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Book cover for IMRT, IGRT, SBRT - Advances in the Treatment Planning and Delivery of Radiotherapy
Frontiers of Radiation Therapy and Oncology
IMRT, IGRT, SBRT - Advances in the Treatment Planning and Delivery of RadiotherapyFree
Edited by
J.L. Meyer
J.L. Meyer
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B.D. Kavanagh
B.D. Kavanagh
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J.A. Purdy
J.A. Purdy
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R. Timmerman
R. Timmerman
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S.Karger AG
Volume
40
DOI:
https://doi.org/10.1159/isbn.978-3-318-01415-0
Status:
Available
ISBN electronic:
978-3-318-01415-0
ISBN-10:
3-8055-8199-8
ISBN print:
978-3-8055-8199-8
Subject Area: Further Areas , Oncology
Publication date:
2007
Book Details

New high-precision technologies for the planning and delivery of radiotherapy are major advances in cancer treatment. This volume is a comprehensive guidebook to these new technologies and the many clinical treatment programs that bring them into practical use. Advances in intensity modulated radiation therapy (IMRT), 4D and adaptive treatment planning are clearly explained, and the new target localization and image-guided radiotherapy (IGRT) systems are comprehensively reviewed. Clinical tutorials fully illustrate the target definitions for the major cancer sites, and techniques for organ motion management are shown. In addition, chapters explore the technical basis for stereotactic body radiotherapy (SBRT) and the latest clinical experience with it for most organ sites. In this volume, foremost authorities explain the important new techniques and technologies of radiation oncology, and give essential treatment guidelines for its clinical and technical practitioners. (A Karger "Publishing Highlights 1890–2015" title)

Chapter Contents
Book Chapter

II. IMRT / IGRT Clinical Treatment Programs: Partial Breast Irradiation: Patient Selection, Guidelines for Treatment, and Current Results Free

By
Peter Y. Chen
Peter Y. Chen
Department of Radiation Oncology, William Beaumont Hospital, Royal Oak, Mich. , USA
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;
Frank A. Vicini
Frank A. Vicini
Department of Radiation Oncology, William Beaumont Hospital, Royal Oak, Mich. , USA
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Doi:
https://doi.org/10.1159/000106040
Publication history
July 13, 2007
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
2007

Abstract

Studies evaluating selected patients treated with partial breast irradiation (PBI) in accelerated fractionation schemes have demonstrated the equivalence of PBI with traditional whole-breast irradiation. The major advantage of PBI is the time compression of treatment down to less than 1 week compared with 6.5 weeks for whole-breast external beam treatments. Four techniques are available to deliver PBI. These include interstitial brachytherapy multicatheter systems, the Mammosite Radiation Therapy System applicator, external beam three-dimensional conformal radiation therapy and intraoperative radiation therapy. For the two brachytherapy techniques of multicatheter implantation and the Mammosite, accurate placement is achieved with image guidance via intraoperative ultrasonography, mammography, and/or CT scanning. Technologies such as image-guided cone beam CT assure accurate delivery of PBI with external beam three-dimensional conformal radiation therapy. Results of PBI show excellent control rates with mild toxicities; cosmetic outcomes are good to excellent in the vast majority of patients.

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