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.
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.
Patient Positioning Benefits
- 360-degree access allows for maximum visibility during patient setup, which allows for full utilization of lasers and field lights
- Multiple indexing options are available, and knee positioning guides provide confirmation of patient alignment
- All patient positioning features lead to enhanced set-up reproducibility, helping to confirm the patient is in the same position for each treatment
Patient Comfort Benefits
The following features combine to promote patient comfort, leading to a sustainable treatment position:
- Patients can more easily get on and off the couchtop because the couch insert has a low profile
- A memory foam pad contributes to patient comfort while maintaining accuracy
- The inverted wing design adds to patient comfort
- A dual hand grip relieves stress on the patient's wrists
- Patients with limited arm mobility can use the ipsilateral hand grip
- The patient's head can be positioned face down or to the side, using one of two headrest options
- Patients can breathe freely, due to the prone headrest design. Lateral light slots promote an open feeling
- Less scatter allows for high-quality, low-dose images
- Images are typically clearer because chest wall motion is reduced in the prone position
- The couch insert is designed specifically to minimize CT image artifacts
- The ergonomically designed insert snaps quickly in and out of position for ease of use by therapists
- A convenient kVue storage cart is included
- Buijsen, J., J. J. Jager, et al. (2007). "Prone breast irradiation for pendulous breasts." Radiotherapy and Oncology 82(3): 337-340.
- 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.
- 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.
- 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.
- 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.