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 |
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container_title | International journal of colorectal disease |
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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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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<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.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-006-0166-x</identifier><identifier>PMID: 16802067</identifier><identifier>CODEN: IJCDE6</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>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</subject><ispartof>International journal of colorectal disease, 2007-04, Vol.22 (4), p.373-379</ispartof><rights>2007 INIST-CNRS</rights><rights>Springer-Verlag 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-e45cddbe57fcef614db93d5ce210185b4112627acb205eebe15542d69a5cabd83</citedby><cites>FETCH-LOGICAL-c356t-e45cddbe57fcef614db93d5ce210185b4112627acb205eebe15542d69a5cabd83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18573566$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16802067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JOO YOUNG KIM</creatorcontrib><creatorcontrib>DAE YONG KIM</creatorcontrib><creatorcontrib>TAE HYUN KIM</creatorcontrib><creatorcontrib>SUNG YONG PARK</creatorcontrib><creatorcontrib>SE BYEONG LEE</creatorcontrib><creatorcontrib>KYUNG HWAN SHIN</creatorcontrib><creatorcontrib>PYO, Hongryull</creatorcontrib><creatorcontrib>KIM, Joo-Young</creatorcontrib><creatorcontrib>KWAN HO CHO</creatorcontrib><title>Intensity-modulated radiotherapy with a belly board for rectal cancer</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><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<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.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intestine, Small</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Preoperative Care</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy, Intensity-Modulated - instrumentation</subject><subject>Radiotherapy, Intensity-Modulated - methods</subject><subject>Rectal Neoplasms - radiotherapy</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intestine, Small</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Preoperative Care</topic><topic>Radiotherapy Dosage</topic><topic>Radiotherapy, Intensity-Modulated - instrumentation</topic><topic>Radiotherapy, Intensity-Modulated - methods</topic><topic>Rectal Neoplasms - radiotherapy</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>JOO YOUNG KIM</creatorcontrib><creatorcontrib>DAE YONG KIM</creatorcontrib><creatorcontrib>TAE HYUN KIM</creatorcontrib><creatorcontrib>SUNG YONG PARK</creatorcontrib><creatorcontrib>SE BYEONG LEE</creatorcontrib><creatorcontrib>KYUNG HWAN SHIN</creatorcontrib><creatorcontrib>PYO, Hongryull</creatorcontrib><creatorcontrib>KIM, Joo-Young</creatorcontrib><creatorcontrib>KWAN HO CHO</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JOO YOUNG KIM</au><au>DAE YONG KIM</au><au>TAE HYUN KIM</au><au>SUNG YONG PARK</au><au>SE BYEONG LEE</au><au>KYUNG HWAN SHIN</au><au>PYO, Hongryull</au><au>KIM, Joo-Young</au><au>KWAN HO CHO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intensity-modulated radiotherapy with a belly board for rectal cancer</atitle><jtitle>International journal of colorectal disease</jtitle><addtitle>Int J Colorectal Dis</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>22</volume><issue>4</issue><spage>373</spage><epage>379</epage><pages>373-379</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><coden>IJCDE6</coden><abstract>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<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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