Simulation and treatment left with the dibh technique

Radiotherapy treatment for left breast cancer may include the ipsilateral lung and especially the heart in the treatment fields. One way to minimize doses to these risky organs is to use the Deep Inspiration Breath Hold (DIBH) technique, called deep breath holding. The objective of this study was to propose a standard operating procedure for the stages of simulation and tele-therapeutic treatment using the DIBH technique. This is a descriptive research, to develop the document in the form of protocol with the DIBH technique in the service in question, a questionnaire was applied to professionals involved in the simulation and treatment of this technique. As a result, a standard operating procedure for the DIBH technique was built including simulation and treatment without the aid of a breath monitoring system. At the institution the technique proved to be feasible and reproducible, being included in clinical practice. It is concluded that the dissemination of voluntary DIBH technique should be encouraged for patients with left breast cancer.