Details

Autor(en) / Beteiligte

• O'Shea, Evelyn
• Armstrong, John
• Gillham, Charles
• McCloy, Roisin
• Murrells, Rachel
• O'Hara, Tom
• Clayton-Lea, Angela
• Murphy, Michael
• Browne, Patricia
• Booth, Catherine
• Thirion, Pierre

Titel

A prospective randomised controlled clinical trial to evaluate three immobilisation devices for intra-thoracic radiation therapy

Ist Teil von

• Journal of radiotherapy in practice, 2010-06, Vol.9 (2), p.65-75

Ort / Verlag

Cambridge, UK: Cambridge University Press

Erscheinungsjahr

2010

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Purpose: To determine the optimal of three immobilisation devices for lung radiotherapy in terms of set-up reproducibility, patient comfort, radiation therapists’ (RTs) satisfaction and cost-effectiveness. Materials and methods: A total of 30 lung CRT patients were randomised to one of three immobilisation techniques – Arm A, headsponge; Arm B, BreastBoard dedicated immobilisation device; and Arm C, LungBoard dedicated immobilisation device. Results: Random errors were larger for Arm A versus C in all directions (p < 0.05). Random errors were larger for Arm A versus B for y and z directions (p < 0.05). When the data for the immobilisation devices (Arms B+C) were pooled and compared with Arm A (no dedicated device), the systematic errors were larger in the z direction for A (p < 0.05). Arm C was cheaper and was more comfortable for patients. Therapists preferred this device (Arm C) and treatment times were less (p < 0.05). Conclusion: This is the first prospective randomised controlled lung immobilisation trial, based on 3-DCRT, that takes into account treatment accuracy, users satisfaction and resource implications. It suggests that the LungBoard immobilisation device is optimal.