Large Segmentation Radiotherapy ± Deep Inspiration Breath Hold(DIBH) for Left Breast Cancer
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Large Segmentation Radiotherapy, DIBH, Surface guided radiation therapy, laser alignment.
- Кому может быть актуально
- Состояния в реестре: Breast Cancer. Базовые параметры: 18 лет — 70 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Large Segmentation Radiotherapy±Deep Inspiratory Breath Hold for Left Sided Breast Cancer, A Real-World Study
Обзор
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.
Вмешательства
- Лучевая терапия Large Segmentation Radiotherapy
Large Segmentation Radiotherapy±Deep Inspiratory Breath Hold - Устройство DIBH
Deep Inspiration Breath Hold - Устройство Surface guided radiation therapy
The technology uses modern 3D camera technology to help track and monitor patient movements during set-up and treatment. - Устройство laser alignment
Laser systems for virtual simulation and patient positioning in radiotherapy - Поведенческое free breathing
Patients breathe calmly while radiotherapy instead of holding their breath.
Первичные конечные точки
- Incidence of subclinical and clinical cardiac events [Срок оценки: through study completion, an average of 1 year]
Вторичные конечные точки (3)
- Survival [Срок оценки: through study completion, an average of 1 year]
- Cosmetic results [Срок оценки: through study completion, an average of 1 year]
- Life quality [Срок оценки: through study completion, an average of 1 year]
Критерии участия
Критерии включения
- 18-70 years old, female, life expectancy > 5 years
- ECOG 0, 1, 2 points
- Pathologically diagnosed with left breast cancer and underwent breast-conserving surgery or modified radical mastectomy
- 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.
- No prior neoadjuvant chemotherapy or breast reconstruction.
- No active cardiac disease, myocardial infarction, or congestive cardiac failure at baseline.
- Patients can hold their breath for at least 30 seconds after training
- Patients who can be followed up and agree to follow the plan.
- Sign the consent form.
Критерии исключения
- Lesions were observed on both sides of the breast.
- Diagnosis could not be confirmed by pathology.
- Distant metastasis was identified.
- The patient had undergone neoadjuvant chemotherapy or breast reconstruction surgery.
- Severe cardiac insufficiency; myocardial infarction or uncorrected unstable cardiac arrhythmia or uncorrected unstable angina within the last 3 months; or pericardial disorders
- The patient's New York Heart Association (NYHA) cardiac classification is within categories 2-4.
- A history of chronic lung disease, including conditions that may contribute to ductal dilatation, such as chronic obstructive pulmonary disease (COPD) and interstitial pneumonia.
- Previous mediastinal radiotherapy.
- 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).
- Irradiation of the lymphatic drainage area of the internal breast is required.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Китай · 1 центр
- Peking Union Medical College Hospital — Пекин
Идентификаторы
NCT: NCT06660628 · K6433 · 2022-PUMCH-B-116