Individualized 3D-printed templates for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer
High-dose-rate, multicatheter interstitial brachytherapy is technically complex and operator-dependent, requiring lengthy training and specialized skills. Furthermore, until the advent of contouring on computerized tomography (CT) images, difficulties existed in locating the target volume precisely....
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| Veröffentlicht in: | Brachytherapy 2019-01, Vol.18 (1), p.57-62 |
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| creator | Aristei, Cynthia Lancellotta, Valentina Piergentini, Marco Costantini, Giacomo Saldi, Simonetta Chierchini, Sara Cavalli, Antonella Di Renzo, Luca Fiorucci, Oscar Guasticchi, Massimo Bini, Vittorio Ricci, Alessandro |
| description | High-dose-rate, multicatheter interstitial brachytherapy is technically complex and operator-dependent, requiring lengthy training and specialized skills. Furthermore, until the advent of contouring on computerized tomography (CT) images, difficulties existed in locating the target volume precisely. The present article reports the results of a study that aimed at producing and validating a 3D-printed template to aid in target volume localization for multicatheter interstitial brachytherapy in patients with breast cancer.
Thirteen patients, candidates for accelerated partial breast irradiation or boost, were enrolled in the study. The target volume was defined on CT slices, and a template with empty spaces corresponding to the target volume projection on the patient's skin was produced by a 3D printer. The procedure was compared with the standard method followed in our center (1) visually, by assessing overlap between the target volume projections on the patient's skin, (2) by X-ray findings, and (3) by intraclass correlation coefficient.
Visual assessment and X-ray findings showed the 3D-printed target volume always fell within the standard volume in all 13 patients. The intraclass correlation coefficient indicated moderate agreement for both the medial and the lateral skin projections.
The 3-D printed templates constitute a quick, easy, and reliable method to localize the target volume for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer and can safely be used in clinical practice. |
| doi_str_mv | 10.1016/j.brachy.2018.09.007 |
| format | Article |
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Thirteen patients, candidates for accelerated partial breast irradiation or boost, were enrolled in the study. The target volume was defined on CT slices, and a template with empty spaces corresponding to the target volume projection on the patient's skin was produced by a 3D printer. The procedure was compared with the standard method followed in our center (1) visually, by assessing overlap between the target volume projections on the patient's skin, (2) by X-ray findings, and (3) by intraclass correlation coefficient.
Visual assessment and X-ray findings showed the 3D-printed target volume always fell within the standard volume in all 13 patients. The intraclass correlation coefficient indicated moderate agreement for both the medial and the lateral skin projections.
The 3-D printed templates constitute a quick, easy, and reliable method to localize the target volume for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer and can safely be used in clinical practice.</description><identifier>ISSN: 1538-4721</identifier><identifier>EISSN: 1873-1449</identifier><identifier>DOI: 10.1016/j.brachy.2018.09.007</identifier><identifier>PMID: 30414715</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>3D printing ; Aged ; Aged, 80 and over ; Brachytherapy - instrumentation ; Brachytherapy - methods ; Breast cancer ; Breast Neoplasms - radiotherapy ; Breast template ; Catheterization ; Female ; High-dose-rate interstitial multicathether brachytherapy ; Humans ; Middle Aged ; Printing, Three-Dimensional ; Radiotherapy Dosage ; Radiotherapy Planning, Computer-Assisted ; Target volume localization ; Three dimensional ; Tomography, X-Ray Computed</subject><ispartof>Brachytherapy, 2019-01, Vol.18 (1), p.57-62</ispartof><rights>2018 American Brachytherapy Society</rights><rights>Copyright © 2018 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-b634a2f33a015f064e8560f9d0996a1f6ef5fe0da68c17000dd09ffdba71f6703</citedby><cites>FETCH-LOGICAL-c362t-b634a2f33a015f064e8560f9d0996a1f6ef5fe0da68c17000dd09ffdba71f6703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.brachy.2018.09.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30414715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aristei, Cynthia</creatorcontrib><creatorcontrib>Lancellotta, Valentina</creatorcontrib><creatorcontrib>Piergentini, Marco</creatorcontrib><creatorcontrib>Costantini, Giacomo</creatorcontrib><creatorcontrib>Saldi, Simonetta</creatorcontrib><creatorcontrib>Chierchini, Sara</creatorcontrib><creatorcontrib>Cavalli, Antonella</creatorcontrib><creatorcontrib>Di Renzo, Luca</creatorcontrib><creatorcontrib>Fiorucci, Oscar</creatorcontrib><creatorcontrib>Guasticchi, Massimo</creatorcontrib><creatorcontrib>Bini, Vittorio</creatorcontrib><creatorcontrib>Ricci, Alessandro</creatorcontrib><title>Individualized 3D-printed templates for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer</title><title>Brachytherapy</title><addtitle>Brachytherapy</addtitle><description>High-dose-rate, multicatheter interstitial brachytherapy is technically complex and operator-dependent, requiring lengthy training and specialized skills. Furthermore, until the advent of contouring on computerized tomography (CT) images, difficulties existed in locating the target volume precisely. The present article reports the results of a study that aimed at producing and validating a 3D-printed template to aid in target volume localization for multicatheter interstitial brachytherapy in patients with breast cancer.
