Download or read book Image Guided Radiation Therapy written by J. Daniel Bourland and published by Taylor & Francis. This book was released on 2012-02-22 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Image-Guided Radiation Therapy presents key image-guided radiation treatment (IGRT) technologies for external beam radiotherapy. The book explores the decades-long technological developments that have occurred in the realm of image-guided conformal, customized radiation treatment. Expert authors, all of whom have actively participated in the develo

Download or read book On Board Cone Beam CT for Treatment Planning in Image Guided Radiotherapy written by Fouad Abdulaziz Abolaban and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Movement of tumours between or during radiotherapy treatment fractions poses a risk to surrounding healthy tissues and potentially lowers the treatment dose to the intended area. To increase the efficacy of radiotherapy, radiation oncologists utilise image-guided radiotherapy (IGRT) to enhance the delivery of radiation to cancerous tumours. Concern about concomitant radiation doses and poor quality images have previously limited the use of such technology when developing treatment plans for adaptive radiotherapy. Recent improvements to the On-board Imager (OBI; Varian version 1.4) including expansion of the number of acquiring modes from four to six, have rejuvenated efforts to use Cone Beam Computed Tomography (CBCT) with OBI as a radiotherapy treatment planning tool. Aim: This research aimed to investigate the possibility of using the new version of the Varian On-Board CBCT imager Vl.4, for adaptive radiotherapy. This work has led to the development of a methodology on how to initiate and implement CBCT scans for - - - - - -- -. -- - -- .- -- the purpose of increasing the accuracy of radiotherapy treatments using adaptive radiotherapy. Methods: The adaptation of radiotherapy plans using CBCT scan images involved three stages. CBCT concommitant doses were determined in the first stage by measuring the dose received by three types of phantom; the RANDO anthropomorphic phantom, the computer-imaging reference system phantom (CIRS) and cylindrical water phantoms of varying diameter. Two- and three-dimensional simulations were also obtained for CBCT using EXCEL, and Monte Carlo codes (BEAMnrc and DOSXYZnrc). The manufacturer's schematic diagram of the head was used to simulate a detailed CBCT dose simulation with the effect of beam output and bow-tie filter included as dose-modifiers. Based on these dose measurements, relationships between CBCT concomitant dose and patient size were found. In addition, estimations of secondary induced cancer were modelled based on these doses. In the second stage, CBCT scan calibrations were conducted. The relationship IV Abstract between the Hounsfield Unit (HU) and electron density (ED) of CBCT scans were described mathematically for each CIRS-062A phantom configuration. Later, these CBCT HU-to-ED calibrations were benchmarked against the CT RU-to-ED relationship of GE lightspeed CT employed in treatment planning. Finally, in the third stage, the obtained HU-to-ED calibrations were applied to treatment plans calculated on CIRS and RANDO phantoms using single-beam and IMRT configurations. Dose calculations derived from the OBI CBCT were compared with those from the GE Lightspeed CT. Results:Using a female RANDO phantom, doses were lowered by factors of36, 8,22 and 16, at the eyes, oesophagus, thyroid and brain, respectively, when using the new version ofVarian CBCT vl.4. In both the standard dose head mode and pelvis mode, the concomitant dose at all positions decreases as the phantom size increases. The concomitant dose measured on the smallest cylindrical water phantoms (10cm in diameter) resulted in a theoretical risk of secondary skin cancer of 0.005% in the standard dose mode and 0.05% in the pelvis mode, assuming a 30-fraction course of -- -treatmentwith CBCT images acquired on a daily basis. Importantly, these-doses are - approximately 10 times greater than those measured for the largest phantom. The risk of secondary cancer for this phantom size at the oesophagus, thyroid, and brain sites are 0.0443, 0.0106 and 0.0439 % respectively for 30 daily images of head and neck treatment. Dose calculations on both the CIRS and RANDO phantoms showed that for the single beam treatment, only 1 % difference in the mean dose values are delivered to the majority of insertions when using the original CT or CBCT images and respective calibration curves. The only exception was for dense bone, which exhibited a 2% difference. For the IMRT treatment plan results showed that when the CT scan image is used the mean doses were less than 1.1 %. Conclusion: CBCT doses from the OBI version 1.4 are significantly lower than doses from version 1.3, making it possible to use CBCT to assist with adaptive radiotherapy on a daily basis, without a significantly increased secondary cancer risk. This technology is a useful tool to aid patient positioning for radiotherapy and to allow v Abstract VI daily adaptive IGRT. Radiation dose varies significantly with both patient size and tumour position in relation to scanning mode. It is therefore recommended that patient-specific imaging protocols be considered, especially with regard to paediatric patients who can be expected to receive a higher dose. The single beam and the WRT comparisons showed that the CBCT images and calibration curves can be used in treatment planning.

