The impact of dose prescription on treatment volume
|
|
|
- Marybeth Lewis
- 5 years ago
- Views:
Transcription
1 The impact of dose prescription on treatment volume Summer Chaudhari 1 st year medical physics resident University of Minnesota Medical Center Advisor: Dr. Patrick Higgins NCCAAPM chapter meeting April 24, 29
2 Purpose of Study Previously published literature has stressed the importance of: prescribing recording reporting radiation therapy treatment doses and their treatment volumes clearly and unambiguously so that they can be easily tracked worldwide. One of the recommendations of ICRU 5 and its supplement ICRU 62 is to prescribe to a point inside the planning target volume (ICRU reference point) instead of prescribing to the periphery of the PTV (an isodose line). Our study evaluated the effects on the dose distribution of prescribing to the ICRU reference point versus prescribing to an isodose line.
3 Introduction: Dose Specification ICRU 5 states: The most significant difference found in the literature appears to be the location where one prescribes and delivers the dose and how one reports the full treatment.
4 Introduction: ICRU reference point The ICRU Reference Point is selected according to the following criteria: Must be clinically relevant and representative of dose throughout the PTV Should be easy to define in a clear and unambiguous way The point should be chosen where the dose can be accurately determined The point should not lie in a region where there is a steep dose gradient These recommendations are fulfilled if the ICRU reference point is: Always at the center (central part) of the PTV When possible, at the intersection of the beam axis
5 Methods Pinnacle treatment planning system Cases: Phantom: Drew 2 cm and 8 cm spherical diameter targets on 3 cm 3 phantom 4-field box Clinical: 4-field prostate 1-field stereotactic body radiotherapy (SBRT) treatment plans Different combinations of: Block margin (,.5 and 1. cm) Prescriptions (ICRU or scaled) 2 mm dose calculation grid
6 Phantom Plans
7 Methods Prescription Criteria: Prescription 1 - ICRU: 1% dose to isocenter Prescription 2 - Scaled: Pick an isodose line so that 95% volume gets 1% dose Our clinic tries to meet the following treatment planning goals (using ICRU): 95% target volume gets 95% dose
8 Methods Evaluations: The effect of different block margins (,.5 and 1 cm) on doses and volumes The effect of different dose prescription (ICRU vs scaled) on normal tissue volumes Plots: Calculated each plan and plotted dose vs. volume for comparison
9 Overview Plots: DVH plots for phantom and clinical plans Comparison of 2 different prescription methods Prescription 1 - ICRU: 1% dose to point Prescription 2 - Scaled: 95% volume gets 1% dose Different scale factors were applied to these plans in order to meet the prescription criteria Our clinic goals: 95% planning target volume gets 95% dose
10 Baseline case: 8 cm sphere 8 cm PTV only Isodose Volume vs Dose 3 Volume (cm3) cm Block ICRU cm Block 89% Rx line.5 cm Block ICRU.5 cm Block 96% Rx line 1 cm Block ICRU 5 1 cm Block 97.5% Rx line 95% dose Isodose line (%)
11 Baseline case: 8 cm sphere 8 cm Case Isodose Volume vs Dose cm Block ICRU cm Block 89% Rx line.5 cm Block ICRU Volume (cm3) cm Block 96% Rx line 1 cm Block ICRU 1 cm Block 97.5% Rx line Isodose line (%)
12 Baseline Case: 2 cm sphere 2 cm PTV only Volume (cm3) cm Block ICRU cm Block 76% Rx line.5 cm Block ICRU.5 cm Block 96.7% Rx line 1 cm Block ICRU.5 1 cm Block 99% Rx line 95% dose Isodose line (%)
13 Example 1: Prostate Prostate Case - PTV only 3 25 Volume (cm3) cm Block ICRU cm Block 68% Rx line.5 cm Block ICRU.5 cm Block 9% Rx line 1 cm Block ICRU 1 cm Block 96.5% Rx line 95% dose Isodose line (%)
14 Example 2: SBRT small sized target SBRT Target PTV only Isodose Volume vs Dose Case 1 Volume (cm**3) cm block ICRU cm block 71.8% Rx line.5 cm block ICRU.5 cm block 81.5% Rx line 1 cm block ICRU 1 cm block 9% Rx line 95% dose Percent Isodose
15 Example 3: SBRT Large sized target SBRT Target PTV only Isodose Volume vs Dose Case 11 Volume (cm**3) cm block ICRU 1 cm block 82% Rx line 8.5 cm block ICRU 6.5 cm block 94% Rx line 4 1 cm block ICRU 1 cm block 98% Rx line 2 95% dose Percent Isodose
16 Results average 11 patients Average 11 cases Volume (cm**3) cm block ICRU cm block 88.5% Rx line.5 cm block ICRU.5 cm block 95.2% Rx line 1 cm block ICRU 1 cm block 97% Rx line 95% dose Percent Isodose
17 Conclusions Advantages of the ICRU definition of prescription: Can meet the dose prescription criteria using adequate block margins Can reduce the hot spot doses by as much as 3% as compared to the isodose prescription Uniformity in dose reporting can be achieved
18 Summary If the ICRU reference point is used as the dose prescription point, the dose to the healthy tissue will be lower as compared to prescribing to an isodose line. Prescribing to the ICRU reference point will make it more feasible to record the dose in a way that follows the ICRU recommendations on dose prescription, recording and reporting.
