Comparative analysis of the effects of belly board and bladder distension in postoperative radiotherapy of rectal cancer patients

被引:24
作者
Kim, TH [1 ]
Kim, DY [1 ]
Cho, KH [1 ]
Kim, YH [1 ]
Jung, KH [1 ]
Ahn, JB [1 ]
Chang, HJ [1 ]
Kim, JY [1 ]
Choi, HS [1 ]
Lim, SB [1 ]
Sohn, DK [1 ]
Jeong, SY [1 ]
机构
[1] Natl Canc Ctr, Res Inst Hosp, Goyang 411769, Gyeonggi, South Korea
关键词
rectal cancer; belly board; bladder distension; small bowel; postoperative radiotherapy;
D O I
10.1007/s00066-005-1398-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To compare the effect of reducing the irradiated small-bowel volume with the use of belly board, bladder distension or both methods combined, in patients with rectal cancer undergoing postoperative pelvic radiotherapy. Patients and Methods:This study enrolled 20 consecutive patients with rectal cancer who were scheduled to receive postoperative pelvic radiotherapy. All patients underwent four sets of CT scans under four different methods as follows: group I: empty bladder without the use of a belly board; group II: empty bladder with the use of a belly board; group III: bladder distension without the use of a belly board; group IV: bladder distension with the use of a belly board. The conventional three-field treatment plan was made using a three-dimensional treatment planning system. The irradiated small-bowel volume was calculated at 10% intervals from 10% to 100% of the prescribed dose. Results: The volume of the irradiated small bowel decreased in the order of group I, group II, group III, and group IV at all dose levels (p < 0.001). In comparison to group I, the mean absolute volume reductions (relative volume reduction) of the irradiated small bowel were 41.5 +/- 20.1 cm(3) (33.9 +/- 12.9%) in group II, 76.6 +/- 30.5 cm(3) (55.1 +/- 17.8%) in group III, and 98.5 +/- 36.7 cm(3) (70.7 +/- 14.5%) in group IV. Conclusion: Bladder distension was a more effective method than the belly board for reducing the irradiated small-bowel volume in postoperative pelvic radiotherapy of rectal cancer patients. The combination of the belly board and bladder distension showed an additive effect and was the most effective method for reducing the irradiated small-bowel volume.
引用
收藏
页码:601 / 605
页数:5
相关论文
共 15 条
[1]   Impact of the "belly board" device on treatment reproducibility in preoperative radiotherapy for rectal cancer [J].
Allal, AS ;
Bischof, S ;
Nouet, P .
STRAHLENTHERAPIE UND ONKOLOGIE, 2002, 178 (05) :259-262
[2]   The dose-volume relationship of acute small bowel toxicity from concurrent 5-FU-based chemotherapy and radiation therapy for rectal cancer [J].
Baglan, KL ;
Frazier, RC ;
Yan, D ;
Huang, RR ;
Martinez, AA ;
Robertson, JM .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2002, 52 (01) :176-183
[3]   Efficacy of a belly board device with CT-simulation in reducing small bowel volume within pelvic irradiation fields [J].
Das, IJ ;
Lanciano, RM ;
Movsas, B ;
Kagawa, K ;
Barnes, SJ .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1997, 39 (01) :67-76
[4]  
Fietkau R, 2004, STRAHLENTHER ONKOL, V180, P478, DOI 10.1007/s00066-004-1260-z
[5]   A PROSPECTIVE-STUDY OF TREATMENT TECHNIQUES TO MINIMIZE THE VOLUME OF PELVIC SMALL-BOWEL WITH REDUCTION OF ACUTE AND LATE EFFECTS ASSOCIATED WITH PELVIC IRRADIATION [J].
GALLAGHER, MJ ;
BRERETON, HD ;
ROSTOCK, RA ;
ZERO, JM ;
ZEKOSKI, DA ;
POYSS, LF ;
RICHTER, MP ;
KLIGERMAN, MM .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1986, 12 (09) :1565-1573
[6]   DECREASING GASTROINTESTINAL MORBIDITY WITH THE USE OF SMALL-BOWEL CONTRAST DURING TREATMENT PLANNING FOR PELVIC IRRADIATION [J].
HERBERT, SH ;
CURRAN, WJ ;
SOLIN, LJ ;
STAFFORD, PM ;
LANCIANO, RM ;
HANKS, GE .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1991, 20 (04) :835-842
[7]  
Höcht S, 2004, STRAHLENTHER ONKOL, V180, P15, DOI 10.1007/s00066-004-1130-8
[8]   Influence of patient positioning on dose-volume histogram and normal tissue complication probability for small bowel and bladder in patients receiving pelvic irradiation: A prospective study using a 3D planning system and a radiobiological model [J].
Koelbl, O ;
Richter, S ;
Flentje, M .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1999, 45 (05) :1193-1198
[9]   Influence of treatment technique on dose-volume histogram and normal tissue complication probability for small bowel and bladder -: A prospective study using a 3-D planning system and a radiobiological model in patients receiving postoperative pelvic irradiation [J].
Kölbl, O ;
Richter, S ;
Flentje, M .
STRAHLENTHERAPIE UND ONKOLOGIE, 2000, 176 (03) :105-111
[10]  
Kremser C, 2003, STRAHLENTHER ONKOL, V179, P641, DOI 10.1007/s00066-003-1045-9