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Breakthrough in radiotherapy promises targeted cancer treatment
May 20, 2009
Current radiation therapy treatment damages a patient's healthy tissue as well as eradicating the tumour it is intended to destroy, making the treatment especially invasive and often causing nasty side effects. A new development in radiotherapy will enable a far more precise and accurate treatment for cancerous tumours by using real-time images to guide the radiation beam.
Real-time image-guided radiotherapy, combining radiation treatment with non-invasive MR imaging, would be far less harmful for patients as it would leave less healthy tissue damaged and give radiation oncologists the possibility of instantly modifying the treatment dose as tumours change in size and shift.
Published in issue 12 of IOP Publishing's Physics in Medicine & Biology the findings of a research group from the University Medical Centre Utrecht in the Netherlands are set to "open the door to start testing MRI-guided radiation therapy in the clinic".
The team of researchers has successfully proven that simultaneous radiation treatment and diagnostic-quality MRI is feasible. By actively shielding the radiation beam from the MRI scanner's magnet and redesigning the treatment room set-up, which has until now been difficult to put into practice, the researchers have managed to produce high-quality, real-time MRI images, which could enable oncologists to target radiation far more accurately while it is being applied.
Working towards a clinical prototype, the research team is hoping to start the first clinical tests in a year's time.
Institute of Physics
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Practical Radiotherapy Planning
by Ann, M.D. Barrette (Author), Jane Dobbs (Author), Stephen Morris (Author), Tom Roques (Author)
Planning is a critical stage of radiotherapy. Careful consideration of the complex variables involved and critical assessment of the techniques available are fundamental to good and effective practice. First published in 1985, Practical Radiotherapy Planning has, over three editions, established itself as the popular choice for the trainee raditation oncologist and radiographer, providing the 'nuts and bolts' of planning in a practical and accessible manner. This fourth edition encompasses a wealth of new material, reflecting the radical change in the practice of radiotherapy in recent years. The information contained within the introductory chapters has been expanded and brought up to date, and a new chapter on patient management has been added. CT stimulators, MLC shieldings and dose...
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Handbook of Radiation Oncology: Basic Principles and Clinical Protocols
by Bruce Haffty (Author), Lynn Wilson (Author)
Whether you are a practicing radiation oncologist, resident in radiation oncology, fellow in any oncology discipline, or a student of medicine, nursing, physics, dosimetry, or therapy, this handbook is a valuable resource covering the issues most pertinent to patients undergoing radiation therapy. Handbook of Radiation Oncology covers general oncologic principles, workup, staging, and multidisciplinary aspects of treatment, basic principles of physics and radiobiology, and specific technologies including brachytherapy, radiosurgery, and unsealed sources. Specific Topics Covered Include: Physics of Radiation Oncology Classic and Molecular Biolgical Basis of Radiation Oncology Clinical Principals of Radiation Oncology and Multidisciplinary Care Radiation Oncology Treatment of All...
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Handbook of Evidence-based Radiation Oncology
by Eric K. Hansen (Editor), Mack III Roach (Editor)
This handbook serves as a portable reference that utilizes evidence-based medicine as the basis for practical treatment recommendations and guidelines. Organized by body site, concise clinical chapters provide easy access to critical information. Important "pearls" of epidemiology, anatomy, pathology, and clinical presentation are highlighted. Key facets of the work-up are listed, followed by staging and/or risk classification systems. Treatment recommendations are discussed based on stage, histology, and/or risk classification. Brief summaries of key trials and studies provide rationale for the recommendations. Practical guidelines for radiation techniques are described. Finally, complications and follow-up guidelines are outlined. Appendices are included as well to allow quick...
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Radiation Oncology: An Evidence-Based Approach (Medical Radiology / Radiation Oncology)
by Jiade J. Lu (Editor), Jiade J. Lu (Editor), Luther W. Brady (Editor), Luther W. Brady (Editor), Luther W. Brady (Editor), Hans-Peter Heilmann (Editor), Michael Molls (Editor), Carsten Nieder (Editor)
Radiation Oncology: An Evidence-Based Approach (ROEBA) is a reference book designed to enable radiation oncologists, including those in training, to make diagnostic and treatment decisions on the basis of the best available scientific evidence. Ease of use is ensured by a structured, reader-friendly format that offers rapid access to evidence-based recommendations. ROEBA’s orientation is entirely practical, in that the focus is solely on diagnostic/staging and treatment issues. Detailed diagnostic and therapeutic guidelines are provided for multidisciplinary cancer management as well as radiation therapy techniques. The evidence underlying each recommendation is clearly and concisely explained, and the strength of the recommendations and evidence is systemically graded. Furthermore,...
