Treatment with a belly-board device significantly reduces the volume of small bowel irradiated and results in low acute toxicity in adjuvant radiotherapy for gynecologic cancer: Results of a prospective study

Radiotherapy and Oncology

Volumn 74, Issue 3, 2005, Pages 267-274

  Martin, Joseph ^b   Fitzpatrick, Kathryn ^a   Horan, Gail ^a   McCloy, Roisin ^a   Buckney, Steve ^a   O'Neill, Louise ^a   Faul, Clare ^a  

^a ST LUKE S HOSPITAL   (Ireland)

^b PRINCESS MARGARET HOSPITAL   (Canada)

Author keywords

Belly board; Gynecologic cancer; Radiotherapy; Small bowel toxicity

Indexed keywords

CISPLATIN;

ABDOMINAL CRAMP; ABDOMINAL PAIN; ACUTE TOXICITY; ADJUVANT THERAPY; ADULT; AGED; ANOREXIA; ARTICLE; BELLY BOARD; BODY POSTURE; CANCER CHEMOTHERAPY; CANCER GRADING; CANCER RADIOTHERAPY; CLINICAL ARTICLE; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEVICE; DIARRHEA; FEMALE; GASTROINTESTINAL TOXICITY; GYNECOLOGIC CANCER; HUMAN; NAUSEA; ORGAN SIZE; OVARY CANCER; PRIORITY JOURNAL; PROSPECTIVE STUDY; RADIATION DOSE; RADIATION DOSE FRACTIONATION; RADIATION EXPOSURE; RADIATION FIELD; RADIATION RESPONSE; SIMULATION; SMALL INTESTINE; SUPINE POSITION; UTERINE CERVIX CANCER; VOMITING;

EID: 14844315092     PISSN: 01678140     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.radonc.2004.11.010     Document Type: Article

References (41)