19 Thank you! Questions?
20 Example 2: SBRTsmall sized target SBRT Targe t Case 1 Isodose Volume vs Dose cm block ICRU Volume (cm**3) cm block 71.8% Rx line.5 cm block ICRU.5 cm block 81.5% Rx line 1 cm block ICRU 1 cm block 9% Rx line Percent Isodose
21 Example 1: Prostate Prostate Case Volume (cm3) cm Block ICRU cm Block 68% Rx line.5 cm Block ICRU.5 cm Block 9% Rx line 1 cm Block ICRU 1 cm Block 96.5% Rx line Isodose line (%)
22 Example 3: SBRT Large sized target SBRT Target Case 11 Isodose Volume vs Dose Volume (cm**3) cm block ICRU cm block 82% Rx line.5 cm block ICRU.5 cm block 94% Rx line 1 cm block ICRU 1 cm block 98% Rx line Percent Isodose
23 Example 3: SBRT Large sized target SBRT Target Case 11 Isodose Volume vs Dose 6 5 Volume (cm**3) cm block ICRU cm block 82% Rx line.5 cm block ICRU.5 cm block 94% Rx line 1 cm blo ck ICRU 1 cm block 98% Rx line Percent Isodose
24 Baseline case: 8 cm sphere 8 cm Case Isodose Volume vs Dose cm Block ICRU cm Block 89% Rx line Volume (cm3) cm Block ICRU.5 cm Block 96% Rx line 1 cm Block ICRU 1 cm Block 97.5% Rx line Isodose line (%)
25 Baseline case: 2 cm sphere 2 cm Case Isodose Volume vs Dose cm Block ICRU Volume (cm3) Isodose line (%) cm Block 76% Rx line.5 cm Block ICRU.5 cm Block 96.7% Rx line 1 cm Block ICRU 1 cm Block 99% Rx line
26 Baseline case: 2 cm sphere Volume (cm3) cm Case Isodose Volume vs Dose Isodose line (%) cm Block ICRU cm Block 76% Rx line.5 cm Block ICRU.5 cm Block 96.7% Rx line 1 cm Block ICRU 1 cm Block 99% Rx line
Specification of Tumor Dose. Prescription dose. Purpose
Specification of Tumor Dose George Starkschall, Ph.D. Department of Radiation Physics U.T. M.D. Anderson Cancer Center Prescription dose What do we mean by a dose prescription of 63 Gy? Isocenter dose
Silvia Pella, PhD, DABR Brian Doozan, MS South Florida Radiation Oncology Florida Atlantic University Advanced Radiation Physics Boca Raton, Florida
American Association of Medical Dosimetrists 2015 Silvia Pella, PhD, DABR Brian Doozan, MS South Florida Radiation Oncology Florida Atlantic University Advanced Radiation Physics Boca Raton, Florida Most
Chapters from Clinical Oncology
Chapters from Clinical Oncology Lecture notes University of Szeged Faculty of Medicine Department of Oncotherapy 2012. 1 RADIOTHERAPY Technical aspects Dr. Elemér Szil Introduction There are three possibilities
Outline. Chapter 12 Treatment Planning Combination of Beams. Opposing pairs of beams. Combination of beams. Opposing pairs of beams
Chapter 12 Treatment Planning Combination of Beams Radiation Dosimetry I Text: H.E Johns and J.R. Cunningham, The physics of radiology, 4 th ed. http://www.utoledo.edu/med/depts/radther Outline Combination
8/2/2017. Improving Dose Prescriptions for Safety, Reporting, and Clinical Guideline Consistency. Part III
Improving Dose Prescriptions for Safety, Reporting, and Clinical Guideline Consistency Part III I Das, J Moran, M Langer Keeping Guidelines On Track: The Effect On Clinical Practice of Neglecting Guidelines
Treatment Planning for Lung. Kristi Hendrickson, PhD, DABR University of Washington Dept. of Radiation Oncology
Treatment Planning for Lung Kristi Hendrickson, PhD, DABR University of Washington Dept. of Radiation Oncology Outline of Presentation Dosimetric planning strategies for SBRT lung Delivery techniques Examples
Indra J. Das/ Small Fields (Page-1)
Indra J. Das/ Small Fields (Page-1) Improving Dose Prescriptions for Safety, Reporting, and Clinical Guideline Consistency Jean Moran, Univ of Michigan, Ann Arbor Mark Langer, Indianian Univeristy, Indianapolis
Efficient SIB-IMRT planning of head & neck patients with Pinnacle 3 -DMPO
Investigations and research Efficient SIB-IMRT planning of head & neck patients with Pinnacle 3 -DMPO M. Kunze-Busch P. van Kollenburg Department of Radiation Oncology, Radboud University Nijmegen Medical
IMRT Planning Basics AAMD Student Webinar
IMRT Planning Basics AAMD Student Webinar March 12, 2014 Karen Chin Snyder, MS Senior Associate Physicist Department of Radiation Oncology Disclosures The presenter has received speaker honoraria from
ICRU Report 91 Was ist neu, was ändert sich?
