Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, United Kingdom.
Servei de Radiofísica i Radioprotecció, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Radiother Oncol. 2023 Aug;185:109734. doi: 10.1016/j.radonc.2023.109734. Epub 2023 Jun 8.
The use of breath-hold techniques in radiotherapy, such as deep-inspiration breath hold, is increasing although guidelines for clinical implementation are lacking. In these recommendations, we aim to provide an overview of available technical solutions and guidance for best practice in the implementation phase. We will discuss specific challenges in different tumour sites including factors such as staff training and patient coaching, accuracy, and reproducibility. In addition, we aim to highlight the need for further research in specific patient groups. This report also reviews considerations for equipment, staff training and patient coaching, as well as image guidance for breath-hold treatments. Dedicated sections for specific indications, namely breast cancer, thoracic and abdominal tumours are also included.
尽管缺乏临床实施的指南，但在放射治疗中使用屏气技术（如深吸气屏气）的情况正在增加。在这些建议中，我们旨在提供可用技术解决方案的概述，并为实施阶段的最佳实践提供指导。我们将讨论不同肿瘤部位的具体挑战，包括员工培训和患者指导、准确性和可重复性等因素。此外，我们旨在强调在特定患者群体中进一步研究的必要性。本报告还审查了用于屏气治疗的设备、员工培训和患者指导以及图像引导的注意事项。还包括专门针对特定适应症（即乳腺癌、胸部和腹部肿瘤）的部分。
