Medical imaging progressed to a standard undreamt of not very many
years ago. The advances are due to continuous development of
radiological techniques and the introduction of magnetic resonance
imaging. With the improved and new methods three-dimensional target
volumes for radiation therapy can be defined with hitherto unknown
precision. This leads to an improvement in irradiation techniques
and, as a consequence, to a higher likelihood of tumor control and
a lower risk of normal tissue complications. Besides the
improvement in irradiation techniques the new imaging methods may
enable great strides in tumor response monitoring, not only in the
detection of morphological alterations but also by showing
physiological changes in the tumor during and after treatment by
means of MRI and PET. This not only leads to better prognostic
information but may also allow early evaluation of the response to
treatment. It may then be possible to individualize the radiation
dose but also the alternative-treatment for non-responders. This is
certainly a future direction for radiation oncology.
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