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Intensity-modulated radiation therapy (IMRT), one of the most important developments in radiation oncology in the past 25 years, involves technology to deliver radiation to tumors in the right location, quantity and time. Unavoidable irradiation of surrounding normal tissues is distributed so as to preserve their function. The achievements and future directions in the field are grouped in the three sections of the book, each suitable for supporting a teaching course. Part 1 contains topical reviews of the basic principles of IMRT, part 2 describes advanced techniques such as image-guided and biologically based approaches, and part 3 focuses on investigation of IMRT to improve outcome at various cancer sites.
Over the past decade, techniques have been developed and implemented to observe metabolism noninvasively in localized regions of intact, living experimental animals and humans through the use of magnetic resonance spectroscopy (MRS). At the same time, magnetic resonance imaging (MRI) techniques developed in the 1970s and refined in this decade have been increasingly applied as a powerful clinical tool to probe human anatomy. Because of the unusual metabolic and physiologic characteristics of malignant tissues, oncology has been one of the primary focuses of the application of both MRS and MRI. Although considerable progress has been made in oncologic applications of magnetic resonance (MR), ...
Image Guided Radiation Therapy (IGRT) is a true revolution in the field of radiation oncology. IGRT provides the unprecedented means of conforming does to the shape of the target tissues in 3-dimensions reducing the risk of complications thereby improving the quality of life of irradiated patients. Moreover, IGRT provides the means to deliver higher than conventional doses thus improving the chance of cure in these patients. Despite its established benefits, several barriers exist to the widespread clinical implementation of IGRT. In the past, great concerns existed regarding the large capital outlay needed for both software and hardware. This barrier is less relevant today given the increased reimbursements possible with IGRT. Today, the most significant barrier is education. IGRT is a fundamentally new approach to both treatment planning and delivery. Adoption of the IGRT approach entails new ways of thinking in regard to patient selection, treatment planning and quality assurance measures. Unfortunately, apart from a few University-based short courses, limited resources are available for the physician and physicist interested in learning IGRT.
This volume covers all aspects of side effects in radio-oncological treatment of tumors, and of combined, multi-modal therapies. Recent developments as well as future perspectives in radiation biology of acute and late responding normal tissues are included. Special focus is given to more general treatment effects, such as anaemia, fatigue and impairment of quality of life, and post-treatment rehabilitation requirements. The book illuminates forensic aspects of radiation therapy and related complications; it further exemplifies incidence, documentation, and clinical management approaches for side effects as well as novel cyto-/tissue-protective strategies. Particular features of side effects...
Presents the technical aspects of IMRT, and the clinical aspects of planning and delivery. The volulme explores a practical approach for radiation oncologists and medical physicists initiating or expanding and IMRT program, the fundamental biology and physics of IMRT, a site-by-site review of IMRT techniques with clinical examples, and reviews of published outcome studies.
First multi-year cumulation covers six years: 1965-70.
This is the first volume to provide a multidisciplinary approach to peritoneal carcinomatosis encompassing molecular mechanisms, histopathology, regional and systemic cytotoxic therapy, and surgical options. Illustrations aid the reader throughout in the many facets of this disease. The book will be of particular interest for medical, surgical and gynecological oncologists faced with the complexities of decision making in patients suffering from PC.
Computers have had and will continue to have a tremendous impact on professional activity in almost all areas. This applies to radiological medicine and in particular to radiation therapy. This book compiles the most recent developments and results of the application of computers and computer science as presented at the XIIIth International Conference on the Use of Computers in Radiation Therapy in Heidelberg, Germany. The text of both oral presentations and posters is included. The book is intended for computer sientists, medical physicists, engineers and physicians in the field of radiation therapy and provides a comprehensive survey of the entire field.