4.6 Review

Factors impacting on patient setup analysis and error management during breast cancer radiotherapy

Journal

CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
Volume 178, Issue -, Pages -

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.critrevonc.2022.103798

Keywords

Immobilization; Positioning errors; Reproducibility; Organs at risk; Portal image; Cone beam computed tomography

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This study aims to discuss setup errors in breast cancer radiotherapy and evaluate the impact of various factors on these errors.
Radiotherapy is required to deliver an accurate dose to the tumor while protecting surrounding normal tissues. Breast cancer radiotherapy involves a number of factors that can influence patient setup and error management, including the immobilization device used, the verification system and the patient's treatment position. The aim of this review is to compile and discuss the setup errors that occur due to the above-mentioned factors. In view of this, a systematic search of the scientific literature in the Medline/PubMed databases was performed over the 1990-2021 time period, with 93 articles found to be relevant for the study. To be accessible to all, this study not only aims to identify factors impacting on patient setup analysis, but also seeks to evaluate the role of each verification device, board immobilization and position in influencing these errors.

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