tumorsMalignant tumoursMalignant tumours2224-50572587-6813Rosoncoweb10.18027/2224-5057-2017-7-4-05-12tumors-433Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL REPORTSЛУЧЕВАЯ ТЕРАПИЯ БОЛЬНЫХ РАКОМ ЛЕВОЙ МОЛОЧНОЙ ЖЕЛЕЗЫ I-IIA СТАДИЙ ПОСЛЕ ОРГАНОСОХРАНЯЮЩИХ ОПЕРАЦИЙRADIOTHERAPY AFTER ORGAN-SPARING SURGERY FOR I-IIA STAGES OF LEFT-SIDED BREAST CANCERГладилинаИ. А.GladilinaI. A.

Ирина А. Гладилина - доктор медицинских наук, ведущий научный сотрудник отделения радиохирургии.

Москва

Irina A. Gladilina - MD, DSc Med, Leading Researcher of the Department of Radiosurgery.

Moscow

0152@mail.ruФедосеенкоД. И.FedoseenkoD. I.

Дмитрий И. Федосеенко - врач отделения радиохирургии.

Москва

Dmitriy I. Fedoseenko - MD, Department of Radiosurgery.

Moscow

dr.fedoseenko@gmail.comШабановМ. А.MakarovE. S.

Михаил А. Шабанов - ведущий научный сотрудник отдела патологической анатомии человека.

Москва

Mikhail A. Shabanov - Leading Researcher of Human Pathological Anatomy Department.

Moscow

0152@mail.ruМакаровЕ. С.ShabanovM. A.

Евгений С. Макаров - кандидат медицинских наук, старший научный сотрудник отделения радиохирургии.

Evgeniy S. Makarov - MD, PhD Med, Senior Researcher of the Department of Radiosurgery.

Moscow

evgenimakarov@yandex.ruВалиевР. K.ValievR. K.

Рамиз К. Валиев - кандидат медицинских наук, заведующий отделением радиохирургии .

Ramiz K. Valiev - MD, PhD Med, Head of the Department of Radiosurgery.

Moscow

radiosurgery@bk.ruТкаченкоГ. А.TkachenkoG. A.

Галина А. Ткаченко - кандидат педагогических наук, медицинский психолог отделения реабилитации отдела функциональной диагностики, интенсивной терапии и реабилитации.

Galina A. Tkachenko - MD, PhD, Medical Psychologist of the Rehabilitation Department of the Division of Functional Diagnostics, Intensive Сare and Rehabilitation.

Moscow

mitg71@mail.ruНечушкинМ. И.NechushkinM. I.

Михаил И. Нечушкин - доктор медицинских наук, ведущий научный сотрудник отделения радиохирургии.

Mikhail I. Nechushkin - MD, DSc Med, Leading Researcher of the Department of Radiosurgery.

Moscow

radiosurgery@bk.ruФГБУ «НМИЦ онкологии им. Н.Н. Блохина» Минздрава РоссииРоссияN. N. Blokhin Russian Cancer Research CenterRussian Federation20171801201874512Copyright © Гладилина И.А., Федосеенко Д.И., Шабанов М.А., Макаров Е.С., Валиев Р.K., Ткаченко Г.А., Нечушкин М.И., 20182018Гладилина И.А., Федосеенко Д.И., Шабанов М.А., Макаров Е.С., Валиев Р.K., Ткаченко Г.А., Нечушкин М.И.Gladilina I.A., Fedoseenko D.I., Makarov E.S., Shabanov M.A., Valiev R.K., Tkachenko G.A., Nechushkin M.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.malignanttumors.org/jour/article/view/433

В настоящее время органосохранные операции стали предпочтительным методом лечения больных раком молочной железы. Адъювантная лучевая терапия на молочную железу является стандартным компонентом органосохраняющего лечения, снижает частоту локальных рецидивов и риск смерти от рака молочной железы. После облучения левой молочной железы риск кардиальной токсичности высокий. Для снижения радиационной дозы в сердце используется технология активного контроля дыхания в оптимальной фазе дыхательного цикла (на вдохе). Для контроля глубины вдоха применяется система «дыхательного гейтинга» RPM (Real-time Position Management) Respiratory Gating, Varian. Система аудиосопровождения как часть системы RPM имеет ряд технических недостатков. Целью исследования стала разработка системы видеосопровождения лучевой терапии с контролем дыхательных движений. Использование данной системы позволило пациенткам наблюдать за положением дыхательной кривой во временном интервале. Также данная система позволила сократить время проведения сеанса лучевой терапии, снизить у пациенток психологический и эмоциональный стресс.

Breast preserving surgery became a preferable method of treatment for breast cancer now. Adjuvant radiotherapy in breast cancer patients is a standard component of breast-preserving treatment that reduces the recurrence rate and mortality. The risk of cardiotoxicity after radiation therapy for left-sided breast cancer is high. The deep inspiration breath hold technique is used to reduce radiation dose to the heart. The Real-time Position Management, Respiratory Gating (RPM; Varian) system is used to monitor respiratory motion. Audio supporting system as a part of RPM has some technical lacks. The purpose of our research consists in developing video engineering system to control respiratory movements. Use of this system allowed patients to  observe graphical sinusoid of amplitudes inspiration image in time interval. Also such system allowed to achieve shortening of treatment time and decrease psychological and emotional stress of the patients.

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The authors declare that there are no conflicts of interest present.