DEGRO Stereotaxie Meeting 21.10.2017 ICRU Report 91 Was ist neu, was ändert sich? Lotte Wilke, Stephanie Tanadini-Lang, Matthias Guckenberger Klinik für Radio-Onkologie, Universitätsspital Zürich History
Quality assurance and credentialing requirements for sites using inverse planned IMRT Techniques
TROG 08.03 RAVES Quality assurance and credentialing requirements for sites using inverse planned IMRT Techniques Introduction Commissioning and quality assurance of planning systems and treatment delivery
Margins in SBRT. Mischa Hoogeman
Margins in SBRT Mischa Hoogeman MARGIN CONCEPTS Why do we use margins? Target / tumor To a-priori compensate for (unknown) deviations between the intended target position and the real target position during
Let s speak the same language: Standardization in Terminology
Faculty Disclosure Let s speak the same language: Standardization in Terminology Michael Torrens Gamma Knife Department, Hygeia Hospital, Athens, Greece Why is standardization necessary? Neurosurgical
Accuracy Requirements and Uncertainty Considerations in Radiation Therapy
Departments of Oncology and Medical Biophysics Accuracy Requirements and Uncertainty Considerations in Radiation Therapy Introduction and Overview 6 August 2013 Jacob (Jake) Van Dyk Conformality 18 16
Measurement of Dose to Critical Structures Surrounding the Prostate from. Intensity-Modulated Radiation Therapy (IMRT) and Three Dimensional
Measurement of Dose to Critical Structures Surrounding the Prostate from Intensity-Modulated Radiation Therapy (IMRT) and Three Dimensional Conformal Radiation Therapy (3D-CRT); A Comparative Study Erik
Defining Target Volumes and Organs at Risk: a common language
Defining Target Volumes and Organs at Risk: a common language Eduardo Rosenblatt Section Head Applied Radiation Biology and Radiotherapy (ARBR) Section Division of Human Health IAEA Objective: To introduce
Ranking radiotherapy treatment plans: physical or biological objectives?
Ranking radiotherapy treatment plans: physical or biological objectives? Martin Ebert Department of Radiation Oncology, Sir Charles Gairdner Hospital, Western Australia, Australia Background. The ranking
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 17, NUMBER 4, 2016
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 17, NUMBER 4, 2016 Effect of the normalized prescription isodose line on the magnitude of Monte Carlo vs. pencil beam target dose differences for lung
Knowledge-Based IMRT Treatment Planning for Prostate Cancer: Experience with 101. Cases from Duke Clinic. Deon Martina Dick
Knowledge-Based IMRT Treatment Planning for Prostate Cancer: Experience with 101 Cases from Duke Clinic by Deon Martina Dick Department of Medical Physics Duke University Date: Approved: Joseph Lo, Chair
Treatment Planning Evaluation of Volumetric Modulated Arc Therapy (VMAT) for Craniospinal Irradiation (CSI)
Treatment Planning Evaluation of Volumetric Modulated Arc Therapy (VMAT) for Craniospinal Irradiation (CSI) Tagreed AL-ALAWI Medical Physicist King Abdullah Medical City- Jeddah Aim 1. Simplify and standardize
SBRT fundamentals. Outline 8/2/2012. Stereotactic Body Radiation Therapy Quality Assurance Educational Session
Stereotactic Body Radiation Therapy Quality Assurance Educational Session J Perks PhD, UC Davis Medical Center, Sacramento CA SBRT fundamentals Extra-cranial treatments Single or small number (2-5) of
Evaluation of Monaco treatment planning system for hypofractionated stereotactic volumetric arc radiotherapy of multiple brain metastases
Evaluation of Monaco treatment planning system for hypofractionated stereotactic volumetric arc radiotherapy of multiple brain metastases CASE STUDY Institution: Odette Cancer Centre Location: Sunnybrook
Evaluation of Whole-Field and Split-Field Intensity Modulation Radiation Therapy (IMRT) Techniques in Head and Neck Cancer
1 Charles Poole April Case Study April 30, 2012 Evaluation of Whole-Field and Split-Field Intensity Modulation Radiation Therapy (IMRT) Techniques in Head and Neck Cancer Abstract: Introduction: This study
Small field diode dosimetry
Small field diode dosimetry Parham Alaei, Ph.D. Department of Radiation Oncology University of Minnesota NCCAAPM Symposium-October 10, 2013 1 Diodes as beam data collection detectors Diodes as in vivo
QA for Clinical Dosimetry with Emphasis on Clinical Trials
QA for Clinical Dosimetry with Emphasis on Clinical Trials Geoffrey S. Ibbott, Ph.D. and RPC Staff G. Ibbott, AAPM Summer School, June 24, 2009 1 QA Infrastructure for Clinical Trials Participating Institutions
