Crawl positioning improves set-up precision and patient comfort in prone whole breast irradiation.

Breast / radiation effects Breast Neoplasms / radiotherapy Cone-Beam Computed Tomography / methods Female Humans Patient Comfort / methods Patient Positioning / methods Prone Position / physiology Radiotherapy Dosage Radiotherapy Planning, Computer-Assisted / methods Supine Position / physiology Unilateral Breast Neoplasms / radiotherapy

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
02 10 2020
Historique:
received: 12 11 2019
accepted: 06 09 2020
entrez: 3 10 2020
pubmed: 4 10 2020
medline: 5 1 2021
Statut: epublish

Résumé

Prone positioning for whole-breast irradiation (WBI) reduces dose to organs at risk, but reduces set-up speed, precision, and comfort. We aimed to improve these problems by placing patients in prone crawl position on a newly developed crawl couch (CrC). A group of 10 right-sided breast cancer patients requiring WBI were randomized in this cross-over trial, comparing the CrC to a standard prone breastboard (BB). Laterolateral (LL), craniocaudal (CC) and anterioposterior (AP) set-up errors were evaluated with cone beam CT. Comfort, preference and set-up time (SUT) were assessed. Forty left and right-sided breast cancer patients served as a validation group. For BB versus CrC, AP, LL and CC mean patient shifts were - 0.8 ± 2.8, 0.2 ± 11.7 and - 0.6 ± 4.4 versus - 0.2 ± 3.3, - 0.8 ± 2.5 and - 1.9 ± 5.7 mm. LL shift spread was reduced significantly. Nine out of 10 patients preferred the CrC. SUT did not differ significantly. The validation group had mean patient shifts of 1.7 ± 2.9 (AP), 0.2 ± 3.6 (LL) and - 0.2 ± 3.3 (CC) mm. Mean SUT in the validation group was 1 min longer (P < 0.05) than the comparative group. Median SUT was 3 min in all groups. The CrC improved precision and comfort compared to BB. Set-up errors compare favourably to other prone-WBI trials and rival supine positioning.

Identifiants

DOI: 10.1038/s41598-020-72702-3 PMID: 33009448 PMC: PMC7532156
pubmed: 33009448
doi: 10.1038/s41598-020-72702-3
pii: 10.1038/s41598-020-72702-3
pmc: PMC7532156
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

16376

Subventions

Organisme : Susan G. Komen
ID : 377841
Pays : United States

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Auteurs

Pieter Deseyne (P)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium. pieter.deseyne@uzgent.be.
Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium. pieter.deseyne@uzgent.be.

Bruno Speleers (B)

Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

Wilfried De Neve (W)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.
Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

Bert Boute (B)

Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
Industrial Design Center, Faculty of Engineering and Architecture, Ghent University, Marksesteenweg 58, 8500, Kortrijk, Belgium.

Leen Paelinck (L)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.

Vincent Vakaet (V)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.
Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
ORCID: 0000-0002-7547-1304

Hans Van Hulle (H)

Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

Max Schoepen (M)

Industrial Design Center, Faculty of Engineering and Architecture, Ghent University, Marksesteenweg 58, 8500, Kortrijk, Belgium.

Michael Stouthandel (M)

Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
ORCID: 0000-0003-4276-8926

Annick Van Greveling (A)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.

Giselle Post (G)

Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

Jan Detand (J)

Industrial Design Center, Faculty of Engineering and Architecture, Ghent University, Marksesteenweg 58, 8500, Kortrijk, Belgium.

Chris Monten (C)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.
Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

Herman Depypere (H)

Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.
Breast and Menopause Clinic, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.

Liv Veldeman (L)

Department of Radiation Oncology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.
Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000, Gent, Belgium.

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Classifications MeSH

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questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Tomographie à rayons X › Tomodensitométrie › Tomodensitométrie à faisceau conique › Crawl positioning improves set-up precision...
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questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Confort du patient › Crawl positioning improves set-up precision...
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