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Title: Optical Tracking Technology in Stereotactic Radiation Therapy

Journal Article · · Medical Dosimetry
 [1];  [1];  [2];  [2];  [1];  [1];  [3]
  1. Department of Radiation Physics, M. D. Anderson Cancer Center Orlando, Orlando, FL (United States)
  2. Department of Neurological Surgery, University of Florida, Gainesville, FL (United States)
  3. Department of Human Oncology, University of Wisconsin, Madison, WI (United States)

The last decade has seen the introduction of advanced technologies that have enabled much more precise application of therapeutic radiation. These relatively new technologies include multileaf collimators, 3-dimensional conformal radiotherapy planning, and intensity modulated radiotherapy in radiotherapy. Therapeutic dose distributions have become more conformal to volumes of disease, sometimes utilizing sharp dose gradients to deliver high doses to target volumes while sparing nearby radiosensitive structures. Thus, accurate patient positioning has become even more important, so that the treatment delivered to the patient matches the virtual treatment plan in the computer treatment planning system. Optical and image-guided radiation therapy systems offer the potential to improve the precision of patient treatment by providing a more robust fiducial system than is typically used in conventional radiotherapy. The ability to accurately position internal targets relative to the linac isocenter and to provide real-time patient tracking theoretically enables significant reductions in the amount of normal tissue irradiated. This report reviews the concepts, technology, and clinical applications of optical tracking systems currently in use for stereotactic radiation therapy. Applications of radiotherapy optical tracking technology to respiratory gating and the monitoring of implanted fiducial markers are also discussed.

OSTI ID:
20975208
Journal Information:
Medical Dosimetry, Vol. 32, Issue 2; Other Information: DOI: 10.1016/j.meddos.2007.01.008; PII: S0958-3947(07)00009-X; Copyright (c) 2007 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA); ISSN 0958-3947
Country of Publication:
United States
Language:
English