Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience

Post mastectomy or lumpectomy irradiation of the chest wall or breast is common practice to minimize the local recurrences. Chest wall irradiation is a complicated technical procedure as the pathological target volume involves the normal structures like lung, heart, and head of humerus, esophagus...

Full description

Bibliographic Details
Main Authors: Reduan, A, Mazurawati, M, Bhavaraju, VMK, Nik Ruzman, NIb, Nor Shazleen, AS
Format: Article
Language:English
Published: School of Health Sciences, Universiti Sains Malaysia 2013
Subjects:
Online Access:http://eprints.usm.my/35844/
http://eprints.usm.my/35844/1/Tangential_film%29.pdf
_version_ 1848877735788675072
author Reduan, A
Mazurawati, M
Bhavaraju, VMK
Nik Ruzman, NIb
Nor Shazleen, AS
author_facet Reduan, A
Mazurawati, M
Bhavaraju, VMK
Nik Ruzman, NIb
Nor Shazleen, AS
author_sort Reduan, A
building USM Institutional Repository
collection Online Access
description Post mastectomy or lumpectomy irradiation of the chest wall or breast is common practice to minimize the local recurrences. Chest wall irradiation is a complicated technical procedure as the pathological target volume involves the normal structures like lung, heart, and head of humerus, esophagus and trachea known as organ at risk. The aim of this study was to verify the cases of the conventional tangential field technique among the breast cancer patients from year 2006 to 2011. In this study, the previous data of breast cancer patients treated with radiation from 2006 to 2011 were evaluated. Conventional 2D planning was done by taking body contour of the patient. Tangential verification films were taken in patients where excess of lung volume was suspected. The data was analyzed to verify the real lung volume irradiated. From a total 112 patients underwent tangential verification films during that period, 33% of patients underwent breast conservative surgery (BCS) while the rest underwent mastectomy. The depth of the field from the skin to 90% isodose ranges from 2.0 to 8.0 cm. However, 15 (13.4%) out 112 patients needed a replanning. As a conclusion, from 112 cases, the numbers of re-plan cases for year 2006 to 2011 were only 13 (11.61%) which is less than 15%. This result can be used by the centre who no dot have the facilities for simulation to verify the depth dose in 2D planning.
first_indexed 2025-11-15T17:20:10Z
format Article
id usm-35844
institution Universiti Sains Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T17:20:10Z
publishDate 2013
publisher School of Health Sciences, Universiti Sains Malaysia
recordtype eprints
repository_type Digital Repository
spelling usm-358442017-07-25T08:41:19Z http://eprints.usm.my/35844/ Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience Reduan, A Mazurawati, M Bhavaraju, VMK Nik Ruzman, NIb Nor Shazleen, AS RA0421 Public health. Hygiene. Preventive Medicine Post mastectomy or lumpectomy irradiation of the chest wall or breast is common practice to minimize the local recurrences. Chest wall irradiation is a complicated technical procedure as the pathological target volume involves the normal structures like lung, heart, and head of humerus, esophagus and trachea known as organ at risk. The aim of this study was to verify the cases of the conventional tangential field technique among the breast cancer patients from year 2006 to 2011. In this study, the previous data of breast cancer patients treated with radiation from 2006 to 2011 were evaluated. Conventional 2D planning was done by taking body contour of the patient. Tangential verification films were taken in patients where excess of lung volume was suspected. The data was analyzed to verify the real lung volume irradiated. From a total 112 patients underwent tangential verification films during that period, 33% of patients underwent breast conservative surgery (BCS) while the rest underwent mastectomy. The depth of the field from the skin to 90% isodose ranges from 2.0 to 8.0 cm. However, 15 (13.4%) out 112 patients needed a replanning. As a conclusion, from 112 cases, the numbers of re-plan cases for year 2006 to 2011 were only 13 (11.61%) which is less than 15%. This result can be used by the centre who no dot have the facilities for simulation to verify the depth dose in 2D planning. School of Health Sciences, Universiti Sains Malaysia 2013 Article PeerReviewed application/pdf en http://eprints.usm.my/35844/1/Tangential_film%29.pdf Reduan, A and Mazurawati, M and Bhavaraju, VMK and Nik Ruzman, NIb and Nor Shazleen, AS (2013) Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience. Health and the Environment Journal, 4 (2). pp. 115-126. ISSN 2180-1126
spellingShingle RA0421 Public health. Hygiene. Preventive Medicine
Reduan, A
Mazurawati, M
Bhavaraju, VMK
Nik Ruzman, NIb
Nor Shazleen, AS
Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience
title Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience
title_full Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience
title_fullStr Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience
title_full_unstemmed Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience
title_short Tangential Film Verification for Lung Volume Involvement in Breast Cancer Radiation Treatment: East Coast Malaysia Experience
title_sort tangential film verification for lung volume involvement in breast cancer radiation treatment: east coast malaysia experience
topic RA0421 Public health. Hygiene. Preventive Medicine
url http://eprints.usm.my/35844/
http://eprints.usm.my/35844/1/Tangential_film%29.pdf