Breast Cancer
Conditions
Keywords
breast cancer, heart toxicity, DIBH, dose prediction
Brief summary
The study is a single-center, prospective, non-randomized controlled study. The primary objective is to examine the clinical outcomes of utilizing Deep Inspiration Breath Hold (DIBH) in conjunction with hypo-fractionated radiotherapy for patients diagnosed with left-sided breast cancer with a particular focus on its potential to reduce the incidence of cardiac-related clinical and subclinical events.Participants will revieve large segmentation sadiotherapy ± DIBH for left breast cancer and be followed up to gather their clinical cardiac imformation.
Interventions
RADIATIONLarge Segmentation Radiotherapy
Large Segmentation Radiotherapy±Deep Inspiratory Breath Hold
DEVICEDIBH
Deep Inspiration Breath Hold
The technology uses modern 3D camera technology to help track and monitor patient movements during set-up and treatment.
DEVICElaser alignment
Laser systems for virtual simulation and patient positioning in radiotherapy
BEHAVIORALfree breathing
Patients breathe calmly while radiotherapy instead of holding their breath.
Sponsors
Peking Union Medical College Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. 18-70 years old, female, life expectancy \> 5 years 2. ECOG 0, 1, 2 points 3. Pathologically diagnosed with left breast cancer and underwent breast-conserving surgery or modified radical mastectomy 4. The patient will receive radiation therapy to the entire breast or chest wall ± the lymphatic drainage area above and below the clavicle ± the lymphatic drainage area in the axilla. 5. No prior neoadjuvant chemotherapy or breast reconstruction. 6. No active cardiac disease, myocardial infarction, or congestive cardiac failure at baseline. 7. Patients can hold their breath for at least 30 seconds after training 8. Patients who can be followed up and agree to follow the plan. 9. Sign the consent form.
Exclusion criteria
1. Lesions were observed on both sides of the breast. 2. Diagnosis could not be confirmed by pathology. 3. Distant metastasis was identified. 4. The patient had undergone neoadjuvant chemotherapy or breast reconstruction surgery. 5. Severe cardiac insufficiency; myocardial infarction or uncorrected unstable cardiac arrhythmia or uncorrected unstable angina within the last 3 months; or pericardial disorders 6. The patient's New York Heart Association (NYHA) cardiac classification is within categories 2-4. 7. A history of chronic lung disease, including conditions that may contribute to ductal dilatation, such as chronic obstructive pulmonary disease (COPD) and interstitial pneumonia. 8. Previous mediastinal radiotherapy. 9. Previous or concurrent second primary malignant tumor (except skin cancer that is not a malignant black pigmented tumor, papillary/follicular carcinoma of the thyroid, carcinoma in situ of the cervix, and contralateral non-invasive breast cancer). 10. Irradiation of the lymphatic drainage area of the internal breast is required.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of subclinical and clinical cardiac events | through study completion, an average of 1 year | 1. Clinical events: newly emerged cardiac diseases after radiotherapy include acute and delayed pericarditis, pericardial effusion and constrictive pericarditis, coronary artery disease, myocardial infarction, cardiac valve disease and arrhythmia. 2. Subclinical events: new electrocardiogram (ECG) abnormalities, echocardiographic abnormalities, and abnormal elevations of cardiac enzymes after radiotherapy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Survival | through study completion, an average of 1 year | Localized regional control rate ,overall survival and disease-related survival. |
| Cosmetic results | through study completion, an average of 1 year | cosmetic evaluation(breast-conserving surgery). Excellent: The treated mammary gland is indistinguishable or only slightly different in size, shape, and texture from the contralateral mammary gland. There may be mild thickening of the breast or skin, or scar tissue, but not enough to change the appearance of the colored gland. Good: The treated breast is not mildly asymmetric in size or shape compared to the contralateral breast. Thickening or scar tissue in the breast causes only Fair: The treated breast is significantly different in size and shape from the contralateral breast. Such changes involving 1/4 or less of the treated breast are significantly different in appearance from the contralateral breast. The change involves more than 1/4 of the breast tissue. Poor: The treated breast is significantly different in appearance from the contralateral breast. The change involves more than 1/4 of the breast tissue or the treated breast has severe sequelae. |
| Life quality | through study completion, an average of 1 year | Assessment of patient quality of life by EORTC QLQ-BR23 , a higher score means worse life quality. |
Countries
China
Contacts
Primary ContactXiaorong Hou
Outcome results
None listed