preview

Lung Tumor Motion Lab Report

Good Essays

2.2.1 Respiration
The primary function of respiration is to pump air into and out of the lungs with the help of the respiratory muscles. The lungs are present in the thoracic cavity and are used to maintain the gas levels (CO2 and O2) of the oxygenated blood in the cardiovascular system.
The process of pumping air into the lungs is called inhalation while exhalation is process by which the air is moved out of the lungs. The diaphragm, present at the bottom of the thoracic region, and the intercostal muscles, aligned between the ribs are heavily involved in respiration. They are primarily involved in expanding the thoracic cavity, reducing the pressure and lling the lungs with inhaled air. The diaphragm being a dome shape muscle contracts during …show more content…

Described below is an interesting collection of studies pertaining to respiratory-induced lung tumor motion in di erent planes. Generally, lung tumor motion is more pronounced on the superior-inferior SI plane and to a lesser extent on the anterior-poaterior AP and lateral planes, see Figure 2.1 for a visual of the SI, AP and Lateral planes. Majority of the experiments were conducted on lung cancer patients (between 10 and 30 numbers) and the location of the tumor at any given instance during the treatment cycle was based on the mean, minimum and maximum localized deviations in mm. Seppenwoolde et al. (2002);
Stevens et al. (2001); Plathow et al. (2004) (upper lobe) and Ekberg et al. (1998) report mean(minimum-maximum) SI lung tumor displacement of 5.8(0-25) mm, 4.5(0-22) mm,
4.3(2.6-7.1) mm and 3.9(0-12) mm, respectively. WhileSeppenwoolde et al. (2002); Plathow et al. (2004) (upper lobe) and Ekberg et al. (1998) report mean (minimum-maximum) AP lung tumor displacement of 2.5(0-8) mm, 62.8 (1.25.1) mm and 2.4(-05) mm, respectively;
And 1.5(0-3) mm, 3.4(1.3-5.3) mm and 2.4(0-5), respectively for the lateral …show more content…

(1999) and Plathow et al. (2004)(lower, middle lobe) report mean (minimummaximum)
AP lung tumor displacement of 9.4(5-22) mm, 5(0-13) mm, (6.1(2.5-9.8) mm,
4.3(1.9-7.5) mm), respectively. For an overview on the experimental setup, patient data, results and observations made during the course of tracking and measuring the motion amplitude, frequency and irregularities of lung tumors over time, refer to Keall et al. (2006).
In conclusion, the studies carried out on measuring lung tumor motion inter and intrafractionally have led to the following assumptions: there is no clear evidence to support speci c breathing patterns over the course of the treatment based on variables such as tumor position and dimensions, patients physical attributes and surrounding critical organ in uence, see Figure 2.2 for an example. Coaching the patient in deep breathing or quiet breathing, abdominal versus or chest breathing and using diaphragmatic support to increase the capacity of thoracic cavity, among other techniques have failed to provide a set of criteria that can be used across patients in an attempt to categorize tumor motion patterns and behavior, rather than having patient speci c lung tumor motion patterns in controlled

Get Access