Thirteen patients, candidates for accelerated partial breast irradiation or boost, were enrolled in the study. The target volume was defined on CT slices, and a template with empty spaces corresponding to the target volume projection on the patient's skin was produced by a 3D printer. The procedure was compared with the standard method followed in our center (1) visually, by assessing overlap between the target volume projections on the patient's skin, (2) by X-ray findings, and (3) by intraclass correlation coefficient.
Visual assessment and X-ray findings showed the 3D-printed target volume always fell within the standard volume in all 13 patients. The intraclass correlation coefficient indicated moderate agreement for both the medial and the lateral skin projections.
The 3-D printed templates constitute a quick, easy, and reliable method to localize the target volume for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer and can safely be used in clinical practice.</description><subject>3D printing</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brachytherapy - instrumentation</subject><subject>Brachytherapy - methods</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - radiotherapy</subject><subject>Breast template</subject><subject>Catheterization</subject><subject>Female</subject><subject>High-dose-rate interstitial multicathether brachytherapy</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Printing, Three-Dimensional</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy Planning, Computer-Assisted</subject><subject>Target volume localization</subject><subject>Three dimensional</subject><subject>Tomography, X-Ray Computed</subject><issn>1538-4721</issn><issn>1873-1449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtr3TAQhUVpaZ7_oBQtu7EzsmzZ3gRKmhcEsmnXQlca1br4VUlOuNn0r1fGSZcBgQad78xoDiFfGOQMmLjY5zuvdHfIC2BNDm0OUH8gx6ypecbKsv2Y6oo3WVkX7IichLCHZGs5_0yOOJSsrFl1TP7ej8Y9ObOo3r2gofxHNns3xlRGHOZeRQzUTp527neXmSlg5tMbXREfootO9XRY-ui0ih2m4-n2r7VU8yGRdFbR4RgDfXaxSzKqEKlWo0Z_Rj5Z1Qc8f71Pya-b659Xd9nD4-391feHTHNRxGwneKkKy7kCVlkQJTaVANsaaFuhmBVoK4tglGg0qwHAJMVas1N1Emvgp-Tb1nf2058FQ5SDCxr7Xo04LUEWjBeFKCq2ouWGaj-F4NHKlMig_EEykGv0ci-3FeUavYRWpuiT7evrhGU3oPlvess6AZcbgGnPJ4deBp1i0WicRx2lmdz7E_4BkhuaCw</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Aristei, Cynthia</creator><creator>Lancellotta, Valentina</creator><creator>Piergentini, Marco</creator><creator>Costantini, Giacomo</creator><creator>Saldi, Simonetta</creator><creator>Chierchini, Sara</creator><creator>Cavalli, Antonella</creator><creator>Di Renzo, Luca</creator><creator>Fiorucci, Oscar</creator><creator>Guasticchi, Massimo</creator><creator>Bini, Vittorio</creator><creator>Ricci, Alessandro</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Individualized 3D-printed templates for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer</title><author>Aristei, Cynthia ; Lancellotta, Valentina ; Piergentini, Marco ; Costantini, Giacomo ; Saldi, Simonetta ; Chierchini, Sara ; Cavalli, Antonella ; Di Renzo, Luca ; Fiorucci, Oscar ; Guasticchi, Massimo ; Bini, Vittorio ; Ricci, Alessandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-b634a2f33a015f064e8560f9d0996a1f6ef5fe0da68c17000dd09ffdba71f6703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>3D printing</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brachytherapy - instrumentation</topic><topic>Brachytherapy - methods</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - radiotherapy</topic><topic>Breast template</topic><topic>Catheterization</topic><topic>Female</topic><topic>High-dose-rate interstitial multicathether brachytherapy</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Printing, Three-Dimensional</topic><topic>Radiotherapy Dosage</topic><topic>Radiotherapy