Unconscious physiological response of healthy volunteers to dynamic respiration-synchronized couch motion
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Date
2017-11-28
Publication Type
Journal Article
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yes
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Abstract
Background
Intrafractional motion can be a substantial uncertainty in precision radiotherapy. Conventionally, the target volume is expanded to account for the motion. Couch-tracking is an alternative, where the patient is moved to compensate for the tumor motion. However, the couch motion may influence the patient’s stress and respiration behavior decreasing the couch-tracking effectiveness.
Methods
In total, 100 volunteers were positioned supine on a robotic couch, which moved dynamically and respiration synchronized. During the measurement, the skin conductivity, the heartrate, and the gaze location were measured indicating the volunteer’s stress. Volunteers rated the subjective motion sickness using a questionnaire. The measurement alternated between static and tracking segments (three cycles), each 1 min long.
Results
The respiration amplitude showed no significant difference between tracking and static segments, but decreased significantly from the first to the last tracking segment (p < 0.0001). The respiration frequency differed significantly between tracking and static segments (p < 0.0001), but not between the first and the last tracking segment. The physiological parameters and the questionnaire showed mild signals of stress and motion sickness.
Conclusion
Generally, people tolerated the couch motions. The interaction between couch motion and the patient’s breathing pattern should be considered for a clinical implementation.
Trial registration
The study was registered at ClinicalTrials.gov (NCT02820532) and the Swiss national clinical trials portal (SNCTP000001878) on June 20, 2016.
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Publication status
published
External links
Editor
Book title
Journal / series
Volume
12
Pages / Article No.
189
Publisher
BioMed Central
Event
Edition / version
Methods
Software
Geographic location
Date collected
Date created
Subject
Tumor tracking; Robotic couch; Motion sickness; Respiration pattern
Organisational unit
03943 - Meboldt, Mirko / Meboldt, Mirko
09563 - Zeilinger, Melanie / Zeilinger, Melanie