Virtual Imaging for Patient Information on Radiotherapy Planning and Delivery for Prostate Cancer
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The provision of information on radiotherapy (RT) planning and delivery for patient with cancer is a vital issue in improving not only patients’ satisfaction but also patients’ compliance to treatment. In the present study, patients with prostate cancer receiving RT were randomised to have the provision of information on RT planning and delivery using Virtual Reality (VR) prior to RT or on the last day of RT. Bladder and rectal volumes and separations were measured prior to starting RT, weekly during RT and on the last day of RT. A quality of life questionnaire was completed prior to RT, halfway through RT, at the end of RT and at 3 and 6 months after RT in order to assess side effects. Bladder volumes decreased towards the end of RT but no differences were seen between patients in either cohort. The scores of the quality of life questionnaire showed only a statistical difference at 3 months after RT with lower scores (less intense side effects) for patients in Cohort 1. Although this study failed to show that provision of information to patients receiving RT using VR improves compliance, VT tools were very welcomed by patients as a means of providing information on RT planning and delivery. In the future, this study may provide cancer centres with an useful tool to audit local protocols regarding patient preparations and training for prostate RT.
KeywordsVirtual environment for radiotherapy training Compliance to prostate radiotherapy Bladder volume Computed tomography
This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.
- 1.Stam, M.R., van Lin, E.N.J.T., van der Vight, L.P., Kaander, J.H.A.M., Visser, A.G.: Bladder filling variation during radiation treatment of Prostate cancer: can the use of a bladder ultrasound scanner and biofeedback optimize bladder filling. Int. J. Radiat. Oncol. Biol. Phys. 65, 371–377 (2006). https://doi.org/10.1016/j.ijrobp.2005.12.039CrossRefGoogle Scholar
- 8.Stewart-Lord, A., Brown, M., Noor, S., Cook, J., Jallow, O.: The utilisation of virtual images in patient information giving sessions for prostate cancer patients prior to radiotherapy. Radiography 22, 269–273 (2016). https://doi.org/10.1016/j.radi.2016.05.002
- 10.Phillips, R, Ward, J.W., Beavis, A.W.: Immersive visualization training of radiotherapy treatment. Stud. Health Technol. Inf. 111, 390–396 (2011). https://europepmc.org/article/med/15718766
- 16.Jimenez, Y.A., Cumming, S., Wang, W., Stuart, K., Thwaites, D.I., Lewis, S.J.: Patient education using virtual reality increases knowledge and positive experience for breast cancer patients undergoing radiation therapy. Support. Care Cancer 26(8), 2879–2888 (2018). https://doi.org/10.1007/s00520-018-4114-4CrossRefGoogle Scholar
- 19.Dearnaley, D., Syndikus, I., Mossop, H., et al.: Conventional versus hypofractionated high-dose intensity-modulated radiotherapy for prostate cancer: 5-year outcomes of the randomised, non-inferiority, phase 3 CHHiP trial. Lancet 17, 1047–60 (2016). https://doi.org/10.1016/s1470-2045(16)30102-4CrossRefGoogle Scholar
- 20.Wilson, A.J.: Volume of n-dimensional ellipsoid. Sci. Acta Xaveriana 1, 101–106 (2010). http://oaji.net/articles/2014/1420-1415594291.pdf
- 24.Stasi, M., et al.: Emptying the rectum before treatment delivery limits the variations of rectal dose-volume parameters during 3DCRT of prostate cancer. Radiother. Oncol. 80, 363–70 (2006). https://doi.org/10.1016/j.radonc.2006.08.007