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Deep Inspiration Breath Hold, Designing a Pilot Protocol

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No continuing education / Category A credit assigned to this presentation.
This session was recorded at 2017 CAMRT-OAMRS Annual general Conference.

This presentation details the creation and implementation of a Deep Inspiration Breath Hold (DIBH) Pilot protocol for patients with left-sided breast cancer from a Radiation Therapist perspective. This process includes learning the technique – designed to help minimize cardiac toxicity - by observing treatments at another centre, then creating a procedure to work within the framework of our existing processes. It summarizes the creation of techniques to accommodate the different workflow, procedures, and equipment at our centre while adhering to strict resource constraints. It will focus on the design and testing of the pilot procedures and training of the initial cohort of treatment and simulator staff. It will also discuss the challenges that have occurred during the 18 months from the creation of the procedure to the point where we have now treated more than 30 patients with this technique. While data analysis is ongoing (and will not be the focus of the presentation), initials results have shown excellent reproducibility and stability of the chestwall. This technique is now the standard treatment at CancerCare Manitoba for all suitable patients who are receiving treatment to the internal mammary chain.

Objectives:
- Acquire knowledge of possible techniques to implement DIBH with minimal resource impact
- Utilize CancerCare Manitoba's experience with DIBH to minimize challenges in implementing new procedures

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