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Technical Developments and Practice of Igrt Image Guided Radiotherapy

Year 2010, Issue: 2, 57 - 61, 01.06.2010

Abstract

In the last few years improvements in radiotherapy go in parallel with technological developments which directly affect the treatment and planning techniques. Consequently, basic principles of radiotherapy, to protect normal tissue while increasing the tumor dose, may be more accurately and precisely checked. With the use of complicated treatment plans as IMRT, IGRT method has been developed in order to increase the quality and precision of the therapy. This method is used to check treatment fields with the guidance of 2 dimensional and 3 dimensional anatomical imaging, which can be done with only high technology machines. In this review, we would like to contribute to the major technological developments in the radiotherapy area and our experience with IGRT for the last year

References

  • Meyer JL, Verhey L, Pia L. New Technologies in the Radiotherapy Clinic in Meyer JL ed IMRT, IGRT, SBRT Advances in the Treatment Planning and Delivery of Radiotherapy, 2007, Karger, Basel-Switzerland. P 1-17.
  • Hurkmans CW, Remeijer P, Lebesque JV, Mijnheer BJ. Set-up verification using portal imaging; review of current clinical practice Radiother Oncol. Feb;58(2):105-20) Yan D, Lockman D, Martinez A, et al. Computed tomography guided management of interfractional patient variation. Semin Radiat Oncol ;15:168–79. Online-offline Guckenberger M, Meyer J, Wilbert J, et al. Intra-fractional uncertainties in cone-beam CT based image-guided radiotherapy (IGRT) of pulmonary tumors. Radiother Oncol 2007;83:57–64.
  • Antonuk LE: Electronic portal imaging devices: a review and historical perspective of contemporary technologies and research. Phys Med Biol ; 47:R31–R65. Herman MG, Balter JM, Jaffray DA, McGee KP, Munro P, Shalev S, et al: Clinical use of electronic portal imaging: report of AAPM Radiation Therapy Committee Task Group 58. Med Phys 2001; 28: 712–737.
  • Purdy JA. From New Frontiers to New Standards of Practice: Advances in Radiotherapy Planning and Delivery in Meyer JL ed IMRT, IGRT, SBRT Advances in the Treatment Planning and Delivery of Radiotherapy, 2007, Karger, Basel-Switzerland. P 18-39. kV-kV (mGy) (mGy) AP akciğer 01 75 Mamografi 12 Abdominal BT 19 Baryumlu grafi 13

Radyoterapide Teknik Gelişmeler ve IGRT Görüntü Kılavuzluğunda Radyoterapi

Year 2010, Issue: 2, 57 - 61, 01.06.2010

Abstract

Radyoterapi alanında son yıllarda gözlenen hızlı gelişmeler teknolojideki gelişmelere paralel olarak gitmektedir. Kullanılan cihazların gelişmesi tedavi tekniklerine ve planlama sistemlerine doğrudan yansımıştır. Bu sayede radyoterapinin temel prensibi olan normal dokuların etkilendiği ışın dozunu azaltıp, tümör dozunu artırmak artık daha kesin ve doğruluk oranı yüksek olarak yapılmaktadır. IMRT gibi komplike tedavi planlamalarının uygulanmaya başlaması ile beraber tedavi kalitesini ve doğruluğunu artırmak amacıyla IGRT metodu da geliştirilmiştir. Bu yöntem; tedavi odasında uygulanan iki ve üç boyutlu anatomik görüntüleme ve tedavi alanlarının kontrol işlemidir ve ancak yüksek teknolojik özelliklere sahip cihazlar ile yapılabilmektedir. Bu derlemede son yıllarda radyoterapi alanında meydana gelen bu büyük teknolojik gelişmeleri ve son 1 yıldır kullanma şansını bulduğumuz IGRT deneyimimizi paylaşmak istiyoruz

References

  • Meyer JL, Verhey L, Pia L. New Technologies in the Radiotherapy Clinic in Meyer JL ed IMRT, IGRT, SBRT Advances in the Treatment Planning and Delivery of Radiotherapy, 2007, Karger, Basel-Switzerland. P 1-17.
  • Hurkmans CW, Remeijer P, Lebesque JV, Mijnheer BJ. Set-up verification using portal imaging; review of current clinical practice Radiother Oncol. Feb;58(2):105-20) Yan D, Lockman D, Martinez A, et al. Computed tomography guided management of interfractional patient variation. Semin Radiat Oncol ;15:168–79. Online-offline Guckenberger M, Meyer J, Wilbert J, et al. Intra-fractional uncertainties in cone-beam CT based image-guided radiotherapy (IGRT) of pulmonary tumors. Radiother Oncol 2007;83:57–64.
  • Antonuk LE: Electronic portal imaging devices: a review and historical perspective of contemporary technologies and research. Phys Med Biol ; 47:R31–R65. Herman MG, Balter JM, Jaffray DA, McGee KP, Munro P, Shalev S, et al: Clinical use of electronic portal imaging: report of AAPM Radiation Therapy Committee Task Group 58. Med Phys 2001; 28: 712–737.
  • Purdy JA. From New Frontiers to New Standards of Practice: Advances in Radiotherapy Planning and Delivery in Meyer JL ed IMRT, IGRT, SBRT Advances in the Treatment Planning and Delivery of Radiotherapy, 2007, Karger, Basel-Switzerland. P 18-39. kV-kV (mGy) (mGy) AP akciğer 01 75 Mamografi 12 Abdominal BT 19 Baryumlu grafi 13
There are 4 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Banu Atalar

Enis Özyar

Publication Date June 1, 2010
Published in Issue Year 2010Issue: 2

Cite

EndNote Atalar B, Özyar E (June 1, 2010) Radyoterapide Teknik Gelişmeler ve IGRT Görüntü Kılavuzluğunda Radyoterapi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 57–61.