External-beam radiotherapy has long been challenged by the
simple fact that patients can (and do) move during the delivery of
radiation. Recent advances in imaging and beam delivery
technologies have made the solution adapting delivery to natural
movement a practical reality. Adaptive Motion Compensation in
Radiotherapy provides the first detailed treatment of online
interventional techniques for motion compensation radiotherapy.
This authoritative book discusses:
- Each of the contributing elements of a motion-adaptive system,
including target detection and tracking, beam adaptation, and
patient realignment
- Treatment planning issues that arise when the patient and
internal target are mobile
- Integrated motion-adaptive systems in clinical use or at
advanced stages of development
- System control functions essential to any therapy device
operating in a near-autonomous manner with limited human
interaction
- Necessary motion-detection methodology, repositioning
techniques, and approaches to interpreting and responding to target
movement data in real time
Medical therapy with external beams of radiation began as a
two-dimensional technology in a three-dimensional world. However,
in all but a limited number of scenarios, movement introduces the
fourth dimension of time to the treatment problem. Motion-adaptive
radiation therapy represents a truly four-dimensional solution to
an inherently four-dimensional problem. From these chapters,
readers will gain not only an understanding of the technical
aspects and capabilities of motion adaptation but also practical
clinical insights into planning and carrying out various types of
motion-adaptive radiotherapy treatment.
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