Download or read book Advanced Optimization in Image guided Radiation Therapy written by Ki Hwan Choi and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Radiotherapy is an image-guided intervention, and medical imaging is involved in every key step of the treatment process, ranging from patient staging, simulation, treatment planning, and radiation delivery, to patient follow-up. Image guided-radiation therapy (IGRT) is the most sophisticated method of radiation treatment to address the issue of tumor movement during treatment. IGRT uses advanced imaging technology such as cone-beam CT (CBCT) using on-board imager (OBI) to provide high-resolution, three-dimensional images to pinpoint tumor sites, adjust patient positioning when necessary, and complete a treatment within the standard treatment time slot. Combined with modern technologies in planning and delivering such as intensity-modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT), IGRT improves the accuracy of tumor localization while reducing the radiation exposure of healthy tissues. For radiotherapy, repeated CBCT scan of the patient is often required, but excessive radiation exposure is directly related to the risk of polymorphism of genes involved in DNA damage and repair. Hence, we first demonstrate algorithms CBCT for dose reduction. With a low-dose CBCT protocol, the radiation exposure can be mitigated while signal-to-noise ration (SNR) of the measurement is also lowered. It is shown that the high-quality medical image can be reconstructed from noisy CBCT projections by solving an large-scale optimization problem with reasonable preconditioning techniques. In the presence of patient's movement, CBCT projections are highly undersampled, and the precondition in the full-scan case is no longer available. Instead, a first-order method with linearization is adopted for the reconstruction. To further accelerate the convergence speed, we demonstrate a scaling technique in Fourier space. For inverse planning of IGRT, two issues are introduced: beam direction selection and beamlet based optimization. We present an iterative framework suited to modern IMRT/VMAT.

Download or read book Encyclopedia of Radiation Oncology written by Luther W. Brady and published by Springer. This book was released on 2012-09-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive encyclopedia, comprising a wide range of entries written by leading experts, provides detailed information on radiation oncology, including the most recent developments in the field. It will be of particular value for basic and clinical scientists in academia, practice, and industry and will also be of benefit to those in related fields, students, teachers, and interested laypersons.

Download or read book PET CT in Radiotherapy Treatment Planning E Book written by Arnold C. Paulino and published by Elsevier Health Sciences. This book was released on 2008-05-19 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is an exciting new guide to the use of PET-CT imaging in radiotherapy. You’ll get practical, useful information for utilizing this novel imaging technique—from different methods for contouring biological target volumes in various anatomic regions to how different experts use this imaging in targeted treatment. This thorough text helps you make concise, accurate treatment choices based on current evidence and expert authority. The result is an essential tool for everyone on the radiotherapy treatment team in the era of image-guided radiotherapy. Helps familiarize you with the basics of PET imaging in nuclear medicine. Covers the use of PET-CT with radiotherapy treatment planning, offering practical guidance in how different experts use this relatively new technology. Highlights contrast using full-color images, clearly indicating target volumes and different radiation dosages. Outlines the advantages and disadvantages of different techniques in contouring PET-CT target volumes for radiotherapy. Features case illustrations in using PET-CT in radiotherapy treatment planning for different tumor sites.

