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Radiotherapy without tattoos: Could this work?

J Rigley1, P Robertson2, L Scattergood3

  • 1GenesisCare Nottingham, The Park Centre of Oncology, Sherwood Lodge Drive, Nottingham, NG5 8RX, UK.

Radiography (London, England : 1995)
|April 5, 2020
PubMed
Summary
This summary is machine-generated.

Surface-Guided Radiation Therapy (SGRT) eliminates the need for permanent tattoos in breast cancer patients undergoing radiotherapy. This method provides comparable or improved setup accuracy compared to traditional tattoos, especially for left-sided treatments using Deep-Inspiration Breath-Hold.

Keywords:
AlignRTDIBHIGRTRadiotherapySGRTTattooless

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Area of Science:

  • Radiation Oncology
  • Medical Imaging
  • Cancer Treatment

Background:

  • Traditional radiotherapy for breast cancer often involves permanent skin tattoos for patient positioning.
  • These tattoos can be aesthetically undesirable and may pose long-term concerns for patients.
  • Advancements in technology offer potential alternatives for accurate patient setup.

Purpose of the Study:

  • To evaluate the efficacy of Surface-Guided Radiation Therapy (SGRT) as a tattoo-free method for patient positioning in breast cancer radiotherapy.
  • To compare the setup accuracy of SGRT with the traditional tattoo-based method.

Main Methods:

  • Forty-three patients undergoing breast or chest wall radiotherapy were enrolled.
  • Patients were divided into two groups: one with traditional tattoos and laser alignment, the other using SGRT without tattoos.
  • Treatments included both Free-Breathing (FB) for the right side and Deep-Inspiration Breath-Hold (DIBH) for the left side.

Main Results:

  • For right-sided treatments, SGRT showed a mean shift of 0.47 cm, comparable to the tattoo method (0.52 cm, p=0.04).
  • For left-sided DIBH treatments, SGRT significantly reduced mean shift to 0.45 cm compared to the tattoo method (0.76 cm, p<0.001).

Conclusions:

  • SGRT offers a viable tattoo-free setup for breast radiotherapy, comparable to traditional methods for right-sided treatments.
  • SGRT demonstrates a significant improvement in setup accuracy for left-sided DIBH breast radiotherapy.