A feasibility study for the introduction of micro-enema to improve organ consistency in patients receiving radiotherapy for urinary bladder cancer

التفاصيل البيبلوغرافية
العنوان: A feasibility study for the introduction of micro-enema to improve organ consistency in patients receiving radiotherapy for urinary bladder cancer
المؤلفون: D. Hutton, H. Wong, N. Hutton, I. Syndikus, J. Callender
المصدر: Journal of Radiotherapy in Practice. 17:20-28
بيانات النشر: Cambridge University Press (CUP), 2017.
سنة النشر: 2017
مصطلحات موضوعية: medicine.medical_specialty, Reproducibility, Cone beam computed tomography, Bladder cancer, Urinary Bladder Cancer, business.industry, medicine.medical_treatment, Urology, Enema, medicine.disease, 030218 nuclear medicine & medical imaging, Radiation therapy, 03 medical and health sciences, 0302 clinical medicine, Micro Enema, Oncology, 030220 oncology & carcinogenesis, Medicine, Radiology, Nuclear Medicine and imaging, In patient, business, Nuclear medicine
الوصف: AimsThe aim of the study was to assess the effect on rectal consistency, of introducing a micro-enema in the preparation of patients receiving radiotherapy treatment of urinary bladder cancer.Materials and methodsThe treatment cone beam computed tomography (CBCT) images from patients receiving radiotherapy for bladder cancer were retrospectively assessed. CBCT datasets from nine patients treated without rectal preparation (97 CBCT), and 13 patients (134 CBCT) treated following micro-enema use before planning and treatment were evaluated. CBCT were compared with the planning computed tomography for rectal status, rectal diameter and presence of gas.ResultsReproducibility of an empty rectum was achieved in 70% of treatment fractions delivered using an enema protocol compared with 33% of fractions delivered without preparation. In total, 10% of fractions were delivered with the presence of faeces or faeces and gas, compared with 46% of fractions for the non-intervention group. Enemas did not affect the proportion of fractions delivered with gas, however, where gas was present, 65% of CBCT fractions had FindingsThe use of a micro-enema before planning scan and each fraction was well tolerated and proved effective in managing and reducing inter-fraction variations in rectal volume and contents.
تدمد: 1467-1131
1460-3969
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::25aa7507fe90bfb60c1c5d996a63b2c0
https://doi.org/10.1017/s1460396917000413
حقوق: CLOSED
رقم الأكسشن: edsair.doi...........25aa7507fe90bfb60c1c5d996a63b2c0
قاعدة البيانات: OpenAIRE