VMAT radiation-induced nausea and vomiting in adjuvant breast cancer radiotherapy: The incidental effect of low-dose bath exposure  G. Lazzari, A. Terlizzi,

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Presentation transcript:

VMAT radiation-induced nausea and vomiting in adjuvant breast cancer radiotherapy: The incidental effect of low-dose bath exposure  G. Lazzari, A. Terlizzi, M.G. Leo, G. Silvano  Clinical and Translational Radiation Oncology  Volume 7, Pages 43-48 (December 2017) DOI: 10.1016/j.ctro.2017.09.009 Copyright © 2017 The Authors Terms and Conditions

Fig. 1 Correlation of RINV risk and Dmax to GEJCPs: risk increases for Dmax > 10 Gy. Clinical and Translational Radiation Oncology 2017 7, 43-48DOI: (10.1016/j.ctro.2017.09.009) Copyright © 2017 The Authors Terms and Conditions

Fig. 2 Correlation of RINV risk and Dmean to GEJPS: risk increases for Dmean > 3 Gy. Clinical and Translational Radiation Oncology 2017 7, 43-48DOI: (10.1016/j.ctro.2017.09.009) Copyright © 2017 The Authors Terms and Conditions

Fig. 3 Forest plot of multivariate analysis: Dmax and Dmean for GEJCPs are statistically correlated to RINV, but there is less statistical correlation for the side breast, PTV, age, and surgery. Clinical and Translational Radiation Oncology 2017 7, 43-48DOI: (10.1016/j.ctro.2017.09.009) Copyright © 2017 The Authors Terms and Conditions

Fig. 4 a: A dose image of VMAT left breast radiation: note the blue ring (including the GEJCPs) in the blue and green isodose corresponding to 15–20 Gy. b: The same patient treated with 3D conformal RT using 2 tangential half beams: note that the distribution of 15–20 Gy isodose is far from the GEJCPs. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Clinical and Translational Radiation Oncology 2017 7, 43-48DOI: (10.1016/j.ctro.2017.09.009) Copyright © 2017 The Authors Terms and Conditions