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Article

Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT

  • Authors:
    • Xiaoxue Xie
    • Shuyu Ouyang
    • Hui Wang
    • Wenjuan Yang
    • Hekun Jin
    • Bingqiang Hu
    • Liangfang Shen
  • View Affiliations / Copyright

    Affiliations: Department of Radiation Oncology, Hunan Provincial Tumor Hospital and Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha, Hunan 410013, P.R. China, Department of Radiation Oncology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R. China
  • Pages: 2195-2205
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    Published online on: March 5, 2014
       https://doi.org/10.3892/or.2014.3058
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Abstract

The aim of this study was to compare the dosimetric characteristics of left-sided whole breast irradiation among 3-dimensional conformal radiotherapy (3D-CRT), 4-field inverse-planned intensity-modulated radiotherapy (IP-IMRT) and hybrid IMRT technique (combining 3D-CRT beams and IP-IMRT beams) with respect to target coverage and irradiation of organs at risk. The 3 different planning techniques were analyzed for 8 patients with left-sided breast conserving surgery. Plans were compared on the basis of planning target volume (PTV) dose conformity, homogeneity and the volumes of normal tissues treated based on dose-volume histograms (DVHs). DVHs were calculated for the PTV, heart, and the bilateral lungs, contralateral breast, and soft tissue surrounding the breast PTV (VOB) volume. IP-IMRT and hybrid IMRT techniques comparably improved the PTV dose homogeneity and conformity (CI) significantly, compared to the conventional 3D-CRT technique (P<0.017); the IP-IMRT technique only could additionally benefit patients by decreasing the high-dose (40 Gy) volume for heart and ipsilateral lung compared with the hybrid IMRT technique (P<0.017); the hybrid IMRT plans achieved a further improvement by compromising the increase of low-dose volume (total lung V13, contralateral lung V5, heart V10 and soft tissue surrounding the breast V5) compared with IP-IMRT plans (P<0.017). Hybrid IMRT plans achieved equivalent PTV dose uniformity to IP-IMRT plans and compromised the low-dose volume and requirement of clinic resource between IP-IMRT and 3D-CRT plans, promoting it as a standard practice of left-sided breast irradiation for patients in good-ordered cardiopulmonary health.
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1 

Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, Jeong JH and Wolmark N: Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 347:1233–1241. 2002.PubMed/NCBI

2 

Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A, Aguilar M and Marubini E: Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med. 347:1227–1232. 2002.PubMed/NCBI

3 

Das IJ, Cheng CW, Fein DA and Fowble B: Patterns of dose variability in radiation prescription of breast cancer. Radiother Oncol. 44:83–89. 1997. View Article : Google Scholar : PubMed/NCBI

4 

Back M, Guerrieri M, Wratten C and Steigler A: Impact of radiation therapy on acute toxicity in breast conservation therapy for early breast cancer. Clin Oncol. 16:12–16. 2004. View Article : Google Scholar : PubMed/NCBI

5 

Schubert LK, Gondi V, Sengbusch E, Westerly DC, Soisson ET, Paliwal BR, Mackie TR, Mehta MP, Patel RR, Tomé WA and Cannon GM: Dosimetric comparison of left-sided whole breast irradiation with 3DCRT, forward-planned IMRT, inverse-planned IMRT, helical tomotherapy, and topotherapy. Radiother Oncol. 100:241–246. 2011. View Article : Google Scholar : PubMed/NCBI

6 

Kelly CA, Wang XY, Chu JC and Hartsell WF: Dose to contralateral breast: a comparison of four primary breast irradiation techniques. Int J Radiat Oncol Biol Phys. 34:727–732. 1996. View Article : Google Scholar : PubMed/NCBI

7 

Unnithan J and Macklis RM: Contralateral breast cancer risk. Radiother Oncol. 60:239–246. 2001. View Article : Google Scholar

8 

Gyenes G, Rutqvist LE, Liedberg A and Fornander T: Long-term cardiac morbidity and mortality in a randomized trial of pre- and postoperative radiation therapy versus surgery alone in primary breast cancer. Radiother Oncol. 48:185–190. 1998. View Article : Google Scholar : PubMed/NCBI

9 

Bird BR and Swain SM: Cardiac toxicity in breast cancer survivors: review of potential cardiac problems. Clin Cancer Res. 14:14–24. 2008. View Article : Google Scholar : PubMed/NCBI

10 

Donovan E, Bleakley N, Denholm E, Evans P, Gothard L, Hanson J, Peckitt C, Reise S, Ross G, Sharp G, Symonds-Tayler R, Tait D and Yarnold J; Breast Technology Group: Randomized trial of standard 2D radiotherapy (RT) versus intensity modulated radiotherapy (IMRT) in patients prescribed breast radiotherapy. Radiother Oncol. 82:254–264. 2007. View Article : Google Scholar : PubMed/NCBI