Download or read book Adaptive Radiation Therapy written by X. Allen Li and published by CRC Press. This book was released on 2011-01-27 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern medical imaging and radiation therapy technologies are so complex and computer driven that it is difficult for physicians and technologists to know exactly what is happening at the point-of-care. Medical physicists responsible for filling this gap in knowledge must stay abreast of the latest advances at the intersection of medical imaging an

Download or read book Introduction of Image Guided Radiotherapy Into Clinical Practice written by International Atomic Energy Agency and published by . This book was released on 2019-04-04 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication provides guidelines, and highlights the milestones to be achieved by radiotherapy departments in the safe and effective introduction of image guided radiotherapy. Recent advances in external beam radiotherapy include the technology to image the patient in the treatment position, in the treatment room at the time of treatment. Since this technology and associated image techniques, termed image guided radiotherapy, are perceived as the cutting-edge of development in the field of radiotherapy, this publication addresses the concerns of personnel in radiotherapy departments as to the preparatory conditions and resources involved in implementation. Information is also presented on the current status of the evidence supporting the use of image guided radiotherapy in terms of patient outcomes.

Download or read book Surface Guided Radiation Therapy written by Jeremy David Page Hoisak and published by CRC Press. This book was released on 2020-02-13 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surface Guided Radiation Therapy provides a comprehensive overview of optical surface image guidance systems for radiation therapy. It serves as an introductory teaching resource for students and trainees, and a valuable reference for medical physicists, physicians, radiation therapists, and administrators who wish to incorporate surface guided radiation therapy (SGRT) into their clinical practice. This is the first book dedicated to the principles and practice of SGRT, featuring: Chapters authored by an internationally represented list of physicists, radiation oncologists and therapists, edited by pioneers and experts in SGRT Covering the evolution of localization systems and their role in quality and safety, current SGRT systems, practical guides to commissioning and quality assurance, clinical applications by anatomic site, and emerging topics including skin mark-less setups. Several dedicated chapters on SGRT for intracranial radiosurgery and breast, covering technical aspects, risk assessment and outcomes. Jeremy Hoisak, PhD, DABR is an Assistant Professor in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Hoisak’s clinical expertise includes radiosurgery and respiratory motion management. Adam Paxton, PhD, DABR is an Assistant Professor in the Department of Radiation Oncology at the University of Utah. Dr. Paxton’s clinical expertise includes patient safety, motion management, radiosurgery, and proton therapy. Benjamin Waghorn, PhD, DABR is the Director of Clinical Physics at Vision RT. Dr. Waghorn’s research interests include intensity modulated radiation therapy, motion management, and surface image guidance systems. Todd Pawlicki, PhD, DABR, FAAPM, FASTRO, is Professor and Vice-Chair for Medical Physics in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Pawlicki has published extensively on quality and safety in radiation therapy. He has served on the Board of Directors for the American Society for Radiology Oncology (ASTRO) and the American Association of Physicists in Medicine (AAPM).

Download or read book Image Guided and Adaptive Radiation Therapy written by Robert D. Timmerman and published by Lippincott Williams & Wilkins. This book was released on 2012-10-09 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides detailed, state-of-the-art information and guidelines on the latest developments, innovations, and clinical procedures in image-guided and adaptive radiation therapy. The first section discusses key methodological and technological issues in image-guided and adaptive radiation therapy, including use of implanted fiducial markers, management of respiratory motion, image-guided stereotactic radiosurgery and stereotactic body radiation therapy, three-dimensional conformal brachytherapy, target definition and localization, and PET/CT and biologically conformal radiation therapy. The second section provides practical clinical information on image-guided adaptive radiation therapy for cancers at all common anatomic sites and for pediatric cancers. The third section offers practical guidelines for establishing an effective image-guided adaptive radiation therapy program.

Download or read book IMRT IGRT SBRT written by John Meyer and published by Karger Medical and Scientific Publishers. This book was released on 2011 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last 4 years, IMRT, IGRT, SBRT: Advances in the Treatment Planning and Delivery of Radiotherapy has become a standard reference in the field. During this time, however, significant progress in high-precision technologies for the planning and delivery of radiotherapy in cancer treatment has called for a second edition to include these new developments. Thoroughly updated and extended, this new edition offers a comprehensive guide and overview of these new technologies and the many clinical treatment programs that bring them into practical use. Advances in intensity-modulated radiotherapy (IMRT), and 4D and adaptive treatment planning are clearly presented. Target localization and image-guided radiotherapy (IGRT) systems are comprehensively reviewed as well. Clinical tutorials illustrate target definitions for the major cancer sites, and useful techniques for organ motion management are described and compared. There are also several chapters that explore the technical basis and latest clinical experience with stereotactic body radiotherapy (SBRT) and summarize practical treatment recommendations. Furthermore, the significant and increasing contributions of proton therapy to cancer care are also highlighted, alongside the practical allocation of all these new technologies from an economic perspective. As a highlight of this volume, a number of images can be viewed online in time-elapse videos for greater clarity and more dynamic visualizationWritten by leading authorities in the field, this comprehensive volume brings clinical and technical practitioners of radiotherapy fully up to date with the key developments in equipment, technologies and treatment guidelines.

