open access
Dynamic-arc respiratory-gated stereotactic radiotherapy — technique presentation
open access
Abstract
Main advancements in radiation treatment in recent years have included the introduction of dynamic techniques and 4D radiotherapy. The treatment of movable tumors relies on two important techniques: gating and tracking. The limitation of the former is the relatively short duration of the respiratory phase during which the radiation can be delivered and the need to teach the patient to breathe in accordance with the correct pattern. At the same time, certain clinical situations require the use of dynamic techniques. Intensity modulated radiotherapy (IMRT), combined with gantry rotation, forms the basis for the VMAT technique. The procedure usually takes a shorter time to complete than other dynamic techniques, which considerably improves patient comfort. The recently introduced True BeamTM accelerator employs all the latest innovations in terms of dose-rate modeling and respiratory gating.
Abstract
Main advancements in radiation treatment in recent years have included the introduction of dynamic techniques and 4D radiotherapy. The treatment of movable tumors relies on two important techniques: gating and tracking. The limitation of the former is the relatively short duration of the respiratory phase during which the radiation can be delivered and the need to teach the patient to breathe in accordance with the correct pattern. At the same time, certain clinical situations require the use of dynamic techniques. Intensity modulated radiotherapy (IMRT), combined with gantry rotation, forms the basis for the VMAT technique. The procedure usually takes a shorter time to complete than other dynamic techniques, which considerably improves patient comfort. The recently introduced True BeamTM accelerator employs all the latest innovations in terms of dose-rate modeling and respiratory gating.
Keywords
respiratory gating, stereotactic radiotherapy, dynamic arc, VMAT
Title
Dynamic-arc respiratory-gated stereotactic radiotherapy — technique presentation
Journal
Nowotwory. Journal of Oncology
Issue
Pages
297-300
Published online
2018-02-22
Page views
888
Article views/downloads
823
DOI
Bibliographic record
Nowotwory. Journal of Oncology 2017;67(5):297-300.
Keywords
respiratory gating
stereotactic radiotherapy
dynamic arc
VMAT
Authors
Grzegorz Woźniak
Łukasz Dolla
Krzysztof Ślosarek
Barbara Bekman
Tomasz Latusek
Grzegorz Głowacki