Relevant bibliographies by topics / Adaptive radiotherapy implementation

Academic literature on the topic 'Adaptive radiotherapy implementation'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Adaptive radiotherapy implementation"

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Moeller, D., U. V. Elstrøm, M. S. Assenholt, and L. Hoffmann. "SP-0214: Clinical implementation of adaptive radiotherapy." Radiotherapy and Oncology 127 (April 2018): S116. http://dx.doi.org/10.1016/s0167-8140(18)30524-3.

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Hamming-Vrieze, O. "SP-038: Clinical implementation of adaptive radiotherapy: challenges ahead." Radiotherapy and Oncology 122 (March 2017): 21. http://dx.doi.org/10.1016/s0167-8140(17)30306-7.

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Brock, K. K., A. N. Ohrt, S. Gryshkevych, M. M. McCulloch, G. Cazoulat, A. S. Mohamed, R. He, et al. "Clinical Implementation of Daily Dose Accumulation and Adaptive Radiotherapy." International Journal of Radiation Oncology*Biology*Physics 108, no. 3 (November 2020): e371-e372. http://dx.doi.org/10.1016/j.ijrobp.2020.07.2381.

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Avgousti, R., C. Antypas, C. Armpilia, F. Simopoulou, P. Karaiskos, V. Kouloulias, and A. Zygogianni. "ADAPTIVE RADIOTHERAPY: SUGGESTED ANATOMIC AND DOSIMETRIC THRESHOLDS BEFORE IMPLEMENTATION." Physica Medica 104 (December 2022): S30. http://dx.doi.org/10.1016/s1120-1797(22)03098-8.

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Yen, Allen, Chenyang Shen, and Kevin Albuquerque. "The New Kid on the Block: Online Adaptive Radiotherapy in the Treatment of Gynecologic Cancers." Current Oncology 30, no. 1 (January 8, 2023): 865–74. http://dx.doi.org/10.3390/curroncol30010066.

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Online adaptive radiation is a new and exciting modality of treatment for gynecologic cancers. Traditional radiation treatments deliver the same radiation plan to cancers with large margins. Improvements in imaging, technology, and artificial intelligence have made it possible to account for changes between treatments and improve the delivery of radiation. These advances can potentially lead to significant benefits in tumor coverage and normal tissue sparing. Gynecologic cancers can uniquely benefit from this technology due to the significant changes in bladder, bowel, and rectum between treatments as well as the changes in tumors commonly seen between treatments. Preliminary studies have shown that online adaptive radiation can maintain coverage of the tumor while sparing nearby organs. Given these potential benefits, numerous clinical trials are ongoing to investigate the clinical benefits of online adaptive radiotherapy. Despite the benefits, implementation of online adaptive radiotherapy requires significant clinical resources. Additionally, the timing and workflow for online adaptive radiotherapy is being optimized. In this review, we discuss the history and evolution of radiation techniques, the logistics and implementation of online adaptive radiation, and the potential benefits of online adaptive radiotherapy for gynecologic cancers.
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LEE, Victor Shing-Cheung, Giuseppe SchettIno, and Andrew Nisbet. "UK adaptive radiotherapy practices for head and neck cancer patients." BJR|Open 2, no. 1 (November 2020): 20200051. http://dx.doi.org/10.1259/bjro.20200051.

