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Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique

Received: 13 November 2024     Accepted: 26 November 2024     Published: 13 December 2024
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Abstract

Gastrointestinal (GI) toxicity is the most frequently encountered complication of pelvic radiotherapy with clinically significant acute and late toxicity occurring in up to 60% and 20% of patients, respectively. The current study was conducted to assess and compare irradiated small bowel volume and dose between prone position using belly board and supine position without belly board in pelvic radiotherapy. Methods: It was a quasi-experimental study conducted at the department of Radiation Oncology of NICRH. Sixty patients of rectal and cervical malignancy were included in the study. They were enrolled in either arm A or arm B to receive radiotherapy to pelvis in supine position or prone position with belly board, respectively by 3DCRT technique. Results: There were no statistically significant differences in distributions of the patients across the two arms regarding age and other various demographic data, abdominal girth etc. Irradiated volume was significantly low in arm-B (5189cm3 vs. 3485cm3, p-value<0.001). Small bowel volume which received 45Gy was also significantly low in arm-B (351cm3 vs. 191cm3, p-value<0.001). Radiation dose to 195cm3 of small bowel volume was 53Gy vs. 36Gy in arm-A and arm-B respectively (p-value<0.001). Conclusion: Using belly board in prone position is comfortable, inexpensive, highly reproducible, and permits maximal bowel displacement from standard pelvic radiotherapy fields.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 9, Issue 4)
DOI 10.11648/j.ijcocr.20240904.12
Page(s) 57-62
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Belly Board, Irradiated Bowel Volume, Malignancy, Pelvic

References
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[2] Letschert JG, Lebesque JV, Aleman BM, Bosset JF, Horiot JC, Bartelink H, Cionini L, Hamers JP, Leer JW, Van Glabbeke M. The volume effect in radiation-related late small bowel complications: results of a clinical study of the EORTC Radiotherapy Cooperative Group in patients treated for rectal carcinoma. Radiotherapy and Oncology. 1994 Aug 1; 32(2): 116-23.
[3] Ghosh K, Padilla LA, Murray KP, Downs LS, Carson LF, Dusenbery KE. Using a belly board device to reduce the small bowel volume within pelvic radiation fields in women with postoperatively treated cervical carcinoma. Gynecologic oncology. 2001 Nov 1; 83(2): 271-5.
[4] Das IJ, Lanciano RM, Movsas B, Kagawa K, Barnes SJ. Efficacy of a belly board device with CT-simulation in reducing small bowel volume within pelvic irradiation fields. International Journal of Radiation Oncology* Biology* Physics. 1997 Aug 1; 39(1): 67-76.
[5] Uno T, Itami J, Shiina T, Araki H, Sakai M, Arimizu N. Evaluation of compression radiotherapy in pelvic treatment. Nihon Igaku Hoshasen Gakkai zasshi. Nippon Acta Radiologica. 1995 Jun 1; 55(7): 501-4.
[6] Perez CA, Grigsby PW, Camel HM, Galakatos AE, Mutch D, Lockett MA. Irradiation alone or combined with surgery in stage IB, IIA, and IIB carcinoma of uterine cervix: update for a nonrandomized comparison. International Journal of Radiation Oncology* Biology* Physics. 1995 Feb 15; 31(4): 703-16.
[7] Olofsen-van Acht M, van den Berg H, Quint S, de Boer H, Seven M, de Koste JV, Creutzberg C, Visser A. Reduction of irradiated small bowel volume and accurate patient positioning by use of a bellyboard device in pelvic radiotherapy of gynecological cancer patients. Radiotherapy and Oncology. 2001 Apr 1; 59(1): 87-93.
[8] Creutzberg CL, van Putten WL, Koper PC, Lybeert ML, Jobsen JJ, Wárlám-Rodenhuis CC, De Winter KA, Lutgens LC, van den Bergh AC, van der Steen-Banasik E, Beerman H. The morbidity of treatment for patients with Stage I endometrial cancer: results from a randomized trial. International Journal of Radiation Oncology* Biology* Physics. 2001 Dec 1; 51(5): 1246-55.
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[10] Shanahan TG, Mehta MP, Bertelrud KL, Buchler DA, Frank LE, Gehring MA, Kubsad SS, Utrie PC, Kinsella TJ. Minimization of small bowel volume within treatment fields utilizing customized “belly boards”. International Journal of Radiation Oncology* Biology* Physics. 1990 Aug 1; 19(2): 469-76.
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  • APA Style

    Debnath, S., Abdullah-Al-Noman, M., Shameem, M. S. H., Bandyopadhayaa, S. K., Muhammed, S., et al. (2024). Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique. International Journal of Clinical Oncology and Cancer Research, 9(4), 57-62. https://doi.org/10.11648/j.ijcocr.20240904.12

