Practical guidance in the use of image-guided radiotherapy systems


Published: 20 November 2016
Abstract Views: 166
PDF: 189
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Authors

  • A. Pastorino Scuola di Specializzazione in Radioterapia, Università degli Studi di Genova, Italy.
  • L. Todisco Struttura Complessa Radioterapia, A.S. O. S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • E. Cazzulo Struttura Complessa Fisica Sanitaria, A.S. O. S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • L. Berretta Struttura Complessa Radioterapia, A.S. O. S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • A. Orecchia Struttura Complessa Radioterapia, A.S. O. S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • G. Pozzi Struttura Complessa Radioterapia – A.S. O. S.S. Antonio e Biagio e Cesare Arrigo - Alessandria, Italy.
  • M.P. Barbero Struttura Complessa Fisica Sanitaria, A.S. O. S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • P. Franzone Struttura Complessa Radioterapia, A.S. O. S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • R. Corvò Università degli Studi di Genova; U.O.C. Oncologia Radioterapica IRCCS San Martino-IST- Genova, Italy.

From mega-voltage portal images acquired on an electronic system (EPID), technological research has developed 3D and recently 4D volumetric verification modalities, allowing a direct visualization of the target, a direct comparison with the planning-TC and an optimization of the treatment (reduction of set-up errors, verification of the need for re-planning), leading to the very modern Image Guided RadioTherapy (IGRT). IGRT allows different technical solutions through direct or indirect visualization of the tumor and the acquisition of pre-treatment verification images, allowing to identify, quantify and correct errors related to set-up and organ-tumor motion, obtaining a greater compliance of the delivered dose, decreasing the risk of "geographic miss" and toxicity to healthy tissues and reducing the margins from CTV to PTV for the implementation of "dose escalation" protocols.


Pastorino, A., Todisco, L., Cazzulo, E., Berretta, L., Orecchia, A., Pozzi, G., Barbero, M., Franzone, P., & Corvò, R. (2016). Practical guidance in the use of image-guided radiotherapy systems. Working Paper of Public Health, 5(1). https://doi.org/10.4081/wpph.2016.9199

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