Locating and targeting moving tumors with radiation beams

Medical Physics - Tập 35 Số 12 - Trang 5684-5694 - 2008
Sonja Dieterich1, Kevin Cleary2, W DˈSouza3, Martin J. Murphy4, Kenneth H. Wong2, Paul Keall5
1Radiation Oncology, Stanford University, Stanford, California 94305 and Radiation Oncology, Georgetown UniversityHospital, Washington, DC 20007
2Imaging Science and Information Systems, Georgetown UniversityHospital, Washington, DC 20007
3Radiation Oncology, University of Maryland, College Park, Maryland 20742
4Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia 23284
5Radiation Oncology, Stanford University, Stanford, California 94305

Tóm tắt

The current climate of rapid technological evolution is reflected in newer and better methods to modulate and direct radiation beams for cancer therapy. This Vision paper focuses on part of this evolution, locating and targeting moving tumors. The two processes are somewhat independent and in principle different implementations of the locating and targeting processes can be interchanged. Advanced localization and targeting methods have an impact on treatment planning and also present new challenges for quality assurance (QA), that of verifying real‐time delivery. Some methods to locate and target moving tumors with radiation beams are currently FDA approved for clinical use—and this availability and implementation will increase with time. Extensions of current capabilities will be the integration of higher order dimensionality, such as rotation and deformation in addition to translation, into the estimate of the patient pose and real‐time reoptimization and adaption of delivery to the dynamically changing anatomy of cancer patients.

Từ khóa


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