External beam therapy is the most common form of radiotherapy, delivering ionizing radiation such as high-energy x-rays, gamma rays, or electron beams directly into the location of the patient's tumour. Now in its third edition, this book is an essential, practical guide to external beam radiotherapy planning and delivery, covering the rapid technological advances made in recent years. The initial chapters give a detailed insight into the fundamentals of clinical radiotherapy. This is followed by systematic details for each tumour site commonly treated with radiotherapy, covering indications, treatment, and planning. The final chapter covers the all important aspect of quality assurance in radiotherapy delivery. This third edition has been fully updated and revised to reflect new techniques, including details of intensity modulated radiotherapy (IMRT), image guided radiotherapy (IGRT), stereotactic body radiotherapy (SBRT), and proton therapy. Written by experts in each field, External Beam Therapy is an invaluable companion to professionals and trainees in medical physics, therapeutic radiology, and clinical or radiation oncology. ABOUT THE SERIES Radiotherapy remains the major non-surgical treatment modality for the management of malignant disease. It is based on the application of the principles of applied physics, radiobiology, and tumour biology to clinical practice. Each volume in the series takes the reader through the basic principles of the use of ionizing radiation and then develops this by individual sites. This series of practical handbooks is aimed at physicians both training and practising in radiotherapy, as well as medical physics, dosimetrists, radiographers, and senior nurses.
External beam therapy is used to aim highly focused beams of radiation at the edges of the site where cancer is found. The goal is to destroy any abnormal cells and prevent the growth or regrowth of the tumor. This book provides practical guidance on the use of External Beam Therapy, taking the reader through the basic principles covering indications, treatment, and planning, and then developing this by individual sites.
This Code of Practice, which has also been endorsed by WHO, PAHO and ESTRO, fulfils the need for a systematic and internationally unified approach to the calibration of ionization chambers in terms of absorbed dose to water and to the use of these detectors in determining the absorbed dose to water for the radiation beams used in radiotherapy. It provides a methodology for the determination of absorbed dose to water in the low, medium and high energy photon beams, electron beams, proton beams and heavy ion beams used for external radiation therapy.
The scientific and clinical foundations of Radiation Therapy are cross-disciplinary. This book endeavours to bring together the physics, the radiobiology, the main clinical aspects as well as available clinical evidence behind Radiation Therapy, presenting mutual relationships between these disciplines and their role in the advancements of radiation oncology.
Over the past two decades, intraoperative radiotherapy (IORT) has been used for a variety of malignant tumors and has contributed significantly to improve local tumor control. Based on the 31st San Francisco Cancer Symposium and the 6th International Intraoperative Radiation Therapy Symposium in 1996, this book presents the most recent information available on the use of IORT in cancer treatment. A brief historical overview of the development of IORT is followed by discussions of its biological, physical and technical aspects. The main part of the book is devoted to the clinical applications of IORT and the results of its use in the management of cancers of the brain, head and neck, gastrointestinal tract, breast, bone, lung, urinary tract and gynecological region, and of sarcomas. A further topic considered is the quality of life patients undergoing IORT. The findings presented indicate that IORT provides a major contribution to the control of locally advanced cancer and, in many instances, can improve long-term survival. This book is recommended reading for all clinical practitioners of oncology - surgeons, radiation oncologists and medical oncologists - as well as for radiobiologists, physicists and engineers interested in the technical development of this form of treatment.
This book is a practical guide to the use of modern radiation therapy techniques in women with gynecological cancers. Step-by-step instruction is provided on simulation, contouring, and treatment planning and delivery for cancers of the cervix, endometrium, vagina, and vulva. Beyond external beam radiation delivery, full details are presented on three-dimensional brachytherapy at all sites for which it is applicable. Moreover, in-depth guidance is offered on the various advanced techniques of radiation delivery, including intensity-modulated radiation therapy, image guidance for external beam and brachytherapy, and stereotactic body radiotherapy. Radiation therapy is a critical component of the multidisciplinary management of gynecological tumors. With modern technology, both external beam radiation and brachytherapy can be delivered in a highly conformal way. This requires precise contouring and accurate planning techniques. In clearly describing the indications for and the delivery of quality radiation therapy for gynecological tumors, this book will benefit radiation oncologists, medical physicists, medical dosimetrists, radiation therapists, and radiotherapy residents.
An in-depth introduction to radiotherapy physics emphasizing the clinical aspects of the field. This second edition gradually and sequentially develops each of its topics in clear and concise language. It includes important mathematical analyses, yet is written so that these sections can be skipped, if desired, without compromising understanding. The book consists of seven parts covering basic physics (Parts I-II), equipment for radiotherapy (Part III), radiation dosimetry (Parts IV-V), radiation treatment planning (Part VI), and radiation safety and shielding (Part VII). An invaluable text for radiation oncologists, radiation therapists, and clinical physicists.
