Deep inspiration breath hold: Techniques and advantages for cardiac sparing during breast cancer irradiation

Carmen Bergom, Adam Currey, Nina Desai, An Tai, Jonathan B Strauss

Research output: Contribution to journalShort survey

4 Citations (Scopus)

Abstract

Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques.

Original languageEnglish (US)
Article number87
JournalFrontiers in Oncology
Volume8
Issue numberAPR
DOIs
StatePublished - Apr 4 2018

Fingerprint

Breast Neoplasms
Radiotherapy
Radiation Effects
Patient Selection
Breast
Therapeutics
Radiation
Morbidity
Wounds and Injuries

Keywords

  • Active breathing control
  • Breast cancer
  • Cardiac irradiation
  • Deep inspiration breath hold
  • Heart
  • Radiation
  • Real-time position management

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

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abstract = "Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques.",
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Deep inspiration breath hold : Techniques and advantages for cardiac sparing during breast cancer irradiation. / Bergom, Carmen; Currey, Adam; Desai, Nina; Tai, An; Strauss, Jonathan B.

In: Frontiers in Oncology, Vol. 8, No. APR, 87, 04.04.2018.

Research output: Contribution to journalShort survey

TY - JOUR

T1 - Deep inspiration breath hold

T2 - Techniques and advantages for cardiac sparing during breast cancer irradiation

AU - Bergom, Carmen

AU - Currey, Adam

AU - Desai, Nina

AU - Tai, An

AU - Strauss, Jonathan B

PY - 2018/4/4

Y1 - 2018/4/4

N2 - Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques.

AB - Historically, heart dose from left-sided breast radiotherapy has been associated with a risk of cardiac injury. Data suggests that there is not a threshold for the deleterious effects from radiation on the heart. Over the past several years, advances in radiation delivery techniques have reduced cardiac morbidity due to treatment. Deep inspiration breath hold (DIBH) is a technique that takes advantage of a more favorable position of the heart during inspiration to minimize heart doses over a course of radiation therapy. In the accompanying review article, we outline several methods used to deliver treatment with DIBH, quantify the benefits of DIBH treatment, discuss considerations for patient selection, and identify challenges associated with DIBH techniques.

KW - Active breathing control

KW - Breast cancer

KW - Cardiac irradiation

KW - Deep inspiration breath hold

KW - Heart

KW - Radiation

KW - Real-time position management

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