Intensity-modulated radiotherapy with a belly board for rectal cancer

Intensity-modulated radiotherapy (IMRT) techniques can reduce the irradiated small bowel volume in rectal cancer patients, but combined use of IMRT and a belly board is yet to be reported on for rectal cancer patients. The aim of this study was to determine whether additional use of a belly board re...

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Veröffentlicht in:International journal of colorectal disease 2007-04, Vol.22 (4), p.373-379
Hauptverfasser: JOO YOUNG KIM, DAE YONG KIM, TAE HYUN KIM, SUNG YONG PARK, SE BYEONG LEE, KYUNG HWAN SHIN, PYO, Hongryull, KIM, Joo-Young, KWAN HO CHO
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container_end_page 379
container_issue 4
container_start_page 373
container_title International journal of colorectal disease
container_volume 22
creator JOO YOUNG KIM
DAE YONG KIM
TAE HYUN KIM
SUNG YONG PARK
SE BYEONG LEE
KYUNG HWAN SHIN
PYO, Hongryull
KIM, Joo-Young
KWAN HO CHO
description Intensity-modulated radiotherapy (IMRT) techniques can reduce the irradiated small bowel volume in rectal cancer patients, but combined use of IMRT and a belly board is yet to be reported on for rectal cancer patients. The aim of this study was to determine whether additional use of a belly board reduced the irradiated small bowel volume observed using IMRT alone in rectal cancer patients. Twenty patients scheduled to receive preoperative radiotherapy for rectal cancer underwent two series of CT scans, with and without a belly board. IMRT planning was performed using 6-MV photon beams and seven equispaced fields. The bladder, small bowel, and planning target volume (PTV) were analyzed for doses between 10% and 100% of the prescribed dose at 10% intervals. Data were analyzed using Wilcoxon signed rank tests. There were no significant differences between patients undergoing IMRT with a belly board and those without a belly board in terms of total small bowel volumes, bladder, and PTV (p=0.571, p=0.841, and p=0.870, respectively). Statistical analysis showed that the irradiated small bowel volume with a belly board was smaller than that without a belly board (p
doi_str_mv 10.1007/s00384-006-0166-x
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Statistical analysis showed that the irradiated small bowel volume with a belly board was smaller than that without a belly board (p&lt;0.05 at 20-100% dose levels), with the mean relative reduction in the irradiated small bowel volume being 37.8+/-32.8%. IMRT with a belly board is more effective than IMRT alone in reducing the irradiated small bowel volume. These findings suggest that the use of a belly board with IMRT may reduce small bowel complications in preoperative radiotherapy.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>16802067</pmid><doi>10.1007/s00384-006-0166-x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intestine, Small
Male
Medical sciences
Middle Aged
Preoperative Care
Radiotherapy Dosage
Radiotherapy, Intensity-Modulated - instrumentation
Radiotherapy, Intensity-Modulated - methods
Rectal Neoplasms - radiotherapy
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tomography, X-Ray Computed
Tumors
title Intensity-modulated radiotherapy with a belly board for rectal cancer
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