Assessing the Ompact of Neutral Pelvic Positioning on Bone Repositioning Quality in Pelvic Radiotherapy Patients
This study is investigating if a special way of lying down, called 'neutral pelvic positioning,' can help make sure bones are perfectly lined up during pelvic radiotherapy. Radiotherapy uses radiation to treat cancer, and getting the patient in exactly the right position is super important. Modern techniques like IMRT and IGRT help make treatment very precise and reduce side effects, but accurate positioning is still a big challenge. We're trying a simple manoeuvre, like a small lift and hold of the pelvis (a 'glute bridge'), to help patients get into this neutral position. Combined with standard support devices and skin markers, we hope this will improve how consistently patients are positioned for their treatment. This could lead to even more accurate treatment and fewer side effects for people with pelvic cancers.
At a glance
What is this study about?
When you have radiotherapy for cancer in your pelvis, getting you into the exact same position each time is really important. Imagine trying to hit a small target from a distance – if you keep moving, it's harder to hit! Modern radiotherapy techniques are very clever; they shape the radiation beam to target the cancer while trying to protect healthy parts of your body. However, for these modern techniques to work their best, you need to be positioned just right.
This study is looking at one particular way of positioning patients called 'neutral pelvic positioning.' This basically means getting your pelvis into a very specific, comfortable, and consistent position. We're trying a simple movement, a bit like a gentle lift of your bottom (some people call it a 'glute bridge'), just before your treatment to help you get into this neutral position. The idea is that if your pelvis is always in this 'neutral' spot, it might help us line up your bones more accurately for each treatment session.
Why does this matter? Better positioning means the radiation can be aimed more precisely at the cancer, which in turn can lead to more effective treatment and fewer side effects on healthy tissues. We already use special equipment and marks on your skin to help, but we want to see if this extra step can make an even bigger difference in getting everything perfectly aligned. This study aims to find out if this simple manoeuvre can improve the quality of your positioning when combined with the usual set-up methods.
Key takeaways
- The study aims to improve radiotherapy accuracy.
- It tests a simple positioning technique called 'neutral pelvic positioning'.
- A 'glute bridge' manoeuvre is used to help achieve this position.
- Better positioning can lead to more effective treatment and fewer side effects.
- Participation involves no extra hospital visits or medication.
Who may be eligible?
This study is looking for women aged 18 or older who are having a specific type of radiotherapy called 'intensity-modulated radiotherapy' for cancer in their pelvis. To be considered, your treatment area must include a part of your lower back and spine (up to L5-S1), and your treatment centre needs to use imaging to check your position.
There are certain reasons why you might not be able to join. For example, if you can't easily lift your pelvis, or if you have certain health conditions like unstable problems with your spine, recent muscle injuries in related areas, or specific types of cancer (anal or vulvar). Also, if you are pregnant or breastfeeding, you wouldn't be able to take part. Overall, it's about making sure the study is safe and appropriate for you.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you female and aged 18 or over?
- Are you having a specific modern type of radiotherapy for pelvic cancer?
- Does your radiotherapy involve the lower spine area?
- Are you comfortable and able to gently lift your pelvis?
- Are you not pregnant or breastfeeding?
What does participation involve?
If you decide to take part in this study, during each of your radiotherapy sessions, you will be asked to perform a simple manoeuvre similar to briefly lifting your bottom, known as a 'glute bridge,' before your treatment begins. This is done while you are lying down on the treatment couch. You will then be positioned as usual with the necessary supports and skin markers. Imaging will be used to check your bone alignment, as is standard practice. The study isn't asking you to take any new medication or have extra appointments outside of your usual treatment schedule. The total duration of your participation will be for the length of your radiotherapy course.
Potential risks and benefits
Locations (4)
- Centre Leon BerardVerified postcodeLyon, France
- Institut de Cancérologie de LorraineVerified postcodeNancy, France
- Centre Eugène MarquisVerified postcodeRennes, France
- Institut de Cancérologie de l'Ouest - Saint-HerblainVerified postcodeSaint-Herblain, France
Common questions
What is 'neutral pelvic positioning'?
It's a specific way of getting your lower body into a consistent and ideal position for your radiotherapy treatment.
What is a 'glute bridge' manoeuvre?
It's a simple, gentle movement like briefly lifting your bottom off the treatment couch to help settle your pelvis into the right spot.
Will taking part affect my regular cancer treatment?
No, your cancer treatment will continue as planned. This study only adds a small step to your positioning routine.
Are there any side effects from the study manoeuvre?
The manoeuvre is gentle and not expected to cause side effects, but you should always mention any discomfort to the staff.
How long will I be in the study?
You will be part of the study for the duration of your radiotherapy treatment course.
How to find out more
Alexandra BOUCAUD
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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