Download or read book Nano Drug Delivery Strategies for the Treatment of Cancers written by Awesh K. Yadav and published by Academic Press. This book was released on 2020-09-03 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nano Drug Delivery Strategies for the Treatment of Cancers discusses several current and promising approaches for the diagnosis and treatment of cancer by using the most recent developments in nanomedical technologies. The book presents introductory information about the biology of different types of cancer in order to provide the reader with knowledge on their specificities. In addition, it discusses various novel drug delivery systems, detailing their functionalities, expected outcomes and future developments in the field, focusing on brain, mouth and throat, breast, lung, liver, pancreas, stomach, colon, bool, skin and prostate cancers. The book is a valuable source for cancer researchers, oncologists, pharmacologists and nanotechnologists who are interested in novel drug delivery systems and devices for treatment of various types of cancer that take advantage of recent advances in this exciting field. - Discusses a wide range of promising approaches for the diagnosis and treatment of cancer using the latest advancement in cutting-edge nanomedical technologies - Provides foundational information on different types of cancer and their biology to help the reader choose the best nano drug delivery system for patients - Presents novel drug delivery systems based on nanoparticles, microparticles, liposomes, self-assembling Micelles and block copolymer micelles

Download or read book Target Volume Delineation for Conformal and Intensity Modulated Radiation Therapy written by Nancy Y. Lee and published by Springer. This book was released on 2014-12-08 with total page 524 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Image guided Radiation Therapy written by Arno J. Mundt and published by PMPH-USA. This book was released on 2010-12-31 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Image Guided Radiation Therapy (IGRT) is a true revolution in the field of radiation oncology. IGRT provides the unprecedented means of conforming does to the shape of the target tissues in 3-dimensions reducing the risk of complications thereby improving the quality of life of irradiated patients. Moreover, IGRT provides the means to deliver higher than conventional doses thus improving the chance of cure in these patients. Despite its established benefits, several barriers exist to the widespread clinical implementation of IGRT. In the past, great concerns existed regarding the large capital outlay needed for both software and hardware. This barrier is less relevant today given the increased reimbursements possible with IGRT. Today, the most significant barrier is education. IGRT is a fundamentally new approach to both treatment planning and delivery. Adoption of the IGRT approach entails new ways of thinking in regard to patient selection, treatment planning and quality assurance measures. Unfortunately, apart from a few University-based short courses, limited resources are available for the physician and physicist interested in learning IGRT.

Download or read book Image Guided Cancer Therapy written by Damian E. Dupuy and published by Springer. This book was released on 2013-08-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Image-Guided Cancer Therapy: A Multidisciplinary Approach provides clinicians with in-depth coverage of the growing, dynamic field of interventional oncology. Combining the knowledge of expert editors and authors into one powerhouse reference, this book looks at tumor ablation, HIFU, embolic therapies, emerging technologies, and radiation therapy throughout the body (liver, bone, breast, gynecologic and prostate cancers, to name just a few) , and includes discussion of different imaging modalities. In the words of Peter Mueller, MD, author of the book’s Foreword: “... The senior authors are all world renowned experts in interventional oncology, which is another example of the high quality authorship and experience that is brought to this book. The later chapters discuss therapies that are simply not covered in any other source. Everyone who is doing or wants to do ablation therapies and interventional oncology will face a time when they will be asked to use their expertise in less used and less investigated areas. There is nowhere else where the reader can get information on the prostate, breast, and gynecologic areas, and especially pediatrics....This book is an outstanding contribution to the literature and will become a ‘must read’ for all physicians who are interested in Interventional Oncology.”