11 

Pignol JP, Olivotto I, Rakovitch E, Gardner S, Sixel K, Beckham W, Vu TT, Truong P, Ackerman I and Paszat L: A multicenter randomized trial of breast intensity-modulated radiation therapy to reduce acute radiation dermatitis. J Clin Oncol. 26:2085–2092. 2008. View Article : Google Scholar : PubMed/NCBI

12 

Beckham WA, Popescu CC, Patenaude VV, Wai ES and Olivotto IA: Is multibeam IMRT better than standard treatment for patients with left-sided breast cancer? Int J Radiat Oncol Biol Phys. 69:918–924. 2007. View Article : Google Scholar : PubMed/NCBI

13 

Selvaraj RN, Beriwal S, Pourarian RJ, Lalonde RJ, Chen A, Mehta K, Brunner G, Wagner KA, Yue NJ, Huq SM and Heron DE: Clinical implementation of tangential field intensity modulated radiation therapy (IMRT) using sliding window technique and dosimetric comparison with 3D conformal therapy (3DCRT) in breast cancer. Med Dosim. 32:299–304. 2007. View Article : Google Scholar

14 

Kestin LL, Sharpe MB, Frazier RC, Vicini FA, Yan D, Matter RC, Martinez AA and Wong JW: Intensity modulation to improve dose uniformity with tangential breast radiotherapy: initial clinical experience. Int J Radiat Oncol Biol Phys. 48:1559–1568. 2000. View Article : Google Scholar : PubMed/NCBI

15 

Mundt AJ, Mell LK and Roeske JC: Preliminary analysis of chronic gastrointestinal toxicity in gynecology patients treated with intensity-modulated whole pelvic radiation therapy. Int J Radiat Oncol Biol Phys. 56:1354–1360. 2003. View Article : Google Scholar

16 

Mundt AJ, Lujan AE, Rotmensch J, Waggoner SE, Yamada SD, Fleming G and Roeske JC: Intensity-modulated whole pelvic radiotherapy in women with gynecologic malignancies. Int J Radiat Oncol Biol Phys. 52:1330–1337. 2002. View Article : Google Scholar : PubMed/NCBI

17 

Roeske JC, Lujan A, Rotmensch J, Waggoner SE, Yamada D and Mundt AJ: Intensity-modulated whole pelvic radiation therapy in patients with gynecologic malignancies. Int J Radiat Oncol Biol Phys. 48:1613–1621. 2000. View Article : Google Scholar : PubMed/NCBI

18 

Roeske JC, Bonta D, Mell LK, Lujan AE and Mundt AJ: A dosimetric analysis of acute gastrointestinal toxicity in women receiving intensity-modulated whole-pelvic radiation therapy. Radiother Oncol. 69:201–207. 2003. View Article : Google Scholar : PubMed/NCBI

19 

Kachnic LA and Powell SN: IMRT for breast cancer - balancing outcomes, patient selection, and resource utilization. J Natl Cancer Inst. 103:777–779. 2011.PubMed/NCBI

20 

Mayo CS, Urie MM and Fitzgerald TJ: Hybrid IMRT plans - concurrently treating conventional and IMRT beams for improved breast irradiation and reduced planning time. Int J Radiat Oncol Biol Phys. 61:922–932. 2005. View Article : Google Scholar : PubMed/NCBI

21 

Farace P, Zucca S, Solla I, Fadda G, Durzu S, Porru S, Meleddu G, Deidda MA, Possanzini M, Orrù S and Lay G: Planning hybrid intensity modulated radiation therapy for whole-breast irradiation. Int J Radiat Oncol Biol Phys. 84:e115–e122. 2012. View Article : Google Scholar : PubMed/NCBI

22 

Thilmann C, Zabel A, Milker-Zabel S, Schlegel W, Wannenmacher M and Debus J: Number and orientation of beams in inversely planned intensity-modulated radiotherapy of the female breast and the parasternal lymph nodes. Am J Clin Oncol. 26:e136–e143. 2003. View Article : Google Scholar : PubMed/NCBI

23 

Van Dyk J: The Modern Technology of Radiation Oncology. 2. Medical Physics Publishing; Madison, WI: 2005

24 

Caudell JJ, De Los Santos JF, Keene KS, Fiveash JB, Wang W, Carlisle JD and Popple R: A dosimetric comparison of electronic compensation, conventional intensity modulated radiotherapy, and tomotherapy in patients with early-stage carcinoma of the left breast. Int J Radiat Oncol Biol Phys. 68:1505–1511. 2007. View Article : Google Scholar

