Document Detail


Is one head and neck immobilization system as good as another? One center's experience.
MedLine Citation:
PMID:  12747618     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The William Buckland Radiotherapy Center has used 2 different immobilization systems for patients requiring radiotherapy to the head-and-neck region. A polycarbonate mask was manufactured for radical treatments and a thermoplastic mask for palliative treatments. This study evaluated field placement accuracy, staff opinion, and production costs of both systems. The manual matching program of Varian PortalVision Electronic Portal Imaging (EPI) System was used to assess field placement accuracy on a daily basis. Radiation therapists (RTs) were surveyed before and after the study to determine their opinions of each system. Production time and required materials were recorded to assess cost. Nineteen patients from each system had daily EPI results compiled with no statistically significant difference observed in field placement accuracy. The thermoplastic system was found to be more cost efficient due to a combination of the reduced production time and reuseability of the masks. User acceptability of the thermoplastic system has increased so that it is now the preferred system. In conclusion, the thermoplastic system is a viable alternative to the polycarbonate system in terms of treatment accuracy and cost. It is recommended that the thermoplastic system be used for all radical and palliative treatments. In addition, RTs prefer the thermoplastic system.
Authors:
Leah Lord; Sharon May; Michael Bailey; Leigh Smith
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medical dosimetry : official journal of the American Association of Medical Dosimetrists     Volume:  28     ISSN:  0958-3947     ISO Abbreviation:  Med Dosim     Publication Date:  2003  
Date Detail:
Created Date:  2003-05-15     Completed Date:  2003-08-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908862     Medline TA:  Med Dosim     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-43     Citation Subset:  IM    
Affiliation:
William Buckland Radiotherapy Centre, The Alfred Hospital, Melbourne, Victoria, Australia. leah.lord@wbrc.org.au
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel
Head and Neck Neoplasms / economics,  radiotherapy*
Humans
Immobilization*
Masks / economics*
Patient Acceptance of Health Care*
Plastics / economics*
Polycarboxylate Cement / economics*
Reproducibility of Results
Chemical
Reg. No./Substance:
0/Plastics; 0/Polycarboxylate Cement; 25766-59-0/polycarbonate

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


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