Download or read book Optimizing Cone Beam Computed Tomography CBCT System for Image Guided Radiation Therapy written by Chun Joo Park and published by . This book was released on 2013 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cone Beam Computed Tomography (CBCT) system is the most widely used imaging device in image guided radiation therapy (IGRT), where set of 3D volumetric image of patient can be reconstructed to identify and correct position setup errors prior to the radiation treatment. This CBCT system can significantly improve precision of on-line setup errors of patient position and tumor target localization prior to the treatment. However, there are still a number of issues that needs to be investigated with CBCT system such as 1) progressively increasing defective pixels in imaging detectors by its frequent usage, 2) hazardous radiation exposure to patients during the CBCT imaging, 3) degradation of image quality due to patients' respiratory motion when CBCT is acquired and 4) unknown knowledge of certain anatomical features such as liver, due to lack of soft-tissue contrast which makes tumor motion verification challenging. In this dissertation, we explore on optimizing the use of cone beam computed tomography (CBCT) system under such circumstances. We begin by introducing general concept of IGRT. We then present the development of automated defective pixel detection algorithm for X-ray imagers that is used for CBCT imaging using wavelet analysis. We next investigate on developing fast and efficient low-dose volumetric reconstruction techniques which includes 1) fast digital tomosynthesis reconstruction using general-purpose graphics processing unit (GPGPU) programming and 2) fast low-dose CBCT image reconstruction based on the Gradient-Projection-Barzilai-Borwein formulation (GP-BB). We further developed two efficient approaches that could reduce the degradation of CBCT images from respiratory motion. First, we propose reconstructing four dimensional (4D) CBCT and DTS using respiratory signal extracted from fiducial markers implanted in liver. Second, novel motion-map constrained image reconstruction (MCIR) is proposed that allows reconstruction of high quality and high phase resolution 4DCBCT images with no more than the imaging dose used in a standard Free Breathing 3DCBCT (FB-3DCBCT) scan. Finally, we demonstrate a method to analyze motion characteristics of liver that are particularly important for image guided stereotactic body radiation therapy (IG-SBRT). It is anticipated that all the approaches proposed in this study, which are both technically and clinically feasible, will allow much improvement in IGRT process.

Download or read book Radiation Oncology written by Jiade J. Lu and published by Springer Science & Business Media. This book was released on 2008-11-23 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: Radiation Oncology: An Evidence-Based Approach (ROEBA) is a reference book designed to enable radiation oncologists, including those in training, to make diagnostic and treatment decisions on the basis of the best available scientific evidence. Ease of use is ensured by a structured, reader-friendly format that offers rapid access to evidence-based recommendations. ROEBA’s orientation is entirely practical, in that the focus is solely on diagnostic/staging and treatment issues. Detailed diagnostic and therapeutic guidelines are provided for multidisciplinary cancer management as well as radiation therapy techniques. The evidence underlying each recommendation is clearly and concisely explained, and the strength of the recommendations and evidence is systemically graded. Furthermore, diagnostic and treatment algorithms are provided for the commonly diagnosed cancers. This ground-breaking text on radiation oncology is an essential tool for physicians in their daily clinical practice.

Download or read book Image Guided Radiation Therapy written by J. Daniel Bourland and published by CRC Press. This book was released on 2012-02-22 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Image-Guided Radiation Therapy presents key image-guided radiation treatment (IGRT) technologies for external beam radiotherapy. The book explores the decades-long technological developments that have occurred in the realm of image-guided conformal, customized radiation treatment. Expert authors, all of whom have actively participated in the development or implementation of IGRT, imaging, and enabling technologies, share their first-hand experiences on the science, clinical uses, and impact of these technologies. They describe kilovoltage and megavoltage imaging as well as radiological, ultrasound, and optical technologies for determining and validating target and patient positioning. The book examines how anatomical and biological imaging using CT and PET has contributed to the understanding of target volume boundaries and biological behavior. It also explores such innovations as 4D PET/CT and digital tomosynthesis. Advancing patient care, this book focuses on a wealth of hybrid IGRT technologies and devices for coupled imaging and treatment inside the radiation treatment room. It thoroughly covers the modalities, software tools, and imaging treatment geometries that constitute IGRT.