IMRT QUESTIONNAIRE. Address: Physicist: Research Associate: Dosimetrist: Responsible Radiation Oncologist(s)
IMRT QUESTIONNAIRE Institution: Date: / / Address: Physicist: e-mail: Telephone: Fax: Research Associate: email: Telephone: Fax: Dosimetrist: email: Telephone: Fax: Responsible Radiation Oncologist(s)
IROC Liver Phantom. Guidelines for Planning and Irradiating the IROC Liver Phantom. Revised July 2015
IROC Liver Phantom Guidelines for Planning and Irradiating the IROC Liver Phantom. Revised July 2015 The study groups are requests that each institution keep the phantom for no more than 2 weeks. During
Radiation therapy treatment plan optimization accounting for random and systematic patient setup uncertainties
Virginia Commonwealth University VCU Scholars Compass Theses and Dissertations Graduate School 211 Radiation therapy treatment plan optimization accounting for random and systematic patient setup uncertainties
Jean Pouliot, PhD Professor and Vice Chair, Department of Radiation Oncology, Director of Physics Division
IMRT / Tomo / VMAT / Cyberknife / HDR Brachytherapy: Jean Pouliot, PhD Professor and Vice Chair, Department of Radiation Oncology, Director of Physics Division Should Choices be Based on Dosimetric and
IGRT Protocol Design and Informed Margins. Conflict of Interest. Outline 7/7/2017. DJ Vile, PhD. I have no conflict of interest to disclose
IGRT Protocol Design and Informed Margins DJ Vile, PhD Conflict of Interest I have no conflict of interest to disclose Outline Overview and definitions Quantification of motion Influences on margin selection
3D Conformal Radiation Therapy for Mucinous Carcinoma of the Breast
1 Angela Kempen February Case Study February 22, 2012 3D Conformal Radiation Therapy for Mucinous Carcinoma of the Breast History of Present Illness: JE is a 45 year-old Caucasian female who underwent
A dosimetric comparison between volumetric-modulated arc therapy and dynamic conformal arc therapy in SBRT
JBUON 2019; 24(2): 838-843 ISSN: 1107-0625, online ISSN: 2241-6293 www.jbuon.com E-mail: editorial_office@jbuon.com ORIGINAL ARTICLE A dosimetric comparison between volumetric-modulated arc therapy and
Fractionated SRT using VMAT and Gamma Knife for brain metastases and gliomas a planning study
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 16, NUMBER 6, 2015 Fractionated SRT using VMAT and Gamma Knife for brain metastases and gliomas a planning study Marie Huss, 1a Pierre Barsoum, 2 Ernest
The Physics of Oesophageal Cancer Radiotherapy
The Physics of Oesophageal Cancer Radiotherapy Dr. Philip Wai Radiotherapy Physics Royal Marsden Hospital 1 Contents Brief clinical introduction Imaging and Target definition Dose prescription & patient
Non-Invasive Brachytherapy of the Breast
Non-Invasive Brachytherapy of the Breast New England AAPM Meeting February 15, 2006 Piran Sioshansi, Ph.D. Raymond Bricault Presentation Outline Breast radiotherapy facts and data Shortcomings in current
Intensity modulated radiotherapy (IMRT) for treatment of post-operative high grade glioma in the right parietal region of brain
1 Carol Boyd March Case Study March 11, 2013 Intensity modulated radiotherapy (IMRT) for treatment of post-operative high grade glioma in the right parietal region of brain History of Present Illness:
Advanced Technology Consortium (ATC) Credentialing Procedures for 3D Conformal Therapy Protocols 3D CRT Benchmark*
Advanced Technology Consortium (ATC) Credentialing Procedures for 3D Conformal Therapy Protocols 3D CRT Benchmark* Purpose: To evaluate an institution s 3D treatment planning process and the institution
For Protocol Amendment 3 of: NRG-BR001, A Phase 1 Study of Stereotactic Body Radiotherapy (SBRT) for the Treatment of Multiple Metastases
For Protocol Amendment 3 of: NRG-BR001, A Phase 1 Study of Stereotactic Body Radiotherapy (SBRT) for the Treatment of Multiple Metastases NCI/Local Protocol #: NRG-BR001/NRG BR001 NCI Protocol Version
Out-of-field doses of CyberKnife in stereotactic radiotherapy of prostate cancer patients
EURAMED,MELODI and EURADOS Workshop, Helsinki 19.-20.4.2017 Out-of-field doses of CyberKnife in stereotactic radiotherapy of prostate cancer patients Jan Seppälä, Chief Physicist Tuomas Virén, Medical
Variable Dose Rate Dynamic Conformal Arc Therapy (DCAT) for SABR Lung: From static fields to dynamic arcs using Monaco 5.10
