A randomised comparison of three different immobilisation devices for thoracic and abdominal cancers
| Autor: | Chrianna Bharat, Robert Appleyard, Sean Bydder, Megan McNabb, Alicia Concannon, Gemma Waters, Maddison Shaw, Catherine Hubie, Rachel Kearvell, Jonny Lane |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Fractionated radiotherapy macromolecular substances Radiosurgery 030218 nuclear medicine & medical imaging lung 03 medical and health sciences Immobilization 0302 clinical medicine Surveys and Questionnaires Abdomen medicine Humans Radiology Nuclear Medicine and imaging radiotherapy Patient comfort Radiological and Ultrasound Technology business.industry technology industry and agriculture Patient Preference Original Articles Thoracic Neoplasms Surgery Staff satisfaction immobilisation 030220 oncology & carcinogenesis Abdominal Neoplasms biological sciences Original Article Dose Fractionation Radiation Radiotherapy Conformal Abdominal cancers business Stereotactic body radiotherapy After treatment |
| Zdroj: | Journal of Medical Radiation Sciences |
| ISSN: | 2051-3909 2051-3895 |
| Popis: | Introduction Patient immobilisation is critically important for both highly conformal conventionally fractionated radiotherapy and for stereotactic body radiotherapy. Different immobilisation devices are available to maintain patient position for radiotherapy but the most suitable one remains unknown. Methods Forty‐five patients were randomly allocated to one of three immobilisation devices; the Q fix arm shuttle, BodyFIX without wrap or BodyFIX with wrap. Patients were imaged before and after treatment to ascertain intra‐fraction and inter‐fraction motion. Bony anatomy was used for matching to determine the positional accuracy of each device. Treatments were timed using a standard method. Patient comfort and staff satisfaction questionnaires were also issued to determine comfort, ease of use and preferences for each device. Results The BodyFIX without wrap was the more accurate device; however, the differences between the devices were not statistically significant. The BodyFIX with wrap was found to take significantly longer to set up and set down compared to the arm shuttle and the BodyFIX without wrap (all P < 0.001). Patients (37%) marginally preferred the BodyFIX with wrap. Most (81%) staff preferred the BodyFIX without wrap. Conclusion Immobilisation using the BodyFIX without wrap was deemed to be suitable for clinical use. It was a clinically accurate device, the more efficient in terms of set up and set down time, the most preferred by staff and was accepted by patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text