Planning, Computer-Assisted</topic><topic>Target volume localization</topic><topic>Three dimensional</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aristei, Cynthia</creatorcontrib><creatorcontrib>Lancellotta, Valentina</creatorcontrib><creatorcontrib>Piergentini, Marco</creatorcontrib><creatorcontrib>Costantini, Giacomo</creatorcontrib><creatorcontrib>Saldi, Simonetta</creatorcontrib><creatorcontrib>Chierchini, Sara</creatorcontrib><creatorcontrib>Cavalli, Antonella</creatorcontrib><creatorcontrib>Di Renzo, Luca</creatorcontrib><creatorcontrib>Fiorucci, Oscar</creatorcontrib><creatorcontrib>Guasticchi, Massimo</creatorcontrib><creatorcontrib>Bini, Vittorio</creatorcontrib><creatorcontrib>Ricci, Alessandro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Brachytherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aristei, Cynthia</au><au>Lancellotta, Valentina</au><au>Piergentini, Marco</au><au>Costantini, Giacomo</au><au>Saldi, Simonetta</au><au>Chierchini, Sara</au><au>Cavalli, Antonella</au><au>Di Renzo, Luca</au><au>Fiorucci, Oscar</au><au>Guasticchi, Massimo</au><au>Bini, Vittorio</au><au>Ricci, Alessandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Individualized 3D-printed templates for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer</atitle><jtitle>Brachytherapy</jtitle><addtitle>Brachytherapy</addtitle><date>2019-01</date><risdate>2019</risdate><volume>18</volume><issue>1</issue><spage>57</spage><epage>62</epage><pages>57-62</pages><issn>1538-4721</issn><eissn>1873-1449</eissn><abstract>High-dose-rate, multicatheter interstitial brachytherapy is technically complex and operator-dependent, requiring lengthy training and specialized skills. Furthermore, until the advent of contouring on computerized tomography (CT) images, difficulties existed in locating the target volume precisely. The present article reports the results of a study that aimed at producing and validating a 3D-printed template to aid in target volume localization for multicatheter interstitial brachytherapy in patients with breast cancer.
Thirteen patients, candidates for accelerated partial breast irradiation or boost, were enrolled in the study. The target volume was defined on CT slices, and a template with empty spaces corresponding to the target volume projection on the patient's skin was produced by a 3D printer. The procedure was compared with the standard method followed in our center (1) visually, by assessing overlap between the target volume projections on the patient's skin, (2) by X-ray findings, and (3) by intraclass correlation coefficient.
Visual assessment and X-ray findings showed the 3D-printed target volume always fell within the standard volume in all 13 patients. The intraclass correlation coefficient indicated moderate agreement for both the medial and the lateral skin projections.
The 3-D printed templates constitute a quick, easy, and reliable method to localize the target volume for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer and can safely be used in clinical practice.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30414715</pmid><doi>10.1016/j.brachy.2018.09.007</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | 3D printing Aged Aged, 80 and over Brachytherapy - instrumentation Brachytherapy - methods Breast cancer Breast Neoplasms - radiotherapy Breast template Catheterization Female High-dose-rate interstitial multicathether brachytherapy Humans Middle Aged Printing, Three-Dimensional Radiotherapy Dosage Radiotherapy Planning, Computer-Assisted Target volume localization Three dimensional Tomography, X-Ray Computed |
| title | Individualized 3D-printed templates for high-dose-rate interstitial multicathether brachytherapy in patients with breast cancer |
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