The Clinical Application of IMRT

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Comparison of dose distribution for 3D-CRT (left) and IMRT (right) treatment plan.

 

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Comparison of 3D-CRT (dashed line) and IMRT (continual line) treatment plan on the base of dose-volume-histogram for head and neck tumour.

 

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Seven uniformly arranged fields for head and neck IMRT.

 

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DRR of field segments use for head and neck IMRT..

 

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Treatment plan is made for re-irradiation of head and neck cancer in a 4 different transversal CT image. Red is a new PTV and dark green is an old PTV. The 95% of isodose curve is represented by the green line.

 

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Treatment plan for prostate cancer: 3D-CRT (left side) and IMRT (right side).

 

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ART IMRT: conformal dose distribution for head and neck tumour..

 

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Irradiation with Cyberknife.

 

Literature

 
1. Intensity Modulated Radiation Therapy Collaborative Working Group: Intensity-modulated radiotherapy: current status and issues of interest. Int. J. Radiation Oncology Biol. Phys., Vol. 51, No. 4, pp. 880–914, 2001
2. Ezzel GA, Galvin JM, Low D et al.: Guidance document on delivery, treatment planning, and clinical implementation of IMRT: Report of the IMRT subcommittee of the AAPM radiation therapy committee. Med. Phys. 30:2089-2115. 2003.
3. Bortfeld T. IMRT: a review and preview. Phys. Med. Biol. 51:R363-R379. 2006
4. ICRU. Prescribing, Recording, and Reporting Photon-Beam Intensity-Modulated Radiation Therapy (IMRT). ICRU REPORT 83, Journal of the ICRU Vol 10 No 1, 2010, Oxford University Press, doi:10.1093/jicru/ndq002


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