1. M. Adli, N.A. Mayr, and H.S. Kaiser Dose prone positioning reduce small bowel dose in pelvic radiation with intensity modulated radiotherapy for gynecologic cancer? Int J Radiat Oncol Biol Phys 57 2003 230 238
2. K.L. Baglan, R.C. Frazier, D. Yan, R.R. Huang, A.A. Martinez, and J.M. Robertson Int J Radiat Oncol Biol Phys 52 2002 176 183
3. M.S. Carey, G.J. O'Connell, and C.R. Johanson Good outcome associated with standardized treatment protocol using selective postoperative radiation in patients with clinical stage I adenocarcinoma of the endometrium Gynecol Oncol 57 1995 138 144
4. B.W. Corn, R.M. Lanciano, and K.M. Greven Impact of improved radiation technique, age and lymph node sampling on severe complication rate of surgically staged endometrial cancer: a multivariate analysis J Clin Oncol 12 1994 510 515
5. C.L. Creutzberg, W.L.J. Van Putten, and P.C.M. Koper Surgery and postoperative radiotherapy versus surgery alone for patients with stage-1 endometrial carcinoma: multicentre randomized trial Lancet 335 2000 1404 1411
6. I.J. Das, R.M. Lanciano, B. Movsas, K. Kagawa, and S.J. Barnes Efficacy of a bellyboard device with CT simulation in reducing small bowel volume within pelvic irradiation fields Int J Radiat Oncol Biol Phys 39 1997 67 76
7. W. Dorr, and J.H. Hendry Consequential late effects in normal tissues Radiother Oncol 61 2001 223 231
8. P.J. Eifel, K. Winter, and M. Morris Pelvic irradiation with concurrent chemotherapy versus pelvic and para-aortic irradiation for high-risk cervical cancer: an update of radiation therapy oncology group trial (RTOG) 90-01 J Clin Oncol 22 2004 872 880
9. L.E. Frank, L.A. Rowley, and T.G. Shanahan Technical aspects in the use of 'bellyboards' for small bowel minimization Med Dosim 15 1990 13 16
10. M.J. Gallagher, H.D. Brereton, and R.A. Rostock A prospective study of treatment techniques to minimize the volume of pelvic small bowel with reduction of acute and late effects associated with pelvic irradiation Int J Radiat Oncol Biol Phys 12 1986 1565 1573
11. K. Ghosh, L.A. Padilla, P.M. Karuna, S.D. Levi, L.F. Carson, and K.E. Dusenbery Using a bellyboard device to reduce the small bowel volume within pelvic irradiation fields in women with postoperatively treated cervical carcinoma Gynecol Oncol 83 2001 271 275
12. K.M. Greven Tailoring radiation to the extent of disease for uterine-confined endometrial cancer Semin Radiat Oncol 10 2000 29 35
13. P.W. Grigsby Update on radiation therapy for endometrial cancer Oncology (Huntingt.) 16 2002 777 786
14. D.E. Heron, K. Gerszten, and R.N. Selvaraj Conventional 3D conformal versus intensity-modulated radiotherapy for the adjuvant treatment of gynecologic malignancies: a comparative dosimetric study of dose-volume histograms small star, filled Gynecol Oncol 91 2003 39 45
15. R. Holst, T. la Couture, C. Koprowski, and E. Goldschmidt A simple manual method of repositioning small bowel during pelvic irradiation Med Dosim 20 1995 123 129
16. B.A. Jereczek-Fossa, A. Badzio, and J. Jassem Factors determining acute normal tissue reactions during postoperative radiotherapy in endometrial cancer: analysis of 317 consecutive cases Radiother Oncol 68 2003 33 39
17. B.A. Jereczek-Fossa, J. Jassem, and A. Badzio Relationship between acute and late normal tissue injury after postoperative radiotherapy in endometrial cancer Int J Radiat Oncol Biol Phys 52 2002 476 482
18. B.A. Jereczek-Fossa, J. Jassem, R. Nowak, and A. Badzio Late complications after postoperative radiotherapy for endometrial cancer: analysis of 317 consecutive cases with application of linear quadratic model Int J Radiat Oncol Biol Phys 41 1998 329 338
19. H.M. Keys, B.N. Bundy, and F.B. Stehman Cisplatin, radiation, and adjuvant hysterectomy compared with radiation and adjuvant hysterectomy for bulky stage IB cervical carcinoma N Engl J Med 340 1999 1154 1161
20. H.M. Keys, J.A. Roberts, and V.L. Brunetto A phase III trial of surgery with or without adjunctive external pelvic radiation therapy in intermediate risk endometrial adenocarcinoma: a Gynecologic Oncology Group study Gynecol Oncol 92 2004 744 751
21. J.M. Kirwan, P. Symonds, and J.A. Green A systematic review of acute and late toxicity of concomitant chemoradiation for cervical cancer Radiother Oncol 68 2003 217 226 [Review]
