A Delphi study and International Consensus Recommendations: The use of bolus in the setting of postmastectomy radiation therapy for early breast cancer

Kaidar-Person O, Dahn HM, Nichol AM, Boersma LJ, de Ruysscher D, Meattini I, Pignol JP, Aristei C, Belkacemi Y, Benjamin D, Bese N, Coles CE, Franco P, Ho AY, Hol S, Jagsi R, Kirby AM, Marrazzo L, Marta GN, Moran MS, Nissen HD, Strnad V, Zissiadis Y, Poortmans PM, Offersen BV (2021)

Publication Type: Journal article

Publication year: 2021

Journal

Book Volume: 164

Pages Range: 115-121

DOI: 10.1016/j.radonc.2021.09.012

Abstract

Bolus serves as a tissue equivalent material that shifts the 95–100% isodose line towards the skin and subcutaneous tissue. The need for bolus for all breast cancer patients planned for postmastectomy radiation therapy (PMRT) has been questioned. The work was initiated by the faculty of the European SocieTy for Radiotherapy & Oncology (ESTRO) breast cancer courses and represents a multidisciplinary international breast cancer expert collaboration to optimize PMRT. Due to the lack of randomised trials evaluating the benefits of bolus, we designed a stepwise project to evaluate the existing evidence about the use of bolus in the setting of PMRT to achieve an international consensus for the indications of bolus in PMRT, based on the Delphi method.

Authors with CRIS profile

Involved external institutions

Tel Aviv University Israel (IL) Dalhousie University Canada (CA) British Columbia Cancer Agency Canada (CA) Maastricht University Netherlands (NL) Careggi University Hospital / Azienda Ospedaliero Universitaria Careggi Italy (IT) Università degli Studi di Perugia Italy (IT) Centre hospitalier universitaire Henri-Mondor (CHU Henri-Mondor) France (FR) Chaim Sheba Medical Center at Tel HaShomer / המרכז הרפואי עש חיים שיבא – תל השומר‎‎ Israel (IL) Acıbadem Mehmet Ali Aydınlar University / Acıbadem Mehmet Ali Aydınlar Üniversitesi Turkey (TR) University of Cambridge United Kingdom (GB) University of Eastern Piedmont / Università degli Studi del Piemonte Orientale "Amedeo Avogadro" Italy (IT) Massachusetts General Hospital United States (USA) (US) Dr. Bernard Verbeeten Instituut Netherlands (NL) University of Michigan United States (USA) (US) Royal Marsden Hospital / The Royal Marsden NHS Foundation Trust United Kingdom (GB) Hospital Sírio-Libanês Brazil (BR) Yale School of Medicine United States (USA) (US) Vejle Sygehus Denmark (DK) GenesisCare Australia (AU) University of Antwerp / Universiteit Antwerpen Belgium (BE) Aarhus University Hospital / Aarhus Universitetshospital Denmark (DK)

How to cite

APA:

Kaidar-Person, O., Dahn, H.M., Nichol, A.M., Boersma, L.J., de Ruysscher, D., Meattini, I.,... Offersen, B.V. (2021). A Delphi study and International Consensus Recommendations: The use of bolus in the setting of postmastectomy radiation therapy for early breast cancer. Radiotherapy and Oncology, 164, 115-121. https://dx.doi.org/10.1016/j.radonc.2021.09.012

MLA:

Kaidar-Person, Orit, et al. "A Delphi study and International Consensus Recommendations: The use of bolus in the setting of postmastectomy radiation therapy for early breast cancer." Radiotherapy and Oncology 164 (2021): 115-121.

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