Introduction of deep inspirational breath-hold and Butterfly-VMAT techniques into clinical practice for the treatment of mediastinal lymphoma - Lessons learned from an experienced centre

Katie S Jones; Amanda Webster; Georgios Ntentas; Jessica L Brady; N George Mikhaeel

doi:10.1016/j.tipsro.2022.04.002

Introduction of deep inspirational breath-hold and Butterfly-VMAT techniques into clinical practice for the treatment of mediastinal lymphoma - Lessons learned from an experienced centre

Tech Innov Patient Support Radiat Oncol. 2022 Apr 9:22:22-25. doi: 10.1016/j.tipsro.2022.04.002. eCollection 2022 Jun.

Authors

Katie S Jones¹, Amanda Webster^{1

2}, Georgios Ntentas^{3

4}, Jessica L Brady⁵, N George Mikhaeel⁵

Affiliations

¹ Department of Radiotherapy, Guy's & St Thomas' NHS Foundation Trust, London, UK.
² Radiotherapy and PBT, University College London Hospitals NHS Trust, London, UK.
³ Nuffield Department of Population Health, University of Oxford, Oxford UK.
⁴ Department of Medical Physics, Guy's & St Thomas' NHS Foundation Trust, London, UK.
⁵ Department of Clinical Oncology, Guy's & St Thomas' NHS Foundation Trust, London, UK.

Abstract

Deep inspiration breath-hold, butterfly volumetric modulated arc therapy and daily imaging techniques for mediastinal lymphoma patients have been introduced in a single department. Whilst introducing these techniques, there were many practical lessons to be learned across the patient pathway, from pre-treatment through to treatment delivery.Therapeutic radiographers were key members of the multi-disciplinary team implementing these techniques. This work reflects on the experience of introducing these advanced techniques for mediastinal lymphoma patients and the lessons learnt.