22. O. Koelbl, D. Vordermark, and M. Flentje The relationship between bellyboard position and patient anatomy and its influence on dose-volume histogram of small bowel for postoperative radiotherapy for rectal cancer Radiother Oncol 67 2003 345 349
23. O. Koelbl, S. Richter, and M. Flentje Influence of patient positioning on dose-volume histogram and normal tissue complication probability for small bowel and bladder in patients receiving pelvic irradiation: a prospective study using a 3D planning system and a radiobiological model Int J Radiat Oncol Biol Phys 45 1999 1193 1198
24. W.J. Koh, K. Panwala, and B. Greer Adjuvant therapy for high-risk, early stage cervical cancer Semin Radiat Oncol 10 2000 51 60
25. G. Lewandowski, J. Torrisi, and R.K. Potkul Hysterectomy with extended surgical staging and radiotherapy versus hysterectomy alone and radiotherapy in stage I endometrial cancer: a comparison of complication rates Gynecol Oncol 36 1990 401 404
26. A.C. Mak, T.A. Rich, T.E. Schultheiss, B. Kavanagh, D.M. Ota, and M.M. Romsdahl Late complications of postoperative radiation therapy for cancer of the rectum and rectosigmoid Int J Radiat Oncol Biol Phys 28 1994 597 603
27. B.D. Minsky, J.A. Conti, H. Huang, and K. Knopf Relationship of acute gastrointestinal toxicity and the volume of irradiated small bowel in patients receiving combined modality therapy for rectal cancer J Clin Oncol 13 1995 1409 1416
28. M. Morris, P.J. Eifel, and J. Lu Pelvic radiation with concurrent chemotherapy compared with pelvic and para-aortic radiation for high-risk cervical cancer N Engl J Med 340 1999 1137 1143
29. A. Mustafa, A.M. Nina, and S.K. Heather Dose prone positioning reduce small bowel dose in pelvic radiation intensity-modulated radiotherapy for gynecologic cancer? Int J Radiat Oncol Biol Phys 57 2003 230 238
30. J.J. Nuyttens, J.M. Robertson, D. Yan, and A. Martinez The position and volume of the small bowel during adjuvant radiation therapy for rectal cancer Int J Radiat Oncol Biol Phys 51 2001 1271 1280
31. M. Olofsen-van Acht, H. van den Berg, and S. Quint Reduction of irradiated small bowel volume and accurate patient positioning by use of a bellyboard device in pelvic radiotherapy of gynecological cancer patients Radiother Oncol 59 2001 87 93
32. W.A. Peters III, P.Y. Liu, and R.J. Barrett II Concurrent chemotherapy and pelvic radiation therapy compared with pelvic radiation therapy alone as adjuvant therapy after radical surgery in high-risk early-stage cancer of the cervix J Clin Oncol 18 2000 1606 1613
33. M. Pinkawa, B. Gagel, and C. Demirel Dose-volume histogram evaluation of prone and supine patient position in external beam radiotherapy for cervical and endometrial cancer Radiother Oncol 69 2003 99 105
34. R.A. Potish, and K.E. Dusenberry Enteric morbidity of postoperative pelvic external beam and brachytherapy for uterine cancer Int J Radiat Oncol Biol Phys 18 1990 1005 1010
35. J.C. Roeske, D. Bonta, L.K. Mell, A.E. Lujan, and A.J. Mundt A dosimetric analysis of acute gastrointestinal toxicity in women receiving intensity-modulated whole-pelvic radiation therapy Radiother Oncol 69 2003 201 207
36. P.G. Rose, B.N. Bundy, and E.B. Watkins Concurrent cisplatin-based radiotherapy and chemotherapy for locally advanced cervical cancer N Engl J Med 340 1999 1144 1153
37. T.G. Shanahan, M.P. Mehta, and K.L. Bertelrud Minimization of small bowel volume within treatment fields utilizing customized 'belly boards' Int J Radiat Oncol Biol Phys 19 1990 469 476
38. A. Trotti, R. Byhardt, and J. Stetz Common toxicity criteria: Version 2.0. An improved reference for grading the acute effects of cancer treatment: impact on radiotherapy Int J Radiat Oncol Biol Phys 47 2000 13 47
39. A. Trotti, and L.J. Chin Adverse effects: a Pandora's box for radiation oncology Int J Radiat Oncol Biol Phys 54 2002 642 646
40. C.W. Whitney, W. Sause, and B.N. Bundy Randomized comparison of fluorouracil plus cisplatin versus hydroxyurea as an adjunct to radiation therapy in stage IIB-IVA carcinoma of the cervix with negative para-aortic lymph nodes: a Gynecologic Oncology Group and Southwest Oncology Group study J Clin Oncol 17 1999 1339 1348
41. A.H. Wolfson The role of radiotherapy for high-risk endometrial carcinoma Semin Radiat Oncol 10 2000 15 22