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Page 1: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

IMRT

Page 2: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation
Page 3: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

3DCRT vs IMRT3DCRT vs IMRT

TreatedVolume

Tumor Tumor

TargetVolume

Intensity Modulation

TreatedVolume

Criticalstructure

Target Volume

Collimator

"Classical" Conformation IMRT

Criticalstructure

Great for treating donuts and bananas

Page 4: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

PTV

RO

IMRT

Page 5: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

IMRT VS PROTONS

Ethmoid

Upper Abdomen

Brain

Page 6: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

Expanding the Horizon

Phase 1Phase 1 Physical ConformalityPhysical Conformality

Phase 2 Phase 2 Biological Conformality Biological Conformality

Phase 3Phase 3 Multi-Dimensional Multi-Dimensional Conformal Conformal

Radiotherapy Radiotherapy

1990

2000

2005-….

Page 7: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

PET CT

PET/CT

Page 8: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

IMAGE FUSION FOR IMRT

CT GTV (red contour)PET GTV (yellow contour)

PET/CT GTV(red contour)

Page 9: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation
Page 10: IMRT. 3DCRT vs IMRT Treated Volume Tumor Target Volume Intensity Modulation Treated Volume Critical structure Target Volume Collimator "Classical" Conformation

HYPOXIA: [18F]FAZA (Nitroimodazole) PET/CT

60 y male Hypopharyngeal SCC

T/B ratio 3.2

PET/CTFusion

4 h after inj.

sagcoraxial

Piert et al., TUM

CT


1701 ahnyc imrt lung

Konturierung für IMRT - UKE · Konturierung für IMRT Frank Lohr Department of Radiotherapy and Radiooncology, University Medical Center, Mannheim ... GTV –gross tumor volume CTV

IMRT Quality Assurance · 1 IMRT QA II Chester Ramsey, Ph.D. Stephen Mahan, Ph.D. Thompson Cancer Center Knoxville, Tennessee, U.S.A IMRT Quality Assurance n Why do we need IMRT QA?

Proton Therapy Vs Imrt

Dose Constraints In Imrt

Division Medical Physics (E0400) - dkfz.de · with IMRT based on our planning system KonRad. Thereby the patients could be treated with higher doses in the tumor target volume and/or

Prostate Imrt

Compensators: An alternative IMRT delivery techniquedotdecimal.com/wp-content/uploads/2015/10/Photon-IMRT-Chang-et-al... · 17 Chang et al.: Compensators: IMRT delivery... JOURNAL

Optimization of IMRT plans

IMRT evidencias clinicas

IMRT Business School, Lucknow

IMRT IN CANCER CERVIX

IMRT for Prostate Cancer · 2005-07-22 · Prostate Breast H&N Other Treatment Site Approximately 130-150 patients per day on 6 linacs ~ 55-60% are treated via IMRT >1900 IMRT patients

Simulación IMRT SRS SBRT

IMRT safety Checklist

IMRT implementation

Solid IMRT. Implementación del IMRT con Moduladores Sólidos

IMRT & IGRT

COBALT IMRT KMIO

Optimizacion en IMRT

Imrt Symposia Global Overview

FINAL IMRT layout2011b - MD Anderson Cancer …rpc.mdanderson.org/rpc/home/ASTRO IMRT safety.pdfThe IMRT white paper was reviewed by 8 experts from the fi eld of IMRT. In December

IMRT con Filtros Moduladores

Imrt delivery

Respiratory Gating with IMRT

Quality Assurance of IMRT delivery systems – Varian · Quality Assurance of IMRT delivery systems – Thomas LoSasso, PhD 1 Quality Assurance of IMRT delivery systems – Varian

Contouring guidelines Cervix IMRT

Tools for IMRT QA

IMRT in Head Neck Cancer - Assiut University lectures/IMRT in Head Neck Cancer.pdf · INTENSITY MODULATED RADIOTHERAPY IMRT is a higher form of 3DCRT. Two forms: Forward planned IMRT

Presentación IMRT

IMRT and 3DCRT

Three-dimensional IMRT verification with a flat-panel EPIDlcr.uerj.br/Manual_ABFM/Three dimensional IMRT verification with a... · Three-dimensional IMRT verification with a flat-panel

IMRT Delivery System QA IMRT Dose DeliveryIMRT Dose Delivery • Acceptance testing • Commissioning • Quality assurance • Verification Q A Static IMRT Leaf affects borders only

IMRT ICroSun_3

IMRT FOR CRANIOSPINAL IRRADIATION: CHALLENGES AND · PDF fileIMRT FOR CRANIOSPINAL IRRADIATION: CHALLENGES AND ... of dose distribution homogeneity in the target volume. ... IMRT FOR