Variable Dose Rate Dynamic Conformal Arc Therapy (DCAT) for SABR Lung: From static fields to dynamic arcs using Monaco 5.10 Simon Goodall Radiation Oncology Physicist Genesis Care Western Australia Introduction
A treatment planning study comparing Elekta VMAT and fixed field IMRT using the varian treatment planning system eclipse
Peters et al. Radiation Oncology 2014, 9:153 RESEARCH Open Access A treatment planning study comparing Elekta VMAT and fixed field IMRT using the varian treatment planning system eclipse Samuel Peters
Evaluation of Three-dimensional Conformal Radiotherapy and Intensity Modulated Radiotherapy Techniques in High-Grade Gliomas
1 Carol Boyd Comprehensive Case Study July 11, 2013 Evaluation of Three-dimensional Conformal Radiotherapy and Intensity Modulated Radiotherapy Techniques in High-Grade Gliomas Abstract: Introduction:
Linac Based SBRT for Low-intermediate Risk Prostate Cancer in 5 Fractions: Preliminary Report of a Phase II Study with FFF Delivery
Linac Based SBRT for Low-intermediate Risk Prostate Cancer in 5 Fractions: Preliminary Report of a Phase II Study with FFF Delivery FILIPPO ALONGI MD Radiation Oncology & Radiosurgery Istituto Clinico
A new homogeneity index based on statistical analysis of the dose volume histogram
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 8, NUMBER 2, SPRING 2007 A new homogeneity index based on statistical analysis of the dose volume histogram Myonggeun Yoon, Sung Yong Park, a Dongho
Radiation Damage Comparison between Intensity Modulated Radiotherapy (IMRT) and Field-in-field (FIF) Technique In Breast Cancer Treatments
Radiation Damage Comparison between Intensity Modulated Radiotherapy () and Field-in-field (FIF) Technique In Breast Cancer Treatments Huisi Ai 1 and Hualin Zhang 2 1. Department of Radiation Oncology,
Strategies and Technologies for Cranial Radiosurgery Planning: Gamma Knife
Conflicts of Interest Strategies and Technologies for Cranial Radiosurgery Planning: Gamma Knife David Schlesinger, Ph.D. Research support: Elekta Instruments, AB Lars Leksell Gamma Knife Center University
Feasibility of 4D IMRT Delivery for Hypofractionated High Dose Partial Prostate Treatments
Feasibility of 4D IMRT Delivery for Hypofractionated High Dose Partial Prostate Treatments R.A. Price Jr., Ph.D., J. Li, Ph.D., A. Pollack, M.D., Ph.D.*, L. Jin, Ph.D., E. Horwitz, M.D., M. Buyyounouski,
Additional Questions for Review 2D & 3D
Additional Questions for Review 2D & 3D 1. For a 4-field box technique, which of the following will deliver the lowest dose to the femoral heads? a. 100 SSD, equal dmax dose to all fields b. 100 SSD, equal
Comparison of high and low energy treatment plans by evaluating the dose on the surrounding normal structures in conventional radiotherapy
Turkish Journal of Cancer Volume 37, No. 2, 2007 59 Comparison of high and low energy treatment plans by evaluating the dose on the surrounding normal structures in conventional radiotherapy MUHAMMAD BASIM
Disclosure SBRT. SBRT for Spinal Metastases 5/2/2010. No conflicts of interest. Overview
Stereotactic Body Radiotherapy (SBRT) for Recurrent Spine Tumors Arjun Sahgal M.D., F.R.C.P.C. Assistant Professor Princess Margaret Hospital Sunnybrook Health Sciences Center University of Toronto Department
Stereotactic MR-guided adaptive radiation therapy (SMART) for locally advanced pancreatic tumors
Stereotactic MR-guided adaptive radiation therapy (SMART) for locally advanced pancreatic tumors Anna Bruynzeel, Radiation Oncologist VU University Medical Center, Amsterdam, The Netherlands Current standard
Assessing Heterogeneity Correction Algorithms Using the Radiological Physics Center Anthropomorphic Thorax Phantom
Assessing Heterogeneity Correction Algorithms Using the Radiological Physics Center Anthropomorphic Thorax Phantom David Followill, Ph.D. Associate Director Radiological Physics Center RPC History Lesson
WHOLE-BRAIN RADIOTHERAPY WITH SIMULTANEOUS INTEGRATED BOOST TO MULTIPLE BRAIN METASTASES USING VOLUMETRIC MODULATED ARC THERAPY
doi:10.1016/j.ijrobp.2009.03.029 Int. J. Radiation Oncology Biol. Phys., Vol. 75, No. 1, pp. 253 259, 2009 Copyright Ó 2009 Elsevier Inc. Printed in the USA. All rights reserved 0360-3016/09/$ see front
4.1.1 Dose distributions LKB effective volume or mean liver dose? The critical volume model TUMOUR CONTROL...
1 CONTENTS 1 INTRODUCTION... 3 1.1 STEREOTACTIC BODY RADIATION THERAPY (SBRT)... 3 1.1.1 The development of SBRT... 3 1.1.2 The technique of SBRT... 4 1.1.3 Hypofractionation and inhomogeneous dose distribution...
