Intensity-Modulated Radiation Therapy: The State of the Art

Intensity-Modulated Radiation Therapy: The State of the Art



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Intensity-Modulated Radiation Therapy: The State of the Art by Jatinder Palta

IMRT represents a new paradigm in the radiation therapy process that requires knowledge of multimodality imaging, setup uncertainties and internal organ motion, tumor control probabilities, normal tissue complication probabilities, three-dimensional dose calculation and optimization and dynamic beam delivery of non-uniform beam intensities. Written by contributors who are among the foremost in the field, this book presents a snapshot of the current IMRT planning and delivery technology. It discusses issues that confront safe implementation of IMRT and encourages reflection on its future. The result is a "handbook" that will aid both experienced radiation oncology physicists and newcomers to the field in understanding the nuances of IMRT and its safe implementation in the clinics. The level of presentation is designed for practicing medical physicists who are not specialists in IMRT. Some issues such as imaging and target delineation, quality assurance and its frequency, and achievable accuracy are discussed in multiple chapters and from differing points of view, reflecting the diversity of opinions in this rapidly evolving field.

Product Details

ISBN-13: 9781930524163
Publisher: Medical Physics Publishing
Publication date: 01/28/2003
Series: Medical Physics Monograph Ser.
Pages: 904

Table of Contents

List of Contributorsxi
Historical Perspective On IMRT1
Mathematical Optimization For The Inverse Problem Of Intensity-Modulated Radiation Therapy25
Physical Optimization51
Biological Indices For Evaluation And Optimization Of IMRT77
Aperture-Based Inverse Planning115
Medical Imaging In IMRT Planning139
Target And Critical Structure Definitions, Dose Prescription And Reporting For IMRT183
What Is Different About IMRT?199
IMRT Delivery Using Serial Tomotherapy221
Helical Tomotherapy247
Static MLC IMRT (Step And Shoot)285
Dynamic MLC IMRT319
Functional Requirements For IMRT373
Radiation Shielding For IMRT401
Dosimetry Metrology For IMRT415
Intensity-Modulated Radiation Therapy: The Good, The Bad, And The Misconceptions439
Commissioning And Quality Assurance For IMRT Treatment Planning449
Clinical Implementation Of IMRT Treatment Planning475
Patient-Specific Quality Assurance In IMRT495
Monitor Unit Calculation And Plan Validation For Intensity-Modulated Radiation Therapy515
Monte Carlo And IMRT531
IMRT Delivery System QA561
Tolerance Limits And Action Levels For Planning And Delivery Of IMRT593
Quality Assurance: When And What Is Enough For IMRT?613
IMRT For Prostate Cancer617
Intensity-Modulated Radiation Therapy For Head And Neck Cancer631
Lung Cancer Radiotherapy645
Methods To Manage Respiratory Motion In Radiation Treatment663
X-Ray--Guided IMRT703
Patient Positioning Using Optical And Ultrasound Techniques727
Modulated Electron Therapy749
Compensated And Intensity-Modulated Proton Therapy787
Socio-Economic Issues Of Intensity-Modulated Radiation Therapy829
The Future Of IMRT843
Novel Uses And Applications of IMRT875
List Of Acronyms883

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