title: [Improved reproducibility and comfort by standardized postural support in the irradiation of the female breast].
abstract: BACKGROUND
  Positioning and immobilisation techniques are essential for precise radiotherapy. The currently available standardised positioning devices are insufficient. For this reason, we designed a new and generally usable hard foam positioning support cushion for the breast irradiation and tested its usefulness in a prospective study.
  
  
  METHODS
  Fifty-five female breast cancer patients receiving adjuvant radiotherapy following breast conservative surgery were irradiated either without immobilisation (n = 27) or with the developed positioning support cushion (n = 28). The time necessary for patient set-up, the subjective lying comfort and--comparing portal images with simulator images--the reproducibility of the set-up were determined.
  
  
  RESULTS
  It was possible to improve irradiation reproducibility significantly (average deviation without positioning support cushion: 8.4 mm, with positioning support cushion: 6.1 mm, p < 0.001). The additional time required for the positioning of the patient was in average 19 s (with positioning support cushion: 74 s, without cushion: 55 s). A significantly higher proportion of patients (72%) found the position with the hard foam cushion was pleasant, whereas only 46% of patients were pleased with the position without cushion.
  
  
  CONCLUSIONS
  The positioning support cushion designed in our department seems to play an important role in quality assurance of external beam irradiation of the breast and significantly increases the patients' comfort in a supine position. Compared to conventional positioning and fixation devices it may be quickly and easily applied at low cost. Therefore, its use can be recommended.
authors.affiliation: Klinik für Strahlentherapie, J.-W.-Goethe-Universität, Frankfurt a. M.
authors.forename: C
authors.initials: C
authors.lastname: Thilmann
authors.forename: S
authors.initials: S
authors.lastname: Mose
authors.forename: I A
authors.initials: IA
authors.lastname: Adamietz
authors.forename: F
authors.initials: F
authors.lastname: Saran
authors.forename: A
authors.initials: A
authors.lastname: Kostka
authors.forename: H D
authors.initials: HD
authors.lastname: Böttcher
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000532:radiotherapy*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008875:Middle Aged; D011187:Posture; D011878:Radiotherapy / Q000295:instrumentation*; D015203:Reproducibility of Results
vernacular_title: Verbesserte Reproduzierbarkeit und erhöhter Komfort durch standardisierte Lagerungshilfe bei der Bestrahlung der weiblichen Brust.