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2021 ◽  
Vol 161 ◽  
pp. S1286-S1287
Author(s):  
L. Kharsun ◽  
A. Chukhlantseva ◽  
S. Bagova ◽  
O. Kozlov ◽  
E. Petukhov ◽  
...  

2021 ◽  
pp. 110-117
Author(s):  
Aime M. Gloi ◽  
Javis Jackson ◽  
Angela Sonnier

2021 ◽  
Vol 19 ◽  
pp. 120-125
Author(s):  
Maurice C. Cox ◽  
Pètra M. Braam ◽  
Heidi Rütten ◽  
Ruud van Leeuwen ◽  
Markus Wendling

2019 ◽  
Vol 19 (2) ◽  
pp. 182-189
Author(s):  
F. Slevin ◽  
M. Beasley ◽  
R. Speight ◽  
J. Lilley ◽  
L. Murray ◽  
...  

AbstractIntroduction:Pelvic internal organs change in volume and position during radiotherapy. This may compromise the efficacy of treatment or worsen its toxicity. There may be limitations to fully correcting these changes using online image guidance; therefore, effective and consistent patient preparation and positioning remain important. This review aims to provide an overview of the extent of pelvic organ motion and strategies to manage this motion.Methods and Materials:Given the breadth of this topic, a systematic review was not undertaken. Instead, existing systematic reviews and individual high-quality studies addressing strategies to manage pelvic organ motion have been discussed. Suggested levels of evidence and grades of recommendation for each strategy have been applied.Results:Various strategies to manage rectal changes have been investigated including diet and laxatives, enemas and rectal emptying tubes and rectal displacement with endorectal balloons (ERBs) and rectal spacers. Bladder-filling protocols and bladder ultrasound have been used to try to standardise bladder volume. Positioning the patient supine, using a full bladder and positioning prone with or without a belly board, has been examined in an attempt to reduce the volume of irradiated small bowel. Some randomised trials have been performed, with evidence to support the use of ERBs, rectal spacers, bladder-filling protocols and the supine over prone position in prostate radiotherapy. However, there was a lack of consistent high-quality evidence that would be applicable to different disease sites within the pelvis. Many studies included small numbers of patients were non-randomised, used less conformal radiotherapy techniques or did not report clinical outcomes such as toxicity.Conclusions:There is uncertainty as to the clinical benefit of many of the commonly adopted interventions to minimise pelvic organ motion. Given this and the limitations in online image guidance compensation, further investigation of adaptive radiotherapy strategies is required.


2019 ◽  
Vol 133 ◽  
pp. S1086-S1087
Author(s):  
M. Cox ◽  
M. Wendling ◽  
R. Van Leeuwen ◽  
H. Rütten ◽  
P. Braam

2018 ◽  
Vol 25 (3) ◽  
pp. 995-1002 ◽  
Author(s):  
Renáta Kószó ◽  
Linda Varga ◽  
Emese Fodor ◽  
Zsuzsanna Kahán ◽  
Adrienne Cserháti ◽  
...  

2018 ◽  
Vol 67 (6) ◽  
pp. 342-348
Author(s):  
Dominika Hempel ◽  
Joanna Mandrosz ◽  
Marek Z. Wojtukiewicz ◽  
Tomasz Filipowski ◽  
Ewa Sierko

2018 ◽  
Vol 127 ◽  
pp. S1228
Author(s):  
A. Lastrucci ◽  
Y. Wandael ◽  
C. Galeotti ◽  
M. Vernaleone ◽  
D. Greto ◽  
...  

2017 ◽  
Vol 16 (6) ◽  
pp. 956-963 ◽  
Author(s):  
Stefano Peca ◽  
Richie Siddhartha Sinha ◽  
Derek Wilson Brown ◽  
Wendy Lani Smith

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