25 

Ragaz J, Jackson SM, Le N, Plenderleith IH, Spinelli JJ, Basco VE, Wilson KS, Knowling MA, Coppin CM, Paradis M, Coldman AJ and Olivotto IA: Adjuvant radiotherapy and chemotherapy in node-positive premenopausal women with breast cancer. N Engl J Med. 337:956–962. 1997. View Article : Google Scholar

26 

Overgaard M, Hansen PS, Overgaard J, Rose C, Andersson M, Bach F, Kjaer M, Gadeberg CC, Mouridsen HT, Jensen MB and Zedeler K: Postoperative radiotherapy in high-risk premenopausal women with breast cancer who receive adjuvant chemotherapy. Danish Breast Cancer Cooperative Group 82b Trial. N Engl J Med. 337:949–955. 1997. View Article : Google Scholar

27 

Lo YC, Yasuda G, Fitzgerald TJ and Urie MM: Intensity modulation for breast treatment using static multi-leaf collimators. Int J Radiat Oncol Biol Phys. 46:187–194. 2000. View Article : Google Scholar : PubMed/NCBI

28 

Evans PM, Donovan EM, Partridge M, Childs PJ, Convery DJ, Eagle S, Hansen VN, Suter BL and Yarnold JR: The delivery of intensity modulated radiotherapy to the breast using multiple static fields. Radiother Oncol. 57:79–89. 2000. View Article : Google Scholar : PubMed/NCBI

29 

Donovan EM, Johnson U, Shentall G, Evans PM, Neal AJ and Yarnold JR: Evaluation of compensation in breast radiotherapy: a planning study using multiple static fields. Int J Radiat Oncol Biol Phys. 46:671–679. 2000. View Article : Google Scholar : PubMed/NCBI

30 

Zackrisson B, Arevärn M and Karlsson M: Optimized MLC-beam arrangements for tangential breast irradiation. Radiother Oncol. 54:209–212. 2000. View Article : Google Scholar : PubMed/NCBI

31 

McDonald MW, Godette KD, Butker EK, Davis LW and Johnstone PA: Long-term outcomes of IMRT for breast cancer: a single-institution cohort analysis. Int J Radiat Oncol Biol Phys. 72:1031–1040. 2008. View Article : Google Scholar : PubMed/NCBI

32 

Morganti AG, Cilla S, Valentini V, Digesu’ C, Macchia G, Deodato F, Ferrandina G, Cece MG, Cirocco M, Garganese G, Di Lullo L, Traficante D, Scarabeo F, Panunzi S, De Gaetano A, Sallustio G, Cellini N, Sofo L, Piermattei A and Scambia G: Phase I–II studies on accelerated IMRT in breast carcinoma: technical comparison and acute toxicity in 332 patients. Radiother Oncol. 90:86–92. 2009.

33 

Chang SX, Deschesne KM, Cullip TJ, Parker SA and Earnhart J: A comparison of different intensity modulation treatment techniques for tangential breast irradiation. Int J Radiat Oncol Biol Phys. 45:1305–1314. 1999. View Article : Google Scholar : PubMed/NCBI

34 

Hong L, Hunt M, Chui C, Spirou S, Forster K, Lee H, Yahalom J, Kutcher GJ and McCormick B: Intensity-modulated tangential beam irradiation of the intact breast. Int J Radiat Oncol Biol Phys. 44:1155–1164. 1999. View Article : Google Scholar : PubMed/NCBI

35 

Hurkmans CW, Cho BC, Damen E, Zijp L and Mijnheer BJ: Reduction of cardiac and lung complication probabilities after breast irradiation using conformal radiotherapy with or without intensity modulation. Radiother Oncol. 62:163–171. 2002. View Article : Google Scholar

36 

Fogliata A, Bolsi A and Cozzi L: Critical appraisal of treatment techniques based on conventional photon beams, intensity modulated photon beams and proton beams for therapy of intact breast. Radiother Oncol. 62:137–145. 2002. View Article : Google Scholar

37 

Brosius FC 3rd, Waller BF and Roberts WC: Radiation heart disease. Analysis of 16 young (aged 15 to 33 years) necropsy patients who received over 3,500 rads to the heart. Am J Med. 70:519–530. 1981.PubMed/NCBI

38 

McGale P and Darby SC: Low doses of ionizing radiation and circulatory diseases: a systematic review of the published epidemiological evidence. Radiat Res. 163:247–257. 2005. View Article : Google Scholar : PubMed/NCBI

39 

Preston DL, Shimizu Y, Pierce DA, Suyama A and Mabuchi K: Studies of mortality of atomic bomb survivors. Report 13: solid cancer and noncancer disease mortality: 1950–1997. 2003. Radiat Res. 178:AV146–AV172. 2012.

40 

Ozasa K, Shimizu Y, Suyama A, Kasagi F, Soda M, Grant EJ, Sakata R, Sugiyama H and Kodama K: Studies of the mortality of atomic bomb survivors, Report 14, 1950–2003: an overview of cancer and noncancer diseases. Radiat Res. 177:229–243. 2012.