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    ACS Style

    Debnath, S.; Abdullah-Al-Noman, M.; Shameem, M. S. H.; Bandyopadhayaa, S. K.; Muhammed, S., et al. Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique. Int. J. Clin. Oncol. Cancer Res. 2024, 9(4), 57-62. doi: 10.11648/j.ijcocr.20240904.12

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    AMA Style

    Debnath S, Abdullah-Al-Noman M, Shameem MSH, Bandyopadhayaa SK, Muhammed S, et al. Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique. Int J Clin Oncol Cancer Res. 2024;9(4):57-62. doi: 10.11648/j.ijcocr.20240904.12

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  • @article{10.11648/j.ijcocr.20240904.12,
      author = {Shuvra Debnath and Muhammad Abdullah-Al-Noman and Mohammed Shaiful Hassan Shameem and Swapan Kumar Bandyopadhayaa and Shafayat Muhammed and Nihar Ranjon Das and Md. Golam Zel Asmaul Husna and Tasneem Hossain and Saiful Alam and Tasnim Mahmud},
      title = {Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique
    },
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {9},
      number = {4},
      pages = {57-62},
      doi = {10.11648/j.ijcocr.20240904.12},
      url = {https://doi.org/10.11648/j.ijcocr.20240904.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20240904.12},
      abstract = {Gastrointestinal (GI) toxicity is the most frequently encountered complication of pelvic radiotherapy with clinically significant acute and late toxicity occurring in up to 60% and 20% of patients, respectively. The current study was conducted to assess and compare irradiated small bowel volume and dose between prone position using belly board and supine position without belly board in pelvic radiotherapy. Methods: It was a quasi-experimental study conducted at the department of Radiation Oncology of NICRH. Sixty patients of rectal and cervical malignancy were included in the study. They were enrolled in either arm A or arm B to receive radiotherapy to pelvis in supine position or prone position with belly board, respectively by 3DCRT technique. Results: There were no statistically significant differences in distributions of the patients across the two arms regarding age and other various demographic data, abdominal girth etc. Irradiated volume was significantly low in arm-B (5189cm3 vs. 3485cm3, p-valuep-valuep-value<0.001). Conclusion: Using belly board in prone position is comfortable, inexpensive, highly reproducible, and permits maximal bowel displacement from standard pelvic radiotherapy fields.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique
    
    AU  - Shuvra Debnath
    AU  - Muhammad Abdullah-Al-Noman
    AU  - Mohammed Shaiful Hassan Shameem
    AU  - Swapan Kumar Bandyopadhayaa
    AU  - Shafayat Muhammed
    AU  - Nihar Ranjon Das
    AU  - Md. Golam Zel Asmaul Husna
    AU  - Tasneem Hossain
    AU  - Saiful Alam
    AU  - Tasnim Mahmud
    Y1  - 2024/12/13
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijcocr.20240904.12
    DO  - 10.11648/j.ijcocr.20240904.12
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 57
    EP  - 62
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20240904.12
    AB  - Gastrointestinal (GI) toxicity is the most frequently encountered complication of pelvic radiotherapy with clinically significant acute and late toxicity occurring in up to 60% and 20% of patients, respectively. The current study was conducted to assess and compare irradiated small bowel volume and dose between prone position using belly board and supine position without belly board in pelvic radiotherapy. Methods: It was a quasi-experimental study conducted at the department of Radiation Oncology of NICRH. Sixty patients of rectal and cervical malignancy were included in the study. They were enrolled in either arm A or arm B to receive radiotherapy to pelvis in supine position or prone position with belly board, respectively by 3DCRT technique. Results: There were no statistically significant differences in distributions of the patients across the two arms regarding age and other various demographic data, abdominal girth etc. Irradiated volume was significantly low in arm-B (5189cm3 vs. 3485cm3, p-valuep-valuep-value<0.001). Conclusion: Using belly board in prone position is comfortable, inexpensive, highly reproducible, and permits maximal bowel displacement from standard pelvic radiotherapy fields.
    
    VL  - 9
    IS  - 4
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Author Information
  • Department of Radiation Oncology, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Department of Radiation Oncology, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Department of Radiation Oncology, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Ex- Director, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Department of Surgery, Dhaka Medical College, Dhaka, Bangladesh

  • Department of Medicine, Suhrawardy Medical College, Dhaka, Bangladesh

  • Department of Radiation Oncology, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Department of Radiation Oncology, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Department of Radiation Oncology, National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh

  • Department of Public Health, North South University, Dhaka, Bangladesh

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