Review of deep inspiration breath-hold techniques for the treatment of breast cancer.

J Med Radiat Sci 2015 Mar 16;62(1):74-81. Epub 2015 Feb 16.

Crown Princess Mary Cancer Centre, Westmead Hospital Sydney, New South Wales, Australia.

Radiation treatment to the left breast is associated with increased cardiac morbidity and mortality. The deep inspiration breath-hold technique (DIBH) can decrease radiation dose delivered to the heart and this may facilitate the treatment of the internal mammary chain nodes. The aim of this review is to critically analyse the literature available in relation to breath-hold methods, implementation, utilisation, patient compliance, planning methods and treatment verification of the DIBH technique. Despite variation in the literature regarding the DIBH delivery method, patient coaching, visual feedback mechanisms and treatment verification, all methods of DIBH delivery reduce radiation dose to the heart. Further research is required to determine optimum protocols for patient training and treatment verification to ensure the technique is delivered successfully.

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http://dx.doi.org/10.1002/jmrs.96DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364809PMC
March 2015
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