NIA MAGELLAN HEALTH RADIATION ONCOLOGY CODING STANDARD. Dosimetry Planning
NIA MAGELLAN HEALTH RADIATION ONCOLOGY CODING STANDARD Dosimetry Planning CPT Codes: 77295, 77300, 77301, 77306, 77307, 77321, 77316, 77317, 77318, 77331, 77399 Original Date: April, 2011 Last Reviewed
Evaluation of Normal Tissue Complication Probability and Risk of Second Primary Cancer in Prostate Radiotherapy
Evaluation of Normal Tissue Complication Probability and Risk of Second Primary Cancer in Prostate Radiotherapy Rungdham Takam Thesis submitted for the degree of Doctor of Philosophy in The School of Chemistry
A VMAT PLANNING SOLUTION FOR NECK CANCER PATIENTS USING THE PINNACLE 3 PLANNING SYSTEM *
Romanian Reports in Physics, Vol. 66, No. 2, P. 401 410, 2014 A VMAT PLANNING SOLUTION FOR NECK CANCER PATIENTS USING THE PINNACLE 3 PLANNING SYSTEM * M. D. SUDITU 1,2, D. ADAM 1,2, R. POPA 1,2, V. CIOCALTEI
SBRT in early stage NSCLC
SBRT in early stage NSCLC Optimal technique and tumor dose Frank Zimmermann Clinic of Radiotherapy and Radiation Oncology University Hospital Basel Petersgraben 4 CH 4031 Basel radioonkologiebasel.ch Techniques
Radiosurgery by Leksell gamma knife. Josef Novotny, Na Homolce Hospital, Prague
Radiosurgery by Leksell gamma knife Josef Novotny, Na Homolce Hospital, Prague Radiosurgery - Definition Professor Lars Leksell The tools used by the surgeon must be adapted to the task and where the human
Activity report from JCOG physics group
2013.5.9 Global Harmonization Group meeting ICCR2013 @ Melbourne Activity report from JCOG physics group 1 Hokkaido University, Graduate School of Medicine, 2 National Cancer Center, Center for Cancer
Precision of pre-sirt predictive dosimetry
International Course on THERANOSTICS AND MOLECULAR RADIOTHERAPY Precision of pre-sirt predictive dosimetry Hugo Levillain Department of Nuclear Medicine Medical Physics Jules Bordet Institute, Université
Therapy of Non-Operable early stage NSCLC
SBRT Stage I NSCLC Therapy of Non-Operable early stage NSCLC Dr. Adnan Al-Hebshi MD, FRCR(UK), FRCP(C), ABR King Faisal Specialist Hospital & Research Centre This is our territory Early Stages NSCLC Surgical
Transition to Heterogeneity Corrections. Why have accurate dose algorithms?
Transition to Heterogeneity Corrections Eric E. Klein, M.S., Washington University, St. Louis, MO Craig Stevens, M.D., Ph.D., MD Anderson Cancer Center, Houston, TX Nikos Papinikolou, Ph.D., University
Production and dosimetry of simultaneous therapeutic photons and electrons beam by linear accelerator: a monte carlo study
Production and dosimetry of simultaneous therapeutic photons and electrons beam by linear accelerator: a monte carlo study Navid Khledi 1, Azim Arbabi 2, Dariush Sardari 1, Mohammad Mohammadi 3, Ahmad
IMRT for Prostate Cancer
IMRT for Cancer All patients are simulated in the supine position. Reproducibility is achieved using a custom alpha cradle cast that extends from the mid-back to mid-thigh. The feet are positioned in a
Indra J. Das, Chee-Wai Cheng, Kashmiri L. Chopra, Raj K. Mitra, Shiv P. Srivastava, Eli Glatstein
ARTICLE Intensity-Modulated Radiation Therapy Dose Prescription, Recording, and Delivery: Patterns of Variability Among Institutions and Treatment Planning Systems Indra J. Das, Chee-Wai Cheng, Kashmiri
Evaluation of scatter distribution through segmented intensity modulated radiation therapy (IMRT) fields in treatment of head and neck cancer
The University of Toledo The University of Toledo Digital Repository Master s and Doctoral Projects Evaluation of scatter distribution through segmented intensity modulated radiation therapy (IMRT) fields
TRANS-TASMAN RADIATION ONCOLOGY GROUP INC. Quality Assurance. Treatment Planning Benchmark
TRANS-TASMAN RADIATION ONCOLOGY GROUP INC. Quality Assurance Treatment Planning Benchmark PORTEC-3/ TROG 08.04 Randomised Phase III Trial Comparing Concurrent Chemoradiation and Adjuvant Chemotherapy with
Treatment Planning & IGRT Credentialing for NRG SBRT Trials
Treatment Planning & IGRT Credentialing for NRG SBRT Trials Hania Al Hallaq, Ph.D. Department of Radiation & Cellular Oncology The University of Chicago Learning Objectives Explain rationale behind credentialing
Treatment Planning for the CyberKnife Treatment Delivery System and InCise TM Multileaf Collimator: a Literature Review
