{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:27:47Z","timestamp":1786969667496,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Deep inspiration breath-hold (DIBH) is widely used in left-sided breast cancer radiotherapy to reduce cardiac exposure. While its dosimetric benefits are well established, patient experience and radiotherapy technologist (RTT) perspectives remain less explored. This study aimed to evaluate patient-reported experiences and RTT perceptions of DIBH implementation in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective observational study was conducted involving 20 female patients with left-sided breast cancer treated using DIBH and six RTTs with 6\u20138 years of experience. Patient experience was assessed using a structured 15-item questionnaire covering understanding, comfort, breath-hold performance, and overall satisfaction. RTT perspectives were evaluated using a 12-item questionnaire addressing patient coaching, technical challenges, and satisfaction with DIBH implementation. Responses were recorded on a 5-point Likert scale and analyzed using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All patients reported a clear understanding of DIBH instructions and adequate staff guidance, with 100% agreement for both. Overall satisfaction was high (mean score 4.5 \u00b1 0.5), and most patients reported that DIBH became easier with successive treatment sessions. However, variability was observed in physical comfort and breath-hold tolerance, with only 40% reporting complete comfort during breath-hold. Psychological stress prior to breath-hold was reported by 60% of patients. RTTs unanimously agreed that DIBH improved setup reproducibility and cone-beam computed tomography matching accuracy, though additional coaching requirements and occasional technical interruptions were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>DIBH is well accepted by patients and perceived by RTTs as beneficial for treatment accuracy. Its routine implementation requires ongoing patient coaching and workflow optimization to balance clinical benefit with operational efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcrt.jcrt_232_26","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T08:00:14Z","timestamp":1786780814000},"page":"571-576","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives in deep inspiration breath-hold: Identifying challenges and strategies for improvement from patients and RTTs"],"prefix":"10.4103","volume":"22","author":[{"given":"Aarti","family":"Jamwal","sequence":"first","affiliation":[{"name":"Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshav K.","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 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treatment planning process to select breast cancer patients for active breathing control to achieve cardiac dose reduction","volume":"82","author":"Wang","year":"2012","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R7-20260817","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/j.ijrobp.2006.03.046","article-title":"Reduction of cardiac and pulmonary complication probabilities after breathing adapted radiotherapy for breast cancer","volume":"65","author":"Korreman","year":"2006","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R8-20260817","doi-asserted-by":"crossref","first-page":"42","DOI":"10.3109\/0284186X.2010.512923","article-title":"Cardiac and pulmonary dose reduction for tangentially irradiated breast cancer, utilizing deep inspiration breath-hold with audio-visual guidance, without compromising target coverage","volume":"50","author":"Vikstr\u00f6m","year":"2011","journal-title":"Acta 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radiotherapy","volume":"54","author":"Cervi\u00f1o","year":"2009","journal-title":"Phys Med Biol"},{"key":"R12-20260817","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1016\/j.ijrobp.2007.11.020","article-title":"Comparison of target registration errors for multiple image-guided techniques in accelerated partial breast irradiation","volume":"70","author":"Gierga","year":"2008","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R13-20260817","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1111\/1754-9485.12795","article-title":"Deep inspiration breath hold in breast cancer: Development and analysis of a patient experience questionnaire","volume":"62","author":"Beaton","year":"2018","journal-title":"J Med Imaging Radiat Oncol"},{"key":"R14-20260817","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.radonc.2012.10.016","article-title":"Improved heart, lung and target dose with deep inspiration breath hold in a large clinical series of breast 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