googleauthorJee Suk Chang-
dc.contributor.googleauthorIk Jae Lee-
dc.contributor.googleauthorKwangwoo Park-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorChang Ok Suh-
dc.contributor.googleauthorJun Won Kim-
dc.contributor.googleauthorKi Chang Keum-
dc.identifier.doi10.3857/roj.2013.31.4.239-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00744-
dc.contributor.localIdA00272-
dc.contributor.localIdA00958-
dc.contributor.localIdA01432-
dc.contributor.localIdA01919-
dc.contributor.localIdA03055-
dc.contributor.localIdA04658-
dc.relation.journalcodeJ02592-
dc.identifier.eissn2234-3164-
dc.identifier.pmid24501713-
dc.subject.keywordAbches-
dc.subject.keywordCardiac toxicity-
dc.subject.keywordDeep inspiration breath hold-
dc.contributor.alternativeNameKeum, Ki Chang-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameKim, Jun Won-
dc.contributor.alternativeNamePark, Kwang Woo-
dc.contributor.alternativeNameSuh, Chang Ok-
dc.contributor.alternativeNameLee, Ik Jae-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.contributor.affiliatedAuthorKeum, Ki Chang-
dc.contributor.affiliatedAuthorKim, Jun Won-
dc.contributor.affiliatedAuthorPark, Kwang Woo-
dc.contributor.affiliatedAuthorSuh, Chang Ok-
dc.contributor.affiliatedAuthorLee, Ik Jae-
dc.rights.accessRightsfree-
dc.citation.volume31-
dc.citation.number4-
dc.citation.startPage217-
dc.citation.endPage224-
dc.identifier.bibliographicCitationRADIATION ONCOLOGY JOURNAL, Vol.31(4) : 217-224, 2013-
dc.identifier.rimsid33773-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers

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