open access

Vol 25, No 4 (2020)
Reviews
Published online: 2020-07-01
Submitted: 2019-09-06
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A critical literature review on the use of bellyboard devices to control small bowel dose for pelvic radiotherapy

Matthew Hoffmann, Kim Waller, Andrew Last, Justin Westhuyzen
DOI: 10.1016/j.rpor.2020.04.019
·
Rep Pract Oncol Radiother 2020;25(4):598-605.

open access

Vol 25, No 4 (2020)
Reviews
Published online: 2020-07-01
Submitted: 2019-09-06

Abstract

Delivering curative radiotherapy doses for rectal and gynaecological tumours has historically been complicated by the dose tolerance of the small bowel. Acute radiation-induced small bowel toxicity includes side effects such as abdominal pain, nausea and diarrhoea. With the advent of new treatment delivery modalities, such as IMRT (Intensity modulated radiotherapy) and VMAT (Volumetric modulated Arc radiotherapy), there has been an expectation that small bowel doses can be better controlled with the use of these technologies. These capabilities enable the creation of treatment plans that can better avoid critical radiosensitive organs. The purpose of this review is to look beyond advances in linear accelerator technology in seeking improvements to small bowel dose and toxicity. This review examines whether an alternative prone patient positioning approach using a bellyboard device in conjunction with IMRT and VMAT treatment delivery can reduce small bowel doses further than using these technologies with the patient in a traditional supine position.

Abstract

Delivering curative radiotherapy doses for rectal and gynaecological tumours has historically been complicated by the dose tolerance of the small bowel. Acute radiation-induced small bowel toxicity includes side effects such as abdominal pain, nausea and diarrhoea. With the advent of new treatment delivery modalities, such as IMRT (Intensity modulated radiotherapy) and VMAT (Volumetric modulated Arc radiotherapy), there has been an expectation that small bowel doses can be better controlled with the use of these technologies. These capabilities enable the creation of treatment plans that can better avoid critical radiosensitive organs. The purpose of this review is to look beyond advances in linear accelerator technology in seeking improvements to small bowel dose and toxicity. This review examines whether an alternative prone patient positioning approach using a bellyboard device in conjunction with IMRT and VMAT treatment delivery can reduce small bowel doses further than using these technologies with the patient in a traditional supine position.

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Keywords

Gynaecological radiotherapy; Pelvis; Prone position; Rectum; Small bowel; Supine position; Bellyboard

About this article
Title

A critical literature review on the use of bellyboard devices to control small bowel dose for pelvic radiotherapy

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 25, No 4 (2020)

Pages

598-605

Published online

2020-07-01

DOI

10.1016/j.rpor.2020.04.019

Bibliographic record

Rep Pract Oncol Radiother 2020;25(4):598-605.

Keywords

Gynaecological radiotherapy
Pelvis
Prone position
Rectum
Small bowel
Supine position
Bellyboard

Authors

Matthew Hoffmann
Kim Waller
Andrew Last
Justin Westhuyzen

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