41 

Taylor CW, McGale P and Darby SC: Cardiac risks of breast-cancer radiotherapy: a contemporary view. Clin Oncol. 18:236–246. 2006. View Article : Google Scholar : PubMed/NCBI

42 

Mège A, Ziouèche A, Pourel N and Chauvet B: Radiation-related heart toxicity. Cancer Radiother. 15:495–503. 2011.(In French).

43 

Senkus-Konefka E and Jassem J: Cardiovascular effects of breast cancer radiotherapy. Cancer Treat Rev. 33:578–593. 2007. View Article : Google Scholar

44 

Darby SC, Cutter DJ, Boerma M, Constine LS, Fajardo LF, Kodama K, Mabuchi K, Marks LB, Mettler FA, Pierce LJ, Trott KR, Yeh ET and Shore RE: Radiation-related heart disease: current knowledge and future prospects. Int J Radiat Oncol Biol Phys. 76:656–665. 2010. View Article : Google Scholar : PubMed/NCBI

45 

Lingos TI, Recht A, Vicini F, Abner A, Silver B and Harris JR: Radiation pneumonitis in breast cancer patients treated with conservative surgery and radiation therapy. Int J Radiat Oncol Biol Phys. 21:355–360. 1991. View Article : Google Scholar : PubMed/NCBI

46 

Lee HK, Vaporciyan AA, Cox JD, Tucker SL, Putnam JB Jr, Ajani JA, Liao Z, Swisher SG, Roth JA, Smythe WR, Walsh GL, Mohan R, Liu HH, Mooring D and Komaki R: Postoperative pulmonary complications after preoperative chemoradiation for esophageal carcinoma: correlation with pulmonary dose-volume histogram parameters. Int J Radiat Oncol Biol Phys. 57:1317–1322. 2003.

47 

Graham MV, Purdy JA, Emami B, Harms W, Bosch W, Lockett MA and Perez CA: Clinical dose-volume histogram analysis for pneumonitis after 3D treatment for non-small cell lung cancer (NSCLC). Int J Radiat Oncol Biol Phys. 45:323–329. 1999.PubMed/NCBI

48 

Schallenkamp JM, Miller RC, Brinkmann DH, Foote T and Garces YI: Incidence of radiation pneumonitis after thoracic irradiation: dose-volume correlates. Int J Radiat Oncol Biol Phys. 67:410–416. 2007.PubMed/NCBI

49 

Chen Y, Thompson W, Semenciw R and Mao Y: Epidemiology of contralateral breast cancer. Cancer Epidemiol Biomarkers Prev. 8:855–861. 1999.PubMed/NCBI

50 

Hall EJ and Wuu CS: Radiation-induced second cancers: the impact of 3D-CRT and IMRT. Int J Radiat Oncol Biol Phys. 56:83–88. 2003. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Xie X, Ouyang S, Wang H, Yang W, Jin H, Hu B and Shen L: Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT. Oncol Rep 31: 2195-2205, 2014.
APA
Xie, X., Ouyang, S., Wang, H., Yang, W., Jin, H., Hu, B., & Shen, L. (2014). Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT. Oncology Reports, 31, 2195-2205. https://doi.org/10.3892/or.2014.3058
MLA
Xie, X., Ouyang, S., Wang, H., Yang, W., Jin, H., Hu, B., Shen, L."Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT". Oncology Reports 31.5 (2014): 2195-2205.
Chicago
Xie, X., Ouyang, S., Wang, H., Yang, W., Jin, H., Hu, B., Shen, L."Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT". Oncology Reports 31, no. 5 (2014): 2195-2205. https://doi.org/10.3892/or.2014.3058
Copy and paste a formatted citation
x
Spandidos Publications style
Xie X, Ouyang S, Wang H, Yang W, Jin H, Hu B and Shen L: Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT. Oncol Rep 31: 2195-2205, 2014.
APA
Xie, X., Ouyang, S., Wang, H., Yang, W., Jin, H., Hu, B., & Shen, L. (2014). Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT. Oncology Reports, 31, 2195-2205. https://doi.org/10.3892/or.2014.3058
MLA
Xie, X., Ouyang, S., Wang, H., Yang, W., Jin, H., Hu, B., Shen, L."Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT". Oncology Reports 31.5 (2014): 2195-2205.
Chicago
Xie, X., Ouyang, S., Wang, H., Yang, W., Jin, H., Hu, B., Shen, L."Dosimetric comparison of left-sided whole breast irradiation with 3D-CRT, IP-IMRT and hybrid IMRT". Oncology Reports 31, no. 5 (2014): 2195-2205. https://doi.org/10.3892/or.2014.3058
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