PMID- 22364650
OWN - NLM
STAT- MEDLINE
DCOM- 20120723
LR  - 20181201
IS  - 1879-0887 (Electronic)
IS  - 0167-8140 (Linking)
VI  - 102
IP  - 3
DP  - 2012 Mar
TI  - Systematic review of the role of a belly board device in radiotherapy delivery in 
      patients with pelvic malignancies.
PG  - 325-34
LID - 10.1016/j.radonc.2012.02.004 [doi]
AB  - PURPOSE: This review analyses the literature concerning the influence of the 
      patient position (supine, prone and prone on a belly board device (BB) on the 
      irradiated small-bowel-volume (SB-V)) and the resulting morbidity of radiation 
      therapy (RT) in pelvic malignancies. METHODS: A literature search was performed 
      in MEDLINE, web of science and Scopus. RESULTS: Forty-six full papers were found, 
      of which 33 met the eligibility criteria. Fifteen articles focussed on the 
      irradiated SB-V using dose volume histograms (DVHs). Twenty-seven articles 
      studied the patient setup in different patient positions. This review showed that 
      a prone treatment position can result in a lower irradiated SB-V as compared to a 
      supine position, but a more significant reduction of the SB-V can be reached by 
      the additional use of a BB in prone position, for both 3D-CRT and IMRT treatment 
      plans. This reduction of the irradiated SB-V might result in a reduced 
      GI-morbidity. The patient position did not influence the required PTV margins for 
      prostate and rectum. CONCLUSIONS: The irradiated SB-V can be maximally reduced by 
      the use of a prone treatment position combined with a BB for both 3D-CRT and 
      IMRT, which might individually result in a reduction of GI-morbidity.
CI  - Copyright (c) 2012 Elsevier Ireland Ltd. All rights reserved.
FAU - Wiesendanger-Wittmer, Esther M
AU  - Wiesendanger-Wittmer EM
AD  - Department of Radiation Oncology, University of Groningen, The Netherlands.
FAU - Sijtsema, Nanna M
AU  - Sijtsema NM
FAU - Muijs, Christina T
AU  - Muijs CT
FAU - Beukema, Jannet C
AU  - Beukema JC
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20120222
PL  - Ireland
TA  - Radiother Oncol
JT  - Radiotherapy and oncology : journal of the European Society for Therapeutic 
      Radiology and Oncology
JID - 8407192
SB  - IM
MH  - Humans
MH  - Intestine, Small/radiation effects
MH  - Morbidity
MH  - Pelvic Neoplasms/epidemiology/*radiotherapy
MH  - *Prone Position
MH  - Radiotherapy, Conformal/adverse effects/*instrumentation
MH  - Radiotherapy, Intensity-Modulated/adverse effects/*instrumentation
MH  - *Supine Position
EDAT- 2012/03/01 06:00
MHDA- 2012/07/24 06:00
CRDT- 2012/02/28 06:00
PHST- 2011/03/20 00:00 [received]
PHST- 2012/02/01 00:00 [revised]
PHST- 2012/02/07 00:00 [accepted]
PHST- 2012/02/28 06:00 [entrez]
PHST- 2012/03/01 06:00 [pubmed]
PHST- 2012/07/24 06:00 [medline]
AID - S0167-8140(12)00062-X [pii]
AID - 10.1016/j.radonc.2012.02.004 [doi]
PST - ppublish
SO  - Radiother Oncol. 2012 Mar;102(3):325-34. doi: 10.1016/j.radonc.2012.02.004. Epub 
      2012 Feb 22.