Adaptive Radiation Therapy

Improved Essays
Abstract:
Adaptive radiation therapy is a closed-loop radiation treatment process where the treatment plan can be modified using a systematic feedback of measurements. Adaptive radiation therapy intends to improve radiation treatment by systematically monitoring treatment variations and incorporating them to re-optimize the treatment plan early on during the course of treatment. In this process, field margin and treatment dose can be routinely customized to each individual patient to achieve a safe dose escalation.

Introduction:
Medical imaging systems are widely used in radiological diagnosis. Their main benefits are more accurate and faster exams, elimination of exploratory surgery, availability of post processing and computed aided detection,
…show more content…
Surgery is the most successful treatment but is only beneficial in the minority of patients with early disease . Radiotherapy can benefit the patient with early disease. Radiation therapy for cancer of the cervix usually involves a combination of external beam radiotherapy (EBRT) and intracavitary brachytherapy (ICBT), two distinctive modalities with different advantages. Intracavitary brachytherapy evolved from three European techniques (Stockholm, Paris, Manchester) and still remains the cornerstone of treatment for cervical cancer. Although dose prescription at Point A of the Manchester system has been widely used since 1938, the validity of this specification for cancer of the cervix has been questioned over the years [6]. The 60 Gy reference volume specified by the International Commission of Radiation Units and Measures (ICRU) Report 38 [7] represents the first attempt to improve uniform dose reporting with emphasis on the pear-shaped isodose volume, but similar to Point A dose and milligrams-hours it has no relationship to tumor volume [8-9]. With rapidly developing technology, conventional dental radiography is being overtaken by a revolution in digital radiography. In recent years the emphasis has been on indirect digital radiography involving the conversion of conventional film radiographs into digital images. This stage has been useful in helping the research and development of direct digital radiography which is now coming to the fore [10]. Using this technique, direct images are acquired in the dental practice. These images can be manipulated, enhanced, stored and exchanged for referral and other purposes, making them of great potential use. In addition to the direct clinical and diagnostic benefits, the techniques also have distinct environmental advantages including less use of resources and reduced radiation dosages

Related Documents

  • Improved Essays

    Departmental QA Checklist

    • 497 Words
    • 2 Pages

    One camera on the HDR after loader, another where the source enters/exits the patient and the last one monitoring the “radiation monitor” lights inside the room. It is so important to have audio and visual communication during radiation therapy treatment. Especially in HDR treatments, the treating oncology staff, particularly the doctor needs to be able to monitor the patient at all times and visually sees the source smoothly enter and exit the patient. • The survey meter needs to be turned on and tested for optimum operation before treatment • Verification of current activity of radiation source. This is so important because if the calculation of the activity is incorrect, and the patient is treated, then the patient risks being under dosed or overdosed for that treatment due to the miscalculation and incorrect treatment…

    • 497 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Radiologic technologists are the human services authorities who execute symptomatic imaging systems, for example, X-beam examinations, attractive reverberation imaging (MRI) filters and processed tomography (CT) checks. Some of them focus on unmistakable techniques, for example, cardiovascular-interventional radiography, mammography or sonography. Radiologic technologists are responsible for situating patients and ensuring that a quality symptomatic picture is created Radiologists are physicians who specialize in capturing and analyzing medical images. They play an amazing role in the health care field because using medical radiation, they diagnose illness and in some cases even treat patients. They also work in numerous settings that can include diagnostic imaging centers, radiation therapy treatment clinics, hospitals, or even in private practices.…

    • 701 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    How Did Radiation Change

    • 885 Words
    • 4 Pages

    Medicine Changed by Radiation Radiation has changed over the years and wasn’t even known to be used in medicine until after it was used in the military in World War II. It was discovered by a German scientist but then the possibilities of all the things it could be used for was discovered by a Polish-born French scientist. Radiation changed medicine for the better by killing off cancerous, disease ridden germs and cells, this is significant because it changed the way we look at treatment. In 1895, radiation had just been discovered by Wilhelm Conrad Roentgen, a professor at Wuerzburg University in Germany. ("History of Radiography").…

    • 885 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Radiology Term Paper

    • 521 Words
    • 3 Pages

    Exposure charts are very important in the radiology field. They provide consistency in the quality of image production (Carlton, Richard R., Arlene McKenna. Adler, and Eugene D. Frank, 2006). Each site has preprogrammed control consoles for each exposure. However, although these are preset, these are just a suggested starting point.…

    • 521 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Radiation therapy, the second method, requires the application of high energy X-rays to shrink the tumor and kill the malignant cells. The rays may be applied from an external machine or by placing the radiation source directly to the affected part of the body, by means of plastic tubes. Last treatment type is the chemotherapy whereby a combination of drugs is applied to kill the cancer cells. The drugs may be administered by mouth in the capsule form or may be applied intravenously via…

