Recent developments in non-coplanar radiotherapy.

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Date
2019-05Author
Smyth, G
Evans, PM
Bamber, JC
Bedford, JL
Type
Journal Article
Metadata
Show full item recordAbstract
This paper gives an overview of recent developments in non-coplanar intensity modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT). Modern linear accelerators are capable of automating motion around multiple axes, allowing efficient delivery of highly non-coplanar radiotherapy techniques. Novel techniques developed for C-arm and non-standard linac geometries, methods of optimization, and clinical applications are reviewed. The additional degrees of freedom are shown to increase the therapeutic ratio, either through dose escalation to the target or dose reduction to functionally important organs at risk, by multiple research groups. Although significant work is still needed to translate these new non-coplanar radiotherapy techniques into the clinic, clinical implementation should be prioritized. Recent developments in non-coplanar radiotherapy demonstrate that it continues to have a place in modern cancer treatment.
Collections
Subject
Humans
Neoplasms
Radiosurgery
Radiotherapy, Conformal
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted
Particle Accelerators
Radiotherapy, Intensity-Modulated
Organs at Risk
Research team
Radiotherapy treatment planning
Ultrasound & Optical Imaging
Language
eng
Date accepted
2019-01-21
License start date
2019-05
Citation
The British journal of radiology, 2019, 92 (1097), pp. 20180908 - ?
Except where otherwise noted, this item's license is described
as
https://creativecommons.org/licenses/by/4.0
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