Varian Medical Systems

Pivotal Treatment Solution
for Prone Breast Care

Pivotal Treatment Solution for Prone Breast Care

Turn breast cancer treatment upside down

Pivotal™ Prone Breast Care is providing clinicians with a new perspective on treating breast cancer. Typically, breast cancer patients are treated in the supine position, lying face-up but with Pivotal Prone Breast Care, you can treat patients lying face-down, or prone. Studies have shown that treatment in the prone position for breast cancer helps to reduce radiation exposure to surrounding organs and tissues, particularly the heart and lungs 1-5. This may lower the risk of complications, such as future heart disease and lung damage. Furthermore, respiratory motion may be reduced in the prone position, helping to improve treatment accuracy.

Turn breast cancer treatment upside down

To facilitate breast cancer treatments in the prone position, Pivotal™ Prone Breast Care, which includes the Qfix kVue™ Access 360™ couch insert, offers 360-degree access to the targeted area of the breast. The insert aligns with the couchtop without any obstruction beneath the breast, allowing for full access. In addition, the breast cut-out in the board facilitates access to the sternum offering therapists the ability to treat patients using non-coplanar and oblique angles.

Pivotal Prone Breast Care is designed for treatments of either, the left or right breast, including whole breast, partial breast, and accelerated partial breast treatments. Adjustable CT risers are included to accommodate varying breast size for CT simulation. The technology also allows for supraclavicular access for treatment of the supraclavicular nodes, and is currently the only prone breast solution available that can accommodate this type of treatment.

The Pivotal Prone Breast Care is available for use on C-Series and TrueBeam. The package will include a comprehensive marketing kit to help build awareness of your facility and promote the Pivotal treatment solution to patients, physicians, and your community. The marketing program will include a broad range of marketing and public relations materials. The kVue Access 360 includes many design features that address setup and treatment challenges, addressing provider needs and enhancing patient comfort.

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Patient Positioning Benefits
Patient Comfort Benefits

The following features combine to promote patient comfort, leading to a sustainable treatment position:

Imaging Benefits
Convenience Features
  1. Buijsen, J., J. J. Jager, et al. (2007). "Prone breast irradiation for pendulous breasts." Radiotherapy and Oncology 82(3): 337-340.
  2. Formenti, S. (2010). "Five-year Results of Prone Accelerated Partial Breast Irradiation: NYU 00-23." International journal of radiation oncology, biology, physics 78(3, Supplement 1): S206-S206.
  3. Formenti, S., S. Lymberis, et al. (2009). "Results of NYU 05-181: A Prospective Trial to Determine Optimal Position (Prone versus Supine) for Breast Radiotherapy." International journal of radiation oncology, biology, physics 75(3, Supplement 1): S203-S204.
  4. Morrow, N. V., C. Stepaniak, et al. (2007). "Intra-and Interfractional Variations for Prone Breast Irradiation: An Indication for Image-Guided Radiotherapy." International journal of radiation oncology, biology, physics 69(3): 910-917.
  5. Varga, Z., K. Hideghéty, et al. (2009). "Individual Positioning: A Comparative Study of Adjuvant Breast Radiotherapy in the Prone Versus Supine Position." International journal of radiation oncology, biology, physics 75(1): 94-100.

Radiation treatments are not appropriate for all types of cancers and serious side effects can occur, including skin irritation, mild to moderate breast swelling, fatigue, breast or chest wall tenderness, swelling to the ipsilateral arm, reduced blood count and fibrosis.

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Varian Oncology Headquarters
Tel: 1.650.424.5700
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