    • 503 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Osteosarcoma

    • 620 Words
    • 3 Pages

    Osteosarcoma is a relatively radioresistant Tumor. Thus, adjuvant chemotherapy and surgery have been the backbones of treatment. Prophylactic whole lung irradiation was utilized in the late 1970s as a method for decreasing lung metastases post-operatively (Breur, Cohen, Schweisguth, & Hart, 1978). Prebiopsy Low-dose irradiation (around 10 Gy) can be given before the initial biopsy in order to decrease the viability of the malignant cells that can be disseminated into the circulatory system by the biopsy. However, a previous study found no distinctions in survival rate between patients receiving radiotherapy before biopsy and historic controls, which discouraged additional investigation (Halperin, Constine, Tarbell, & Kun, 2004).…

    • 620 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Brachytherapy procedure consists of radiation occurring inside the body. The materials that are injected into the area around the cancer in the prostate gland are known as “seeds”. The seeds are what cause the radiation to occur in the general area. The seeds are placed within a sterilized needle which then the needle is pushed through the skin between the scrotum and the rectum and ends within the prostate gland to begin radioactivity. There are two different types of doses for the therapy.…

    • 531 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Pasc Essay

    • 761 Words
    • 4 Pages

    PACS provide archives for storage Images which can be X-ray, MRI, CT, PET and Ultrasound and view it not only in Radiology Department, but also other such as Emergency, Clinique and Wards for Inpatient ( 1 ). For the past 100 years, film was use for capturing, storing and displaying Radiographic Image. In the early 1960s Digital radiography developed. It allow…

    • 761 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    HOSA Mission Statement

    • 1023 Words
    • 5 Pages

    A commonly used one is a digital x-ray. This type of x-ray functions like a normal scan would, but uses less radiation and appears on a computer screen. Instead of your dentist printing the images on a film, they can zoom in and out of an image on a computer screen. The X-ray helps detect cavities in order to properly treat the patient. In the future there may be many new breakthroughs and inventions.…

    • 1023 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Amazing, the survival rate of pregnancy among expecting mothers has improved significantly in over the years. This is due in part of pregnancy being diagnosed early enough today. This is made possible through radiographer using ultrasound machines. Having seen my wife went through all different kind of scans during the birth of my son and how the new technology helped detected early pregnancy problems, I knew that I wished to follow the part and work in a medical environment helping doctors and midwife to lessen and eliminate patient’s pain. My knowledge and experience about the importance of diagnosis convinced me of the importance of radiography and cemented my ambition to become a Diagnostic Radiography.…

    • 762 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Science has always been my strong point and a place wherein all my aspirations lie. I have always yearned of achieving a career in the medical field, and by studying my course in college and gaining a better understanding of the human anatomy, I have become motivated to achieve a degree in Diagnostic Radiography, and set the foundations for a career helping to develop, and to explore ways in which the use of radiography can help better someone’s life. My interest in radiography led me to partake in a taster course at City University of London wherein I got a flavour of what was to come if I was accepted into University for diagnostic radiography and to receive hands-on experience with machinery and equipment. During my taster session, I was…

    • 616 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Cancer has many forms of treatment, but the two that are known to most are chemotherapy and radiation therapy. Chemotherapy is the use of drugs like cytotoxic and others, where as radiation therapy is the use of x-rays or other similar forms of radiation to cure cancer. Arguments can and more than likely always arise that one form of the two treatments is more beneficial and effective than the other. Considering this, the type of treatment that may be used can differ for each type of cancer, just depending on which one is more useful for the particular illness. The two treatment may differ in a few ways but the biggest one can be the side effects of each one.…

    • 1260 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    Nuclear Medicine History

    • 1378 Words
    • 6 Pages

    This article is considered one of the most important articles released in the nuclear medicine field because it popularized the practice. Widespread use of nuclear medicine began in the early 1950’s. Radionuclide knowledge expanded and the first imaging techniques were implemented with this new knowledge. In 1971 nuclear medicine was officially recognized as a medical specialty.…

    • 1378 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Risks and Benefits of Diagnostic X-rays General Purpose: To inform. Specific Purpose: After hearing my speech, my audience will know more about the risks and benefits associated with diagnostic x-rays. Thesis: Medical benefits of diagnostic x-rays outweigh any slight risks. Introduction…

    • 993 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Assignment B Title: Radiation Safety and Protection in DR/RT 1729 words Introduction Health Physics is concerned with providing occupational radiation protection and minimizing radiation dose to the public. Every technologist has the obligation to always ensure that the radiation dose to both the patient and other health care professionals are kept as low as reasonably achievable (ALARA) without compromising the diagnostic value of the image. Cardinal Principles of Radiation Protection All health physics activities in radiology are designed to minimize the radiation exposure of patients and personnel. The three cardinal principles are effective in reducing radiation exposure in diagnostic radiology.…

    • 844 Words
    • 4 Pages
    Great Essays