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Perez and Brady's Principles and Practice of Radiation Oncology
by Edward C Halperin (Editor), Carlos A Perez (Editor), Luther W Brady (Editor), David E Wazer (Editor), Carolyn Freeman (Editor)
The thoroughly updated Fifth Edition of this landmark work has been completely overhauled to better represent the rapidly changing field of radiation oncology. This edition has an updated interior design including full-color throughout, and a new corresponding Website featuring the fully searchable text with all the images. This comprehensive textbook provides an understanding of every aspect of radiation oncology—the natural history of cancer, the physical methods of radiation application, the effects of irradiation on normal tissues, and site-specific applications of radiation therapy either as a single modality or as part of a multimodality treatment program. This edition places greater emphasis on use of radiation oncology in palliative and supportive care as well as therapy....
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Radiotherapy in Practice: External Beam Therapy
by Peter Hoskin (Editor)
External beam therapy is the most common form of radiotherapy, delivering ionizing radiation such as high-energy x-rays, gamma rays or electron beams directly into the location of the patient's tumour. The beam is generated externally, with no radioactive sources placed within the patient's body. The beams aim at destroying the cancer cells with minimal impact on the surrounding healthy tissue. The radiation oncologist will choose between different ways of administering the beams, such as linear accelerators, cobalt machines, or ortho-voltage x-ray machines. The three distinct stages of simulation, planning and treatment are critical to ensuring the highest rate of success. This book is an essential, practical guide to the use of external beam radiotherapy, highlighting the rapid...
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Radiotherapy for Head and Neck Cancers: Indications and Techniques
by K. Kian Ang (Author), Adam S Garden (Author)
Long established as a staple reference for all radiation oncologists, Radiotherapy for Head and Neck Cancers: Indications and Techniques is now in its Third Edition. This completely updated edition presents the state-of-the-art protocols currently used at the M.D. Anderson Cancer Center and thoroughly explains the principles, nomenclature, and clinical use of intensity-modulated radiotherapy (IMRT). New full-color illustrations have been added throughout the book. The first section discusses the practical aspects of external beam therapy, brachytherapy, and endocavitary beam therapy and offers guidelines on patient care before and during radiotherapy. The second section provides detailed coverage of site-specific indications and techniques.
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Practical Radiotherapy: Physics and Equipment
by Pam Cherry (Editor), Angela Duxbury (Editor)
Practical Radiotherapy introduces the reader to the physics and equipment that is central to radiotherapy practice. This Second Edition has been extensively revised and is fully up to date with key developments in equipment and practice, namely: stereotacic radiosurgery, CT SIM and SIM CT, portal imaging, MLC and HDR brachytherapy. Practical Radiotherapy is written by an experienced team of practitioners and teachers who present a difficult and dry subject in a reader-friendly manner, covering all of the required core information.
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Radiation Oncology: Rationale, Technique, Results (Expert Consult Title: Online + Print)
by James D. Cox MD FACR (Author), Kie Kian Ang MD PhD (Author)
Radiation Oncology: Rationale, Technique, Results, by James D. Cox, MD and K. Kian Ang, MD, PhD, provides you with authoritative guidance on the latest methods for using radiotherapy to treat patients with cancer. Progressing from fundamental principles through specific treatment strategies for the cancers of each organ system, it also addresses the effects of radiation on normal structures and the avoidance of complications. This 9th edition covers the most recent indications and techniques in the field, including new developments in proton therapy and intensity-modulated radiotherapy (IMRT). It also features, for the first time, full-color images throughout the text to match those that you see in practice, and uses new color-coded treatment plans to make targets, structures, and doses...
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Radiotherapy
by Oggs
An 11 song montage of Brit-pop influence American rock.
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