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arpie's avatar
arpie
Member
4 years ago

Do you need to hold your breath for left breast radiation? Read this ...

Dr Hansen is a Rad Onc and works out of Port Macquarie Hospital, where Mid North Coast Cancer Institute is located.

Hopefully this equipment will be deemed necessary for ALL Rad Onc facilities .... don’t forget to ask about it!!

Patients undergoing Deep Inspiration Breath Holding treatment use the Active Breathing Coordinator to hold their breath while their radiation dose is delivered
 Patients undergoing Deep Inspiration Breath Holding treatment use the Active Breathing Coordinator to hold their breath while their radiation dose is delivered.

Breast cancer patients across the Mid North Coast are set to benefit from the introduction of new technology aimed at reducing treatment side effects.

Deep Inspiration Breath Hold (DIBH) treatment uses a specialised piece of equipment called an Active Breathing Coordinator to assist patients to take a deep breath in and hold it. This increases the distance between the breast and the heart, helping to maintain accurate delivery of treatment.

The DIBH treatment, provided by the Mid North Coast Cancer Institute (MNCCI), will be available in Port Macquarie and Coffs Harbour in the coming months.

MNCCI Radiation Oncologist Dr Carmen Hansen said the new treatment technique is just one example of how patients in the Mid North Coast area are benefiting from constant advances in cancer treatment technology.

“MNCCI will be the first regional facility of its kind in NSW to use this technology,” Dr Hansen said.

“By ensuring the radiation dose is delivered to the required treatment area we will see reduced side effects for the patient.

“Continuing to embrace new technology such as this ensures we are able to provide the best treatments for our patients,” Dr Hansen said.

DIBH can be used in specific cases, such as for patients with left sided breast cancer. The patients’ medical team will determine if DIBH is suitable for each patient

4 Replies

  • @cranky_granny @Julez1958 I also have heart issues..SVT and ectopics with two laser ablations to correct SVT... as a result I had scans and tests in my heart prior to chemo and rads and yes this was explained as a reason for DIBH for me as well as a broader area of treatment... the article says side effects reduced and I consider the burns ect a direct side effect & that’s what I was intrigued by. A more specific description of which side effects in the article would be better.... patients may be misled by the wording.??

    @cranky_granny I too have a damaged oesophagus and loose my voice quite often...I also was diagnosed with chronic gastritis and a hiatus hernia this year after3 years of reflux issues since chemotherapy. wishing you beautiful and easy days 💖

    @Julez1958 that sounds like a wonderful way to get through! Hoping you do get to go back to the reef soon!🧜🏻‍♀️
  • Hi I had my radiotherapy at the Genesis Centre in Darlinghurst on my left breast in November last year and did the DIBH.
    My understanding was it was to minimise any damage to the heart.
    I have done a lot of  snorkelling  so didn’t find the technique difficult but I could see it might be an issue for some.
    I closed my eyes and imagined myself snorkelling at Ningaloo Reef in WA ( not likely to be anytime soon!) and my 28 sessions just flew by!
  • I did the DIBH with my radiation back in 2017. Left breast cancer. Insufficient margin  and lymph involvement, discovered after surgery in the biopsy of the ancillary  nodes 
    Which were removed. Instead of going back under to take more nodes they decided to do extra radiation and wider 
     I was told the aim of the DIBH was to move my heart out of the way. 
    The hangover is my voice disappears sometimes and is scratchy. My oesophagus got injured. Never had GORD before but have it now i did complain that i always came away with the hiccups after a rad session and the dr brushed me off 
    the found a hiatus hernia in dec of 2017 as my GP decided at my 2 year colonoscopy  to have them do a top as well as a tail
    i have to say though I have mets, I am alive and as far as I’m aware my heart came away okay. 

  • Interesting read.. I had DIBH for my rads in 2016...(25 doses) my cancer was in my right breast. Invasive ductal carcinoma with node involvement. My rads onc decided it would be more effective for my situation, however I can’t agree with using this technique lessening the side effects of radiation.? I’m interested in which side effects they consider to be lessened? My burns were quite extensive And intense along with the fatigue and not to mention the trouble I’m now left with regarding my voice. ( I was told of these things at time of treatment) 
    It will be interesting to see how this effects patients with different types of breast cancers.