Proton beam therapy is an emerging technology with promise of revolutionizing the treatment of cancer. While nearly half of all patients diagnosed with cancer in the US receive radiation therapy, the majority is delivered via electron accelerators, where photons are used to irradiate cancerous tissue. Because of the physical properties of photon beams, photons may deposit energy along their entire path length through the body. On the other hand, a proton beam directed at a tumor travels in a straight trajectory towards its target, gives off most of its energy at a defined depth called the Bragg peak, and then stops. While photons often deposit more energy within the healthy tissues of the body than within the cancer itself, protons can deposit most of their cancer-killing energy within the area of the tumor. As a result, in the properly selected patients, proton beam therapy has the ability to improve cure rates by increasing the dose delivered to the tumor and simultaneously reduce side-effects by decreasing the dose to surrounding tissue. The benefits of proton beam therapy in delivering a lethal hit to the target while sparing surrounding normal tissues from radiation are becoming applicable to an increasing number of patients and a growing list of conditions. In this book, the author will guide the reader through existing evidence supporting proton beam therapy for pediatric cancer, prostate cancer, lung cancer, brain tumors, spinal tumors, and several other conditions. The book will discuss which conditions are suitable for treatment with proton beam therapy, how the treatment is delivered, and the current data supporting its use.
Part of the acclaimed ACS Atlas of Clinical Oncology series, this book offers an expert overview of soft tissue sarcomas. It discusses diagn osis and staging, surgical approaches, radiation therapy, chemotherapy, pediatric sarcomas, and much more. Topics covered include epidemiolo gy, inherited syndromes, biopsy and surgical techniques, external beam irradiation, brachytherapy, intraoperative radiation therapy, neoadju vant therapy, adjuvant therapy, regional perfusion, pain syndromes, an d rehabilitation.
Radiation Oncology provides residents, fellows, and clinicians with a practical, evidence-based guide to the current management of difficult cases in radiation oncology. Emphasis is on the management of those clinical challenges commonly seen in practice that the community practitioner would normally handle without outside referral. The book offers comparisons of treatment approaches to difficult situations, allowing the reader to compare their current treatment approach to that of experts and others in the community. Radiation Oncology is organized in seven sections corresponding to the major treatment areas of radiation oncology. Each section includes three cases to illustrate specific clinical challenges for which there is no clear treatment protocol. The case discussion includes an expert opinion on optimal management along with alternatives from a second academic expert's perspective and from a community practitioner's perspective. Radiation Oncology features: Evidence-based approach to difficult management challenges in radiation oncology Expert authors provide evidence assessment and management summaries through presentation of relevant cases Community practitioner reviewers ensure real-world relevance of each discussion Reviews the most relevant literature pertaining to the challenging scenarios clinicians encounter every day Management alternatives allow discussion of the full range of management options and specifics for difficult problems including hardline recommendations
A comprehensive review of intraoperative radiation therapy, beginning with the rationale for innovative treatment and the radiobiology of single doses. Problems encountered in modifying a linear accelerator and a radiation therapy suite are reviewed in detail along with special problems relating to technology, nursing, anesthesiology, and various s
The only radiation therapy text written by radiation therapists, Principles and Practice of Radiation Therapy, 4th Edition helps you understand cancer management and improve clinical techniques for delivering doses of radiation. A problem-based approach makes it easy to apply principles to treatment planning and delivery. New to this edition are updates on current equipment, procedures, and treatment planning. Written by radiation therapy experts Charles Washington and Dennis Leaver, this comprehensive text will be useful throughout your radiation therapy courses and beyond. Comprehensive coverage of radiation therapy includes a clear introduction and overview plus complete information on physics, simulation, and treatment planning. Spotlights and shaded boxes identify the most important concepts. End-of-chapter questions provide a useful review. Chapter objectives, key terms, outlines, and summaries make it easier to prioritize, understand, and retain key information. Key terms are bolded and defined at first mention in the text, and included in the glossary for easy reference. UPDATED chemotherapy section, expansion of What Causes Cancer, and inclusions of additional cancer biology terms and principles provide the essential information needed for clinical success. UPDATED coverage of post-image manipulation techniques includes new material on Cone beam utilization, MR imaging, image guided therapy, and kV imaging. NEW section on radiation safety and misadministration of treatment beams addresses the most up-to-date practice requirements. Content updates also include new ASRT Practice Standards and AHA Patient Care Partnership Standards, keeping you current with practice requirements. UPDATED full-color insert is expanded to 32 pages, and displays images from newer modalities.
The impetus for this book came from the recent appearance of single specialty books pertaining to reoperative surgery on various organs in the pelvis, as well as from the recognition that several different disciplines are involved with the challenges of reoperative pelvic surgery. Surgeons often encounter challenging dilemmas involving organ systems that have historically been attended to by surgeonsrepresentingcloselyrelatedbut distinctspecialtyareas. Withincreasing sophisticationand knowledge about management of anatomically adjacent organs by the specialties of gynecologic oncology, gynecology, urology, and colon and rectal surgery, as well as the emergence of specialty training programs in urogynecology and pelvic floor disorders, we thought it appropriate and timely to create a textbook acknowledging this increasing knowledge and interspecialty collaboration. To this end,where appropriate, we haveincluded collaborative authors fromeach of the specialties, any ofwhommaybecalledupontoaddressaparticularanatomicarea. Itseemsinevitablethatsituations willariseinwhichthecollaborativeexpertiseofseveralseparatespecialtiesmayconvergetoprovide surgeons the benefit of the combined thought processes that would prove invaluable when such difficult problems are encountered. With this in mind, the editors, from the fields of gynecologic oncology, urology, and colon and rectal surgery, identified experts in theirown fields who could bestcontribute to the management of specific problem areas. For example, since reoperations for endometriosis may involve uterus, adnexae, ovaries, or the colorectum, the chapter concerning this condition has been coauthored by specialists in colorectal surgery and gynecologic oncology. We have been fortunate to find experts who have collaborated to bring available evidence-based medicine, best demonstrated practices, and personal experience to their contributions.