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Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation

Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced car...

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Autores principales: Bergom, Carmen, Currey, Adam, Desai, Nina, Tai, An, Strauss, Jonathan B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893752/
https://www.ncbi.nlm.nih.gov/pubmed/29670854
http://dx.doi.org/10.3389/fonc.2018.00087
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author Bergom, Carmen
Currey, Adam
Desai, Nina
Tai, An
Strauss, Jonathan B.
author_facet Bergom, Carmen
Currey, Adam
Desai, Nina
Tai, An
Strauss, Jonathan B.
author_sort Bergom, Carmen
collection PubMed
description Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques.
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spelling pubmed-58937522018-04-18 Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation Bergom, Carmen Currey, Adam Desai, Nina Tai, An Strauss, Jonathan B. Front Oncol Oncology Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques. Frontiers Media S.A. 2018-04-04 /pmc/articles/PMC5893752/ /pubmed/29670854 http://dx.doi.org/10.3389/fonc.2018.00087 Text en Copyright © 2018 Bergom, Currey, Desai, Tai and Strauss. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Bergom, Carmen
Currey, Adam
Desai, Nina
Tai, An
Strauss, Jonathan B.
Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation
title Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation
title_full Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation
title_fullStr Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation
title_full_unstemmed Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation
title_short Deep Inspiration Breath Hold: Techniques and Advantages for Cardiac Sparing During Breast Cancer Irradiation
title_sort deep inspiration breath hold: techniques and advantages for cardiac sparing during breast cancer irradiation
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893752/
https://www.ncbi.nlm.nih.gov/pubmed/29670854
http://dx.doi.org/10.3389/fonc.2018.00087
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