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Assessing the Ompact of Neutral Pelvic Positioning on Bone Repositioning Quality in Pelvic Radiotherapy Patients
Sponsor: Centre Leon Berard
Summary
This study explores whether achieving a neutral pelvic position improves bone repositioning quality for patients undergoing pelvic radiotherapy. While Intensity-Modulated Radiotherapy (IMRT) and Image-Guided Radiotherapy (IGRT) have enhanced target volume precision and reduced side effects, effective patient positioning remains crucial. However, rotational adjustments are limited without a specialized robotic table. Current immobilization devices, customizable or not, show limited impact on positioning accuracy, with mixed results on the use of knee and foot supports. A pilot study identified significant rotational variation, and to address this, a "glute bridge" maneuver is proposed to ensure a neutral pelvic position. This randomized study will evaluate the impact of this maneuver on positioning quality when combined with immobilization and skin markers.
Official title: Evaluation of the Interest of a "Neutral Pelvic Positioning" on the Quality of Bone Repositioning in Patients Receiving Pelvic Radiotherapy
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2024-11-15
Completion Date
2027-03-01
Last Updated
2024-11-13
Healthy Volunteers
No
Interventions
Setup with neutral pelvic positioning technique
Setup with neutral pelvic positioning technique (from dosimetry onward and at each session) and daily IGRT (CBCT or MVCT Mega Voltage Computed Tomography)
Standard setup
Standard setup (from dosimetry onward and at each session) and daily IGRT (CBCT or MVCT)
Locations (4)
Centre Leon Berard
Lyon, France
Institut de Cancérologie de Lorraine
Nancy, France
Centre Eugène Marquis
Rennes, France
Institut de Cancérologie de l'Ouest - Saint-Herblain
Saint-Herblain, France