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An evaluation of three tangential breast irradiation techniques in Hong Kong

Published online by Cambridge University Press:  21 August 2006

Maria Y.Y. Law
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong
Fion W.K. Cheung
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong
Vincent W.C. Wu
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong
Venus W.C. Tsang
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong
Rainnie W.Y. Kwan
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong
Johnny Y.T. Cheng
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong
Fatson K.F. Wong
Affiliation:
Department of Optometry and Radiography, Hong Kong Polytechnic University, Hong Kong

Abstract

Background and Purpose: Loco-regional radiotherapy after breast conserving surgery significantly reduces the risk of recurrence but may induce complications in the lungs. The complications are related to the lung volume irradiated and the lung dose delivered. The purpose of this study was to evaluate three tangential breast irradiation techniques i.e. conventional technique, gantry tilting technique and half-beam block technique in terms of the percentage of irradiated lung volume and high dose lung volume for patients of different sizes.

Materials and Method: Treatment planning of the three tangential breast irradiation techniques was performed using the CT scans of 20 patients with early-stage breast cancer after lumpectomy.

Results: When compared with conventional technique, both half beam block technique and gantry tilting technique irradiated a significantly smaller percentage of lung volume and delivered a smaller percentage of high dose (above 30 Gy) volume in the lung. Patients with large breasts had a significantly higher percentage of lung volume irradiated to above 30Gy than those patients with small and medium breasts. The combined effect of tangential separation and technique only produced significant effect on the percentage of total lung volume irradiated but not on the high dose volume.

Conclusions: Gantry tilting and half-beam block techniques can reduce a significant amount of lung volume and high dose lung volume. Half-beam block technique is recommended for small and medium breast size while for large breast size, gantry tilting technique is preferred.

Type
Original Article
Copyright
2000 Cambridge University Press

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