Treatment Planning for the CyberKnife Treatment Delivery System and InCise TM Multileaf Collimator: a Literature Review Lisa Goggin, PhD DABR Disclosure I am an employee of Accuray Incorporated 2 Overview
REVISITING ICRU VOLUME DEFINITIONS. Eduardo Rosenblatt Vienna, Austria
REVISITING ICRU VOLUME DEFINITIONS Eduardo Rosenblatt Vienna, Austria Objective: To introduce target volumes and organ at risk concepts as defined by ICRU. 3D-CRT is the standard There was a need for a
NSABP PROTOCOL B-39B RTOG PROTOCOL 0413
NSABP PROTOCOL B-39B RTOG PROTOCOL 0413 (A RANDOMIZED PHASE III STUDY OF CONVENTIONAL WHOLE BREAST IRRADIATION WBI) VERSUS PARTIAL BREAST IRRADIATION (PBI) FOR WOMEN WITH STAGE 0, I, OR II BREAST CANCER
Credentialing for the Use of IGRT in Clinical Trials
Credentialing for the Use of IGRT in Clinical Trials James M. Galvin, DSc Thomas Jefferson University Hospital Jefferson Medical College Philadelphia, PA and The Radiation Therapy Oncology Group RADIATION
Definitions. Brachytherapy in treatment of cancer. Implantation Techniques and Methods of Dose Specifications. Importance of Brachytherapy in GYN
Implantation Techniques and Methods of Dose Specifications Brachytherapy Course Lecture V Krishna Reddy, MD, PhD Assistant Professor, Radiation Oncology Brachytherapy in treatment of cancer GYN Cervical
Stereotaxy. Outlines. Establishing SBRT Program: Physics & Dosimetry. SBRT - Simulation. Body Localizer. Sim. Sim. Sim. Stereotaxy?
Establishing SBRT Program: Physics & Dosimetry Lu Wang, Ph.D. Radiation Oncology Department Fox Chase Cancer Center Outlines Illustrate the difference between SBRT vs. CRT Introduce the major procedures
RPC Liver Phantom Highly Conformal Stereotactic Body Radiation Therapy
RPC Liver Phantom Highly Conformal Stereotactic Body Radiation Therapy Guidelines for Planning and Irradiating the RPC Liver Phantom. Revised Dec 2005 Credentialing for this protocol requires four steps:
Radiation Therapy for Liver Malignancies
Outline Radiation Therapy for Liver Malignancies Albert J. Chang, M.D., Ph.D. Department of Radiation Oncology, UCSF March 23, 2014 Rationale for developing liver directed therapies Liver directed therapies
New Technologies for the Radiotherapy of Prostate Cancer
Prostate Cancer Meyer JL (ed): IMRT, IGRT, SBRT Advances in the Treatment Planning and Delivery of Radiotherapy. Front Radiat Ther Oncol. Basel, Karger, 27, vol. 4, pp 315 337 New Technologies for the
Stereotactic Body Radiotherapy for Lung Lesions using the CyberKnife of-the-art and New Innovations
Stereotactic Body Radiotherapy for Lung Lesions using the CyberKnife State-of of-the-art and New Innovations Chad Lee, PhD CK Solutions, Inc. and CyberKnife Centers of San Diego Outline Basic overview
Treatment of exceptionally large prostate cancer patients with low-energy intensity-modulated photons
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 7, NUMBER 4, FALL 2006 Treatment of exceptionally large prostate cancer patients with low-energy intensity-modulated photons Mei Sun and Lijun Ma a University
Intensity Modulated Radiation Therapy (IMRT)
Intensity Modulated Radiation Therapy (IMRT) Policy Number: Original Effective Date: MM.05.006 03/09/2004 Line(s) of Business: Current Effective Date: HMO; PPO 06/24/2011 Section: Radiology Place(s) of
Fiducial-Free Lung Tracking and Treatment with the CyberKnife System: A Non-Invasive Approach
Fiducial-Free Lung Tracking and Treatment with the CyberKnife System: A Non-Invasive Approach Jesse McKay, MS, DABR Erlanger Health System Chattanooga, TN JASTRO 2014, Yokohama Japan Disclosure I have
Dosimetry of the Gamma Knife TM
Dosimetry of the Gamma Knife TM Sheridan Griffin Meltsner, Ph.D. Aurora Health Care St. Luke s Medical Center NCCAAPM Spring Meeting Outline Introduction to stereotactic radiosurgery Elekta Gamma Knife
Case Study. Institution Farrer Park Hospital
Case Study Single isocenter high definition dynamic radiosurgery (HDRS) for multiple brain metastases HDRS with Monaco, Versa HD and HexaPOD allows multiple brain metastases treatment within standard 15-minute
Physics Treatment Margins. Laurence Court University of Texas MD Anderson Cancer Center
Physics Treatment Margins Laurence Court University of Texas MD Anderson Cancer Center Disclosure Employer: UT MD Anderson Cancer Center Grants from: NCI, CPRIT, Varian, Elekta, Mobius Learning Objectives
