Dong Woon Kim, Hosang Jeon, Yongkan Ki, Ji Hyeon Joo, Wontaek Kim, Donghyen Kim, Jiho Nam, Dahl Park
{"title":"利用激光测距传感器自我监测系统提高左侧乳腺癌患者 DIBH 的重现性和准确性","authors":"Dong Woon Kim, Hosang Jeon, Yongkan Ki, Ji Hyeon Joo, Wontaek Kim, Donghyen Kim, Jiho Nam, Dahl Park","doi":"10.1007/s40042-024-01138-z","DOIUrl":null,"url":null,"abstract":"<div><p>When adjuvant radiation therapy (RT) is employed following breast-conserving surgery (BCS), it is imperative to exercise caution regarding the risk of radiation exposure to the heart in patients diagnosed with left-sided breast cancer. Deep-inspiration breath-hold (DIBH) is a technique that regulates the patient’s breathing and expands the chest wall to increase the distance between the treatment area and surrounding organs, thereby providing protection for the heart. The self-monitoring system with a laser distance sensor (LDS) is not attached to the patient’s body and allows for the monitoring of respiration, thereby ensuring the reproducibility of DIBH. The experiment was conducted on 11 clinical left-sided breast cancer patients per group with or without self-monitoring. When self-monitoring was not performed, patients demonstrated a tendency to breathe regardless of the DIBH baseline, and there was no evidence of any tendency to correct errors. The mean distance error between the first and second DIBH was 3.78 mm and 3.95 mm, respectively, with an overall tendency for the average distance error to increase. When self-monitoring was performed, there was a tendency to correct errors according to the DIBH baseline. The average distance error between the first DIBH and the second DIBH was 2.02 mm and 1.98 mm, respectively, which was relatively small. The self-monitoring system with LDS helps to maintain the DIBH throughout the treatment period, thereby ensuring that treatment effects are consistent with the prescribed treatment plan can be expected. Furthermore, LDS, which can measure absolute distance, enhances the accuracy of patient positioning for DIBH.</p></div>","PeriodicalId":677,"journal":{"name":"Journal of the Korean Physical Society","volume":"85 7","pages":"600 - 607"},"PeriodicalIF":0.8000,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving the reproducibility and accuracy of DIBH with a laser distance sensor self-monitoring system in left breast cancer patients\",\"authors\":\"Dong Woon Kim, Hosang Jeon, Yongkan Ki, Ji Hyeon Joo, Wontaek Kim, Donghyen Kim, Jiho Nam, Dahl Park\",\"doi\":\"10.1007/s40042-024-01138-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>When adjuvant radiation therapy (RT) is employed following breast-conserving surgery (BCS), it is imperative to exercise caution regarding the risk of radiation exposure to the heart in patients diagnosed with left-sided breast cancer. Deep-inspiration breath-hold (DIBH) is a technique that regulates the patient’s breathing and expands the chest wall to increase the distance between the treatment area and surrounding organs, thereby providing protection for the heart. The self-monitoring system with a laser distance sensor (LDS) is not attached to the patient’s body and allows for the monitoring of respiration, thereby ensuring the reproducibility of DIBH. The experiment was conducted on 11 clinical left-sided breast cancer patients per group with or without self-monitoring. When self-monitoring was not performed, patients demonstrated a tendency to breathe regardless of the DIBH baseline, and there was no evidence of any tendency to correct errors. The mean distance error between the first and second DIBH was 3.78 mm and 3.95 mm, respectively, with an overall tendency for the average distance error to increase. When self-monitoring was performed, there was a tendency to correct errors according to the DIBH baseline. The average distance error between the first DIBH and the second DIBH was 2.02 mm and 1.98 mm, respectively, which was relatively small. The self-monitoring system with LDS helps to maintain the DIBH throughout the treatment period, thereby ensuring that treatment effects are consistent with the prescribed treatment plan can be expected. Furthermore, LDS, which can measure absolute distance, enhances the accuracy of patient positioning for DIBH.</p></div>\",\"PeriodicalId\":677,\"journal\":{\"name\":\"Journal of the Korean Physical Society\",\"volume\":\"85 7\",\"pages\":\"600 - 607\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-07-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Korean Physical Society\",\"FirstCategoryId\":\"101\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s40042-024-01138-z\",\"RegionNum\":4,\"RegionCategory\":\"物理与天体物理\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PHYSICS, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Korean Physical Society","FirstCategoryId":"101","ListUrlMain":"https://link.springer.com/article/10.1007/s40042-024-01138-z","RegionNum":4,"RegionCategory":"物理与天体物理","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PHYSICS, MULTIDISCIPLINARY","Score":null,"Total":0}
Improving the reproducibility and accuracy of DIBH with a laser distance sensor self-monitoring system in left breast cancer patients
When adjuvant radiation therapy (RT) is employed following breast-conserving surgery (BCS), it is imperative to exercise caution regarding the risk of radiation exposure to the heart in patients diagnosed with left-sided breast cancer. Deep-inspiration breath-hold (DIBH) is a technique that regulates the patient’s breathing and expands the chest wall to increase the distance between the treatment area and surrounding organs, thereby providing protection for the heart. The self-monitoring system with a laser distance sensor (LDS) is not attached to the patient’s body and allows for the monitoring of respiration, thereby ensuring the reproducibility of DIBH. The experiment was conducted on 11 clinical left-sided breast cancer patients per group with or without self-monitoring. When self-monitoring was not performed, patients demonstrated a tendency to breathe regardless of the DIBH baseline, and there was no evidence of any tendency to correct errors. The mean distance error between the first and second DIBH was 3.78 mm and 3.95 mm, respectively, with an overall tendency for the average distance error to increase. When self-monitoring was performed, there was a tendency to correct errors according to the DIBH baseline. The average distance error between the first DIBH and the second DIBH was 2.02 mm and 1.98 mm, respectively, which was relatively small. The self-monitoring system with LDS helps to maintain the DIBH throughout the treatment period, thereby ensuring that treatment effects are consistent with the prescribed treatment plan can be expected. Furthermore, LDS, which can measure absolute distance, enhances the accuracy of patient positioning for DIBH.
期刊介绍:
The Journal of the Korean Physical Society (JKPS) covers all fields of physics spanning from statistical physics and condensed matter physics to particle physics. The manuscript to be published in JKPS is required to hold the originality, significance, and recent completeness. The journal is composed of Full paper, Letters, and Brief sections. In addition, featured articles with outstanding results are selected by the Editorial board and introduced in the online version. For emphasis on aspect of international journal, several world-distinguished researchers join the Editorial board. High quality of papers may be express-published when it is recommended or requested.