Respiratory traces predicted treatment-day heart dose drift during post-mastectomy DIBH VMAT
Routine DIBH respiratory traces predicted fraction-level mean heart dose deviation, but LAD dose estimates were substantially less reliable.
Tag
dibh
DIBH workflow changes sharply reduced chest-wall motion during breast radiotherapy
Four quality-improvement measures reduced >3-mm chest-wall errors from 21.2% to 4.7%, but sternal marker placement increased skin reactions.
SGRT-assisted DIBH reduced heart and LAD dose in left-sided breast radiotherapy
Across 52 studies, SGRT-assisted DIBH reduced mean heart dose by 1.21 Gy and LAD dose by 7.05 Gy versus free breathing.
Dynamic IMRT shortened left-breast DIBH delivery while limiting low-dose exposure
Dynamic tangential IMRT delivered left-breast DIBH 42% faster than VMAT with similar target coverage and lower low-dose normal-tissue exposure.
Nearly one-third of abdominal radiotherapy patients could not maintain planned DIBH
Despite successful simulation, 31.7% required DIBH gate modification or conversion to free breathing during abdominal radiotherapy.
Thermo-optical surface guidance supported breast deep inspiration breath-hold radiotherapy setup
Thermo-optical surface monitoring with X-ray correction kept breast deep inspiration breath-hold setup errors within clinical tolerance.