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Objective: To provide evidence on the extent and manner in which adaptive practices have been employed in the UK and identify the main barriers for the clinical implementation of adaptive radiotherapy (ART) in head and neck (HN) cancer cases. Methods: In December 2019, a Supplementary Material 1, of 23 questions, was sent to all UK radiotherapy centres (67). This covered general information to current ART practices and perceived barriers to implementation. Results: 31 centres responded (46%). 56% responding centres employed ART for between 10 and 20 patients/annum. 96% of respondents were using CBCT either alone or with other modalities for assessing “weight loss” and “shell gap,” which were the main reasons for ART. Adaptation usually occurs at week three or four during the radiotherapy treatment. 25 responding centres used an online image-guided radiotherapy (IGRT) approach and 20 used an offline ad hoc ART approach, either with or without protocol level. Nearly 70% of respondents required 2 to 3 days to create an adaptive plan and 95% used 3–5 mm adaptive planning target volume margins. All centres performed pre-treatment QA. “Limited staff resources” and “lack of clinical relevance” were identified as the two main barriers for ART implementation. Conclusion: There is no consensus in adaptive practice for HN cancer patients across the UK. For those centres not employing ART, similar clinical implementation barriers were identified. Advances in knowledge: An insight into contemporary UK practices of ART for HN cancer patients indicating national guidance for ART implementation for HN cancer patients may be required
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Noel, Camille E., Lakshmi Santanam, Parag J. Parikh, and Sasa Mutic. "Process-based quality management for clinical implementation of adaptive radiotherapy." Medical Physics 41, no. 8Part1 (July 30, 2014): 081717. http://dx.doi.org/10.1118/1.4890589.

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Khoo, V. "195 speaker VOLUMETRIC IMAGING: ADAPTIVE RADIOTHERAPY STRATEGIES FOR CLINICAL IMPLEMENTATION." Radiotherapy and Oncology 99 (May 2011): S77. http://dx.doi.org/10.1016/s0167-8140(11)70317-6.

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Cai, Bin, Olga L. Green, Rojano Kashani, Vivian L. Rodriguez, Sasa Mutic, and Deshan Yang. "A practical implementation of physics quality assurance for photon adaptive radiotherapy." Zeitschrift für Medizinische Physik 28, no. 3 (August 2018): 211–23. http://dx.doi.org/10.1016/j.zemedi.2018.02.002.

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Hoffmann, L., M. Knap, A. A. Khalil, M. H. Andersen, A. B. Rasmussen, M. K. Joergensen, and D. S. Moeller. "OC-0575: Large scale implementation of adaptive radiotherapy for lung cancer patients." Radiotherapy and Oncology 111 (2014): S225. http://dx.doi.org/10.1016/s0167-8140(15)30681-2.

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Dissertations / Theses on the topic "Adaptive radiotherapy implementation"

1

Jadon, Rashmi. "Adaptive image-guided radiotherapy strategies for implementation of IMRT in gynaecological malignancies." Thesis, Cardiff University, 2016. http://orca.cf.ac.uk/98750/.

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Intensity-modulated radiotherapy (IMRT) for gynaecological malignancies aims to reduce toxicity and improve tumour control. However, there are several barriers to its uptake in clinical practice. Amongst these are that of pelvic organ motion, whereby due to motion of the target organs on treatment there is a risk of geographical miss with IMRT. Secondly, although new IMRT techniques may improve bowel toxicity there is limited knowledge about dose-volume constraints for bowel, making it difficult to assess whether new techniques are likely to translate into clinical improvements. The purpose of this thesis is to address these problems. Methods Dose-volume constraints for late bowel toxicity are investigated initially through systematic review, followed by a dose-volume study based on toxicity data from pelvic radiotherapy patients. Pelvic organ motion is assessed in a systematic review examining organ motion patterns and potential strategies to account for this. Population-based and adaptive margin strategies are investigated in modelling studies for both definitive cervical cancer patients and post-hysterectomy patients. Results Initial systematic review of the literature, followed by the analysis of the toxicity and dosevolume data of 203 pelvic radiotherapy patients highlighted anal canal, bowel loops, bowel bag, sigmoid and large bowel as important organs at risk (OARs) for bowel toxicity. Dosevolume constraints were derived for these organs. Pelvic organ motion was found to be a significant problem for gynaecological IMRT. Adaptive margin strategies, such as plan-of-the-day, were demonstrated to achieve both CTV coverage whilst reducing dose to the OARs compared to standard margins and population-based margins. Conclusions Dose-volume constraints derived for late bowel toxicity, if validated with independent data, may be used to reduce bowel toxicity in future patients, and as a benchmark to assess the efficacy of new IMRT techniques. Adaptive strategies for gynaecological cancers appear a promising solution for organ motion management.
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