Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
859
pubmed:dateCreated
2000-1-13
pubmed:abstractText
The objective of the study was to determine the accuracy of patient positioning in radiotherapy for breast cancer. Portal images were obtained using a fast electronic megavoltage radiotherapy imaging system in 30 cases of breast cancer. Quantitative analysis of 530 megavolt portal images and comparison with 30 digitized simulation films were performed. Five linear measurements were taken for each simulation and verification film. Central lung distance (CLD) is the distance from the dorsomedial beam edge to the inner thoracic wall in the central plane of the beam. Cranial lung distance (CrLD) is the distance from the dorsomedial beam edge to the inner thoracic wall in the plane of the beam at 4 cm from the central plane. Central beam edge to skin distance (CBESD) is the distance from the skin to the ventrolateral beam edge in the central plane of the beam. The central irradiated width (CIW) is defined as the distance from the dorsomedial beam edge to the skin. The craniocaudal distance (CCD) is defined as the distance from a particular landmark to the caudal field border. Concerning patient position in the field, mean standard deviations of the difference between simulation and treatment images were 3.9 mm for the CLD, 3.2 mm at +4 cm, 3.6 mm for the CIW, 3.3 mm for the CBESD, 3.8 mm for the CCD. In 90% of all set-up for treatment, errors were less than 1 cm. The variation of the CLD was the largest set-up error. This parameter is clinically the most significant. Future treatment delivery should be improved by introducing patient positioning devices such as thermoplastic shells. The electronic portal imaging device (EPID) appears to be an adequate tool to study the accuracy of treatment set-ups like this.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0007-1285
pubmed:author
pubmed:issnType
Print
pubmed:volume
72
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
685-90
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1999
pubmed:articleTitle
Accuracy of alignment in breast irradiation: a retrospective analysis of clinical practice.
pubmed:affiliation
Department of Radiotherapy, University of Göttingen, Germany.
pubmed:publicationType
Journal Article, Comparative Study