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</div> <article class="content-view-full full-
article"><h1><span class="ezstring-field">Radiation Therapy Immobilization
Devices</span></h1><div class="articledesc"><div class="attribute-author"><span
class="label-author">Author:</span> Courtney Misher, MPH, BS R.T.(T)</div><div
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about our content writing process</a></div><div class="modified"><span
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March 15, 2022
</div></div><div class="attribute-body ezoe"><div class="ezrichtext-
field"><p>Immobilization devices are tools used to help you stay in the same
position for all your radiation treatments. Some are made just for you (custom
immobilization devices) and some have settings that can be changed and used for any
patient (universal devices).</p><p>Most patients will need to use at least one
immobilization device for your treatment. You may use one or both types and this
depends on your treatment plan and the part of your body being
treated.</p><h3>Custom Immobilization Devices</h3><h4>Masks and Headrests</h4><div
class="align-right ibexa-embed-type-image"><div class="content-view-embed class-
image embed-image"><div class="attribute-image full-head"><a href="/cancer-
treatment/radiation/support/radiation-therapy-thermoplastic-mask"
target="_blank"><img
src="https://www.oncolink.org/var/site/storage/images/_aliases/medium/media/
images/5ptmask/420007-1-eng-US/5ptmask.jpg" alt=""
/></a><div class="attribute-caption"><div class="ezrichtext-
field"><p>Custom mask and headrest used for treatment of neck or upper
chest.</p></div></div></div></div></div><div class="align-right ibexa-embed-type-
image"><div class="content-view-embed class-image embed-image"><div
class="attribute-image full-head"><a
href="/cancer-treatment/radiation/support/radiation-therapy-thermoplastic-mask"
target="_blank"><img
images/3ptmask/420002-1-eng-US/3ptmask.jpg" alt=""
/></a><div class="attribute-caption"><div class="ezrichtext-
field"><p>Custom masks used for immobilization of the
head.</p></div></div></div></div></div><p><a
href="/cancer-treatment/radiation/support/radiation-therapy-thermoplastic-mask"
target="_blank">Masks</a> and headrests can be used together or on their own. They
are used for treatment to the brain, head & neck, and upper spine areas. Masks
can come in many shapes and sizes, but all have the same use. They are meant to
keep your head in the same place during treatment. </p><h4>Molds, Vac-Lok Bags, and
Casts</h4><p>The most common types of molds or casts are called alpha cradles or
vac-lok bags. Alpha cradles are made by pouring a foam material inside a sealed
plastic bag. Once the foam is in the bag you will lie on top of the bag and allow
the foam to form around your body for about 15 minutes. Alpha cradles are made for
you and are used for the entire treatment course and then thrown away.</p><div
image embed-image"><div class="attribute-image full-head"><img
images/vaclok/420012-1-eng-US/vaclok.jpg" alt=""
/><div class="attribute-caption"><div class="ezrichtext-field"><p>Reusable
vac-lok bag.</p></div></div></div></div></div><p>Vac-lok bags are custom devices
that can be reused. Instead of foam, the sealed bags are filled with small
Styrofoam balls. You are placed on top of the bag and the bag is molded around the
area of your body that will be treated. A vacuum pump is used to suck the air from
the bag. The bag will become hard and hold the shape of your body. This is a custom
device, but air can be put back into the bag and the bag can be reused.</p><p>Both
types of molds are meant to keep you in the same position every day for treatment.
They can be used to immobilize your arms, legs, and chest.</p><h3>Universal
Immobilization Devices</h3><h4>Breast Boards</h4><div class="align-right ibexa-
embed-type-image"><div class="content-view-embed class-image embed-image"><div
class="attribute-image full-head"><img
images/breast-board-prone/373260-3-eng-US/breast-board-prone.jpg" alt=""
/><div class="attribute-caption"><div class="ezrichtext-field"><p>Patient
in "prone" position for breast radiation using a breast board and arm
immobilizer.</p></div></div></div></div></div><div class="align-right ibexa-embed-
type-image"><div class="content-view-embed class-image embed-image"><div
images/supine_breastboard/420022-1-eng-US/supine_breastboard.jpg" alt=""
/><div class="attribute-caption"><div class="ezrichtext-field"><p>Patient
lying supine on breast board with incline for breast
radiation.</p></div></div></div></div></div><p>There are two types of breast
boards, one where you lie on your back (supine breast board) and one where you lie
on your stomach (prone breast board). Breast boards are made of many pieces that
can be moved to adjust to fit your arms, wrist, head, and shoulders. The breast
boards are designed to use gravity to pull your breast down into an ideal treatment
position. Your provider will let you know which breast board will work best for
your treatment.</p><h4>Knee and Foot Locks</h4><p>Knee and foot locks are used to
keep you still if you are getting radiation to the pelvic area. The knee and foot
locks can be adjusted to make sure you are comfortable and in a good position for
treatment. They also help keep you in a position that can be done every
day.</p><h4>Belly Board</h4><p>Belly boards are often used if the pelvic area is
being treated and your small bowel is too close to the treatment area. You will be
lying on your stomach (prone position) on the belly board. The belly board has a
large hole in the middle of the board that allows the small bowel to be pulled down
and out of the way of the radiation. This helps lessen side effects. There is a
ruler on the side of the belly board that will help position you on the board in
the same place every day.</p><h4>Wing Board</h4><div class="align-right ibexa-
embed-type-image"><div class="content-view-embed class-image embed-image"><div
images/wingboard/420027-1-eng-US/wingboard.png" alt=""
/><div class="attribute-caption"><div class="ezrichtext-field"><p>Wing
board with vac-lok. </p></div></div></div></div></div><p>Wing boards are often used
if you are getting radiation to the chest area. You lie flat on your back with one
or both arms raised over your head holding onto poles. Your head will be resting on
a headrest. This headrest may be a universal device, a custom device, or a
combination. The poles and the headrest positions can both be changed. Wing boards
may be used with or without a vac-lok.</p><h4>Shoulder Retractor</h4><div
image embed-image"><div class="attribute-image full-head"><img
images/shoulder_retractor/420032-1-eng-US/shoulder_retractor.jpg" alt=""
/><div class="attribute-caption"><div class="ezrichtext-field"><p>Shoulder
retractor with adjustable ropes.</p></div></div></div></div></div><p>Shoulder
retractors are used if you are receiving radiation to the head and neck. They are
used along with the mask but are used to keep your shoulders and clavicles in the
same position. The ropes can be adjusted and will be fit so they are comfortable
for you.</p><p>Positioning is very important in radiation therapy, and you may need
to use immobilization devices. If you have any questions or are not comfortable
during treatment, let your provider know. They can answer your questions and make
sure you are comfortable.</p></div></div></article> </div>
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