Deep inspiration breath hold in the prone position retracts the heart from the breast and internal mammary lymph node region

Thomas Mulliez; Joris Van de Velde; Liv Veldeman; Werner De Gersem; Tom Vercauteren; Bruno Speleers; Henk Degen; Johan Wouters; Tom Van Hoof; Annick van Greveling; Chris Monten; Dieter Berwouts; Wilfried De Neve

doi:10.1016/j.radonc.2015.09.030

Deep inspiration breath hold in the prone position retracts the heart from the breast and internal mammary lymph node region

Radiother Oncol. 2015 Dec;117(3):473-6. doi: 10.1016/j.radonc.2015.09.030. Epub 2015 Oct 8.

Affiliations

¹ Department of Radiotherapy, Brussels University Hospital, Belgium; Department of Radiotherapy, Ghent University Hospital, Belgium. Electronic address: [email protected].
² Department of Basic Medical Sciences, Ghent University, Belgium.
³ Department of Radiotherapy, Ghent University Hospital, Belgium.

PMID: 26455452
DOI: 10.1016/j.radonc.2015.09.030

Abstract

Deep inspiration breath hold in the prone position causes a caudal shift of the heart away from the nearly unmodified breast and internal mammary lymph node region, suggesting better heart protection for left-sided whole breast irradiation with or without regional nodal radiotherapy.

Keywords: Breast; Deep inspiration breath hold; Prone position; Radiotherapy.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Breast / pathology
Breast / radiation effects*
Breast Neoplasms / radiotherapy*
Breath Holding*
Female
Heart / radiation effects*
Humans
Lymph Nodes / pathology
Lymph Nodes / radiation effects
Prone Position