Recent developments in non-coplanar radiotherapy.
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ICR Authors
Authors
Smyth, G
Evans, PM
Bamber, JC
Bedford, JL
Evans, PM
Bamber, JC
Bedford, JL
Document Type
Journal Article
Date
2019-05-01
Date Accepted
2019-01-21
Abstract
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.
Citation
The British journal of radiology, 2019, 92 (1097), pp. 20180908 - ?
Source Title
Publisher
BRITISH INST RADIOLOGY
ISSN
0007-1285
eISSN
1748-880X
Collections
Research Team
Radiotherapy treatment planning
Ultrasound & Optical Imaging
Ultrasound & Optical Imaging