Liu Huiling,Cai Xiaoping,Liu Pengfei,et al.Research advances in tissue compensators in postmastectomy radiation therapy[J].Chinese Journal of Radiological Medicine and Protection,2025,45(4):362-367
Research advances in tissue compensators in postmastectomy radiation therapy
Received:October 17, 2024  
DOI:10.3760/cma.j.cn112271-20241017-00403
KeyWords:Breast neoplasm  Postmastectomy radiation therapy (PMRT)  Tissue compensator
FundProject:滨州市人民医院科研立项资助(XJ2024002901,XJ2022003508)
Author NameAffiliationE-mail
Liu Huiling Department of Radiation Oncology, Binzhou People's Hospital, Binzhou 256600, China
Department of Oncology, Binzhou People's Hospital, Binzhou 256600, China 
 
Cai Xiaoping Department of Oncology, Binzhou People's Hospital, Binzhou 256600, China  
Liu Pengfei Department of Breast Surgery, Binzhou People's Hospital, Binzhou 256600, China  
Yin Yong Department of Radiation Physics, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China  
Wang Ruozheng Department of Radiation Oncology, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi 830011, China  
Zhang Yalin Department of Radiation Oncology, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi 830011, China yalin828@126.com 
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Abstract::
      The chest wall is one of the most common sites of local recurrence after mastectomy. Radiation therapy has been proven to significantly reduce local recurrence and improve survival in breast cancer patients. In postmastectomy radiation therapy (PMRT), the dose build-up effects of high-energy radiation result in lower doses on the skin surface of the affected chest wall. To increase the skin dose, tissue compensators (boluses) need to be applied to the skin surface of the affected chest wall. This review primarily summarizes the indications, materials, thickness, and frequency of boluses used in PMRT, serving as a reference for clinical practice.
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