The impact of continuous positive airway pressure on radiation dose to heart and lung during left-sided postmastectomy radiotherapy when deep inspiration breath hold technique is not applicable: a case report
- Author:
Whoon Jong KIL
1
;
Tabitha PHAM
;
Sabbir HOSSAIN
;
Juan CASAIGNE
;
Kellie JONES
;
Mohammad KHALIL
Author Information
- Publication Type:Case Report
- Keywords: Breast cancer; Left-sided PMRT; Heart; Lung; Continuous positive airway pressure (CPAP)
- MeSH: Breast Neoplasms; Continuous Positive Airway Pressure; Heart; Humans; Lung; Radiotherapy; Respiration; Thorax; Unilateral Breast Neoplasms; Ventilators, Mechanical
- From:Radiation Oncology Journal 2018;36(1):79-84
- CountryRepublic of Korea
- Language:English
- Abstract: Deep inspiration breathing hold (DIBH) compared to free-breathing (FB) during radiotherapy (RT) has significantly decreased radiation dose to heart and has been one of the techniques adopted for patients with breast cancer. However, patients who are unable to make suitable deep inspiration breath may not be eligible for DIBH, yet still need to spare the heart and lung during breast cancer RT (left-sided RT in particular). Continuous positive airway pressure (CPAP) is a positive airway pressure ventilator, which keeps the airways continuously open and subsequently inflates the thorax resembling thoracic changes from DIBH. In this report, authors applied CPAP instead of FB during left-sided breast cancer RT including internal mammary node in a patient who was unable to tolerate DIBH, and substantially decreased radiation dose the heart and lung with CPAP compared to FB.
