A Practical Guide to Intensity-modulated Radiation Therapy


Book Description

Provides an account of the perspective, methodology, and experience in the physical and medical aspects of IMRT at Memorial Sloan-Kettering Cancer Center (MSKCC).




Target Volume Delineation and Field Setup


Book Description

This practical guide, now in a revised and updated second edition with more clinical cases for different stages, is designed as a concise reference on the delineation of target volumes in radiation oncology. Clear guidance is provided on simulation, setup, and field design for all of the malignancies commonly encountered by practicing radiation oncologists, and slice-by-slice examples are provided for different clinical stages and scenarios. The new edition of this book fully covers modern radiotherapy field design, with inclusion of guidelines on immobilization and simulation for 3D-conformal radiotherapy, intensity-modulated radiation therapy, and stereotactic body radiation therapy. Target Volume Delineation and Field Setup: A Practical Guide for Conformal and Intensity-Modulated Radiation Therapy is written by leading radiation oncologists who provide their expert opinions on all relevant aspects.




Intensity Modulated Radiation Therapy


Book Description

Presents the technical aspects of IMRT, and the clinical aspects of planning and delivery. The volulme explores a practical approach for radiation oncologists and medical physicists initiating or expanding and IMRT program, the fundamental biology and physics of IMRT, a site-by-site review of IMRT techniques with clinical examples, and reviews of published outcome studies.




Target Volume Delineation and Field Setup


Book Description

This handbook will enable radiation oncologists to appropriately and confidently select and delineate tumor volumes/fields for conformal radiation therapy, including intensity-modulated radiation therapy (IMRT), in patients with commonly encountered cancers. The orientation of this handbook is entirely practical, in that the focus is on the illustration of clinical target volume (CTV) delineation for each major malignancy. Each chapter provides guidelines and concise knowledge on treatment planning and CTV selection, explains how the anatomy of lymphatic drainage shapes target volume selection, and presents detailed illustrations of delineations, slice by slice, on planning CT images. While the emphasis is on target volume delineation for three-dimensional conformal therapy and IMRT, information is also provided on conventional radiation therapy field setup and planning for certain malignancies for which IMRT is not currently suitable.




Practical Essentials of Intensity Modulated Radiation Therapy


Book Description

The third edition of Intensity Modulated Radiation Therapy was written to enhance the reader’s understanding of the cutting-edge technology of Intensity Modulated Radiation Therapy. It is designed to both update old readers and inform new readers about the complexities and details of clinical management. This completely updated edition provides a step-by-step, practical approach to the use of IMRT in the evaluation and treatment of cancer patients. Because of IMRT’s ability to employ individually controlled beamlets, it is an extremely promising technique, especially when paired with CT, PET, and/or MRI. With these improved procedures, doctors and clinicians will be able to take high resolution images of tumors while minimizing dosages to surrounding tissue. In order to focus on the most up to date IMRT techniques, the introductory chapters have been condensed to provide a brief overview of IMRT physics, mechanics and quality assurance, and also CT and MR imaging. To help assist in clinical decision-making it provides the reader with more than 700 full-color illustrations, IMRT tables and clear, straightforward descriptions that address a range of tumor types and sites including head and neck, urinary, and gynecologic cancers.




Practical Essentials of Intensity Modulated Radiation Therapy


Book Description

The primary objective of this book is to teach residents, fellows, and clinicians in radiation oncology how to incorporate intensity modulated radiation therapy (IMRT) into their practice. IMRT has proven to be an extremely effective treatment modality for head and neck cancers. It is now being used effectively in other sites, including, prostate, breast, lung, gynecological, the cervix, the central nervous system, and lymph nodes. The book will provide in a consistent format an overview of the natural course, lymph node spread, diagnostic criteria, and therapeutic options for each cancer subsite.




Target Volume Delineation for Conformal and Intensity-Modulated Radiation Therapy


Book Description

This textbook is designed to help the busy radiation oncologist to accurately and confidently delineate tumor volumes for conformal radiation therapy (including IMRT). The book provides an atlas of clinical target volumes (CTVs) for commonly encountered cancers, with each chapter illustrating CTV delineation on a slice-by-slice basis, on planning CT images. Common anatomic variants for each tumor are represented in individual illustrations, with annotations highlighting differences in coverage. The anatomy of each site and patterns of lymphatic drainage are discussed, and their influence on the design of CTVs is explained in detail. Utilization of other imaging modalities, including MRI, to delineate volumes is highlighted. Key details of simulation and planning are briefly reviewed. Although the emphasis is on target volume delineation for conformal techniques, information is also provided on conventional radiation field setup and design when IMRT is not suitable.




Three-dimensional Planning and Conformal Radiation Therapy


Book Description

This text covers the information you need to implement 3-D treatment planning and conformal radiation therapy techniques in your radation oncology center. It includes step-by-step descripations of methods necessary for implementing full 3-D for precise tumor localization targeting, and treament planning. It describes both the technical implementation and the clinical treatment aspects of 3-D planning. It consists of topics covering: 3-D treatment planning Volume and dose specifications for 3-D conformal therapy Practical CT-Simulation and 3-D planning process 3-D radiation therapy plan evaluation 3-D dose-calculation algorithms Quality assurance procedures and performance testing for CT-Simulators Acceptance testing & commissioning Patient immobilization and virtual simulation Implementation and clinical use of MLC and dynamic wedge Commissioning and periodic QA of the Peacock system Intensity modulated radiation therapy with Peacock system Planning and delivery of intensity modulated treatment with MLC Connectivity and commissioning issues in 3-D planning Clinical implementation of electronic portal imaging. Methodology for evaluating 3-D treatment planning systems components of a 3-D conformal QA program. Technical requirements for participating in 3-D CRT multi-instituational clincal trials. Necessary resources to support 3-D radiation therapy planning future direction in 3-D treatment planning and delivery.







Khan's The Physics of Radiation Therapy


Book Description

Expand your understanding of the physics and practical clinical applications of advanced radiation therapy technologies with Khan's The Physics of Radiation Therapy, 5th edition, the book that set the standard in the field. This classic full-color text helps the entire radiation therapy team—radiation oncologists, medical physicists, dosimetrists, and radiation therapists—develop a thorough understanding of 3D conformal radiotherapy (3D-CRT), stereotactic radiosurgery (SRS), high dose-rate remote afterloaders (HDR), intensity modulated radiation therapy (IMRT), image-guided radiation therapy (IGRT), Volumetric Modulated Arc Therapy (VMAT), and proton beam therapy, as well as the physical concepts underlying treatment planning, treatment delivery, and dosimetry. In preparing this new Fifth Edition, Dr. Kahn and new co-author Dr. John Gibbons made chapter-by-chapter revisions in the light of the latest developments in the field, adding new discussions, a new chapter, and new color illustrations throughout. Now even more precise and relevant, this edition is ideal as a reference book for practitioners, a textbook for students, and a constant companion for those preparing for their board exams. Features Stay on top of the latest advances in the field with new sections and/or discussions of Image Guided Radiation Therapy (IGRT), Volumetric Modulated Arc Therapy (VMAT), and the Failure Mode Event Analysis (FMEA) approach to quality assurance. Deepen your knowledge of Stereotactic Body Radiotherapy (SBRT) through a completely new chapter that covers SBRT in greater detail. Expand your visual understanding with new full color illustrations that reflect current practice and depict new procedures. Access the authoritative information you need fast through the new companion website which features fully searchable text and an image bank for greater convenience in studying and teaching. This is the tablet version which does not include access to the supplemental content mentioned in the text.