Document Detail


Virtual simulation in patients with breast cancer.
MedLine Citation:
PMID:  11369067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Investigation of the feasibility and effectiveness of virtual simulation in patients receiving radiotherapy of the breast. METHODS: Twenty-three patients were included in the study. All of them underwent a course of postoperative tangential breast irradiation. The patients were prospectively randomised into two groups. Group A patients (n=11) received a conventional computed tomography -based treatment planning, group B patients (n=12) a virtual simulation. The results of both treatment planning procedures were compared. RESULTS: The treatment planning was feasible in all patients. The time expenditure could be reduced from a median of 45.0 to 16.5 min and from 55.0 to 32.0 min for the technician and physician, respectively, using virtual simulation. Furthermore the treatment planning for the patient could be reduced from a median of 45.0 min in two sessions to 16.5 min in one session. The image quality of the digital reconstructed radiographs was satisfying compared to the simulation films. The incidence and extension of set-up corrections for the patients at the first treatment were comparable in both groups. The time interval between the planning CT and the first treatment could be reduced by 31% using virtual simulation due to the omission of the conventional simulation. CONCLUSION: The virtual simulation is a feasible tool for the treatment planning of patients undergoing tangential irradiation of the breast. Compared with the conventional simulation procedure virtual simulation is superior regarding to the precision of patients marking, the quality of the reference images and, the time expenditure for the patients and medical staff.
Authors:
A Buchali; D Geismar; M Hinkelbein; L Schlenger; K Zinner; V Budach
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology     Volume:  59     ISSN:  0167-8140     ISO Abbreviation:  Radiother Oncol     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-05-22     Completed Date:  2001-08-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8407192     Medline TA:  Radiother Oncol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  267-72     Citation Subset:  IM    
Affiliation:
Klinik für Strahlentherapie, Ruppiner Kliniken GmbH, Neuruppin, Germany.
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / radiotherapy*
Computer Simulation*
Female
Humans
Models, Theoretical
Tomography, X-Ray Computed / methods
User-Computer Interface*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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