{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:05:54Z","timestamp":1791396354030,"version":"4.3.3"},"reference-count":92,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Dutch Cancer Society","award":["12900"],"award-info":[{"award-number":["12900"]}],"id":[{"id":"https:\/\/ror.org\/0368jnd28","id-type":"ROR","asserted-by":"crossref"}]},{"name":"a Marie Sk\u0142odowska-Curie Individual Fellowship","award":["894619"],"award-info":[{"award-number":["894619"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Respiration-induced motion hampers accurate radiotherapy and diagnostic image quality. Ventilatory motion management strategies (VMMS, ie, continuous positive airway pressure, jet ventilation, non-invasive mechanical ventilation, percussive ventilation, and high-flow nasal oxygen) have emerged as novel respiratory motion management strategies. This evidence map aims to summarize these approaches of non-invasive respiratory motion-control to assess feasibility, comfort, potential benefits for radiotherapy and diagnostic imaging, and the identification of current research gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medline, Embase, and Web of Science were searched for publications evaluating VMMS in healthy volunteers or patients to reduce respiratory motion or alter organ positioning during radiotherapy or imaging, published in Dutch, English, or German until October 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 114 studies, of which 55 were included for analysis. Ventilatory motion management strategies, ventilator settings, and patient groups appeared to be heterogenous. Most (50 of 55) studies reported reduced motion, favorably changed organ shape\/position and\/or prolonged breath-hold durations, resulting in reduced organs-at-risk dose, improved time-efficiency or higher diagnostic image quality. In 17 of 55 studies, most subjects found ventilation comfortable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and conclusion<\/jats:title>\n                    <jats:p>VMMS are feasible, versatile, and highly beneficial in radiotherapy and diagnostic imaging, warranting further prospective comparative studies. Identified research gaps included lack of clinical outcomes and standardized reporting and terminology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Advances in knowledge<\/jats:title>\n                    <jats:p>This evidence map provides the first comprehensive overview of non-invasive ventilation strategies for respiratory motion management, demonstrating that VMMS are feasible and beneficial in both radiotherapy and diagnostic imaging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjr\/tqag202","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:36:36Z","timestamp":1787754996000},"source":"Crossref","is-referenced-by-count":0,"title":["Ventilatory motion management strategies in conscious individuals for improved radiotherapy and diagnostic imaging: an evidence 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, Amsterdam 1105AZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Parkes","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Amsterdam UMC\u2014Location University of Amsterdam , Amsterdam 1105AZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8025-4961","authenticated-orcid":false,"given":"Joost G","family":"Daams","sequence":"additional","affiliation":[{"name":"Medical Library, Amsterdam UMC\u2014Location University of Amsterdam , Amsterdam 1105AZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4982-6615","authenticated-orcid":false,"given":"Joost","family":"van Schuppen","sequence":"additional","affiliation":[{"name":"Department of Radiology and Nuclear Medicine, Amsterdam UMC\u2014Location University of Amsterdam , Amsterdam 1105AZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4092-1907","authenticated-orcid":false,"given":"Joost G","family":"van den Aardweg","sequence":"additional","affiliation":[{"name":"Department of Pulmonology, Amsterdam UMC\u2014Location University of Amsterdam , Amsterdam 1105AZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8687-5988","authenticated-orcid":false,"given":"Miguel A","family":"Palacios","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Amsterdam UMC\u2014Location Free University , Amsterdam 1081HZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2516-2263","authenticated-orcid":false,"given":"Geertjan","family":"van Tienhoven","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, 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