DOSE DISTRIBUTION ANALYZE OF THE BODY STI USED MONTE CARLO METHOD
Proceedings of the Tenth EGS4 Users' Meeting in Japan, KEK Proceedings 2002-18, p.65-73 DOSE DISTRIBUTION ANALYZE OF THE BODY STI USED MONTE CARLO METHOD N. Tohyama, H. Saitoh, T. Fujisaki 1, S. Abe 1
The New ICRU/GEC ESTRO Report in Clinical Practice. Disclosures
The New ICRU/GEC ESTRO Report in Clinical Practice Christian Kirisits, MSc, PhD; Richard Pötter, MD Medical University of Vienna, Vienna, Austria On behalf of the Committee: B. Erickson, C. Haie Meder,
Learning objective. Outline. Acknowledgements. KV CBCT Imaging Part I. R Hammoud AAPM 2008 CE-Therapy (SAM) 1
1 2 KV CBCT Imaging Part I Rabih Hammoud, MS, DABR Henry Ford Health System Detroit, Michigan Acknowledgements Indrin Chetty, PhD Teamour Nurushev, PhD Harrison Guan, PhD Jinkoo Kim, PhD JianYue Jin, PhD
Radiation treatment planning in lung cancer
Radiation treatment planning in lung cancer Georg Dietmar 1,2 1 Div. Medical Rad. Phys., Dept. of Radiation Oncology / Medical Univ. Vienna & AKH Wien 2 Christian Doppler Laboratory for Medical Radiation
Many vendors are beginning to allow couch motion during radiation delivery.
Dynamic Couch Motion Many vendors are beginning to allow couch motion during radiation delivery. Varian developer mode allows institutions to perform research using these types of treatments. Tomotherapy
Lung SBRT: dosimetric and delivery comparison of RapidArc, TomoTherapy, and IMRT
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 14, NUMBER 4, 2013 Lung SBRT: dosimetric and delivery comparison of RapidArc, TomoTherapy, and IMRT Ashleigh Weyh, 1a Andre Konski, 1,2 Adrian Nalichowski,
To Reduce Hot Dose Spots in Craniospinal Irradiation: An IMRT Approach with Matching Beam Divergence
SCIENCE & TECHNOLOGY To Reduce Hot Dose Spots in Craniospinal Irradiation: An IMRT Approach with Matching Beam Divergence Alburuj R. Rahman*, Jian Z. Wang, Dr. Z. Huang, Dr. J. Montebello Department of
Dosimetric consequences of rotational setup errors with direct simulation in a treatment planning system for fractionated stereotactic radiotherapy
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 12, NUMBER 3, summer 2011 Dosimetric consequences of rotational setup errors with direct simulation in a treatment planning system for fractionated stereotactic
Brachytherapy Planning and Quality Assurance
Brachytherapy Planning and Quality Assurance Classical implant systems Most common clinical applications and modern dosimetry methods Quality assurance Classical implant systems Manchester (Paterson-Parker)
SRS Uncertainty: Linac and CyberKnife Uncertainties
SRS Uncertainty: Linac and CyberKnife Uncertainties Sonja Dieterich, PhD Linac/CyberKnife Technological Uncertainties 1 Linac Mechanical/Radiation Isocenters Depuydt, Tom, et al. "Computer aided analysis
NIH/NCI Varian Medical Systemss Philips HealthCare
Treatment Planning of Lung Cancer: Dosimetric Considerations Indrin J. Ch hetty, PhD Henry Ford Health System Disclo osure My department receives research support from: NIH/NCI Varian Medical Systemss
Application of the concept of biologically effective dose (BED) to patients with Vestibular Schwannomas treated by radiosurgery
Jour. of Radiosurgery and SBRT, Vol. 2, pp. 257 271 Reprints available directly from the publisher Photocopying permitted by license only 2013 Old City Publishing, Inc. Published by license under the OCP
Technique For Plan Quality and Efficiency Using VMAT Radiosurgery For Patients with Multiple Brain Metastases
Technique For Plan Quality and Efficiency Using VMAT Radiosurgery For Patients with Multiple Brain Metastases Kimberly Dempsey, BS, CMD, RT(T) Heather Smith, MS, CMD, RT(R)(T) The University of Alabama
Tecniche Radioterapiche U. Ricardi
Tecniche Radioterapiche U. Ricardi UNIVERSITA DEGLI STUDI DI TORINO Should we always rely on stage? T4N0M0 Stage IIIB T2N3M0 Early stage NSCLC The treatment of choice for early-stage NSCLC is anatomic
Innovazioni tecnologiche in Radioterapia" Sergio Fersino Radioterapia Oncologica
Innovazioni tecnologiche in Radioterapia" Sergio Fersino Radioterapia Oncologica 2014 HYPOFRACTIONATION & PROSTATE CANCER HYPOFRACTIONATION & PROSTATE CANCER: TECHNOLOGY: HIGH CONFORMAL DOSE & IMAGING