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9783540698852

Treating Tumors That Move With Respiration

by ; ; ;
  • ISBN13:

    9783540698852

  • ISBN10:

    354069885X

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2007-08-03
  • Publisher: Springer Verlag
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Summary

This volume in the Robotic Radiosurgery series is devoted to the theory and practice in the emerging field of stereotactic radiosurgery for extracranial tumors, particularly those that move as patients breathe. Special attention is given to the frameless robotic radiosurgery device known as the CyberKnife. Moving tumors are treated with the CyberKnife using a revolutionary new tool, called the Synchrony® Respiratory Tracking System, which can track moving tumors in real time. Detailed information is provided on the technology and methodology for delivery of high doses of radiation to moving targets, radiobiological and radiological principles, and the challenges faced by clinicians performing extracranial stereotactic radiosurgery. Furthermore, there are thorough reviews of the general clinical literature on stereotactic radiation treatment of tumors of the lungs, liver, and pancreas, and the latest clinical data from clinicians conducting clinical studies using the CyberKnife® Robotic Radiosurgery System.

Table of Contents

Respiratory Motion and Tumor Tracking Techniquesp. 1
Tumor Motion Ranges Due to Respiration and Respiratory Motion Characteristicsp. 3
Respiratory Motion Tracking for Robotic Radiosurgeryp. 15
Patient Alignment and Target Tracking in Radiosurgery of Soft-Tissue Tumors Using Combined Fiducial and Skeletal Structures Tracking Techniquesp. 31
Thoraco-Abdominal Dosimetry, Radiobiology, and Imagingp. 37
The Radiobiological Rationale for Hypofractionation of Lung and Liver Tumorsp. 39
18FDG-PET/CT for Treatment Planning and Follow-Upp. 55
Treatment Planning of Abdominal Lesionsp. 63
Use of a Target Complexity Index in Radiosurgical Plan Evaluationp. 75
Dose Escalation with the Frameless Respiratory Tumor Tracking System of the CyberKnife for Early Stage Non-Small-Cell Lung Cancerp. 81
Thoraco-Abdominal Fiducial Placement Strategiesp. 89
Percutaneous Placement of Fiducial Markers for Thoracic Malignanciesp. 91
Use of a Blood Patch Technique to Prevent Pneumothorax During Insertion of Lung Fiducialsp. 101
Thoracic Fiducial Placement via Flexible Bronchoscopyp. 105
Endoscopic Ultrasound-Guided Fiducial Placement for CyberKnife Radiosurgeryp. 111
Lung Tumor Treatment - Techniques and Experiencep. 115
Stereotactic Body Radiation Therapy in the Treatment of Early Stage Non-Small Cell Lung Cancerp. 117
Dosimetric Considerations for Stereotactic Body Radiotherapy Delivery in the Lungp. 125
Selection of Treatment for Patients with Early Stage Non-Small Cell Lung Cancer in a Multidisciplinary Thoracic Oncology Programp. 133
CyberKnife Frameless Image-Guided High-Dose Fractionated Stereotactic Radiosurgery with the Synchrony Motion Tracking Module in the Treatment of Single Small Peripheral Lung Tumorsp. 145
Initial Experience Treating Lung Tumors with the CyberKnifep. 155
Stereotactic Radiosurgery for Early Stage Non-Small Cell Lung Cancer: Rationale, Patient Selection, Results and Complicationsp. 165
Toxicity and Efficacy of Treating Mediastinal and Hilar Lesionsp. 177
Liver and Pancreas Treatment - Techniques and Experimentp. 193
A Review of Stereotactic Body Radiotherapy for Liver and Pancreasp. 195
Multidisciplinary Overview of Local-Regional Therapies for Liver Malignanciesp. 205
Stereotactic Radiosurgery for Liver Malignancies Using the CyberKnifep. 217
CyberKnife Radiosurgery for Pancreatic Cancerp. 227
Stereotactic Radiosurgery for Unresectable Adenocarcinoma of the Pancreas: Initial Experience at Sinai Hospital of Baltimorep. 241
Emerging Thoraco-Abdominal Radiosurgery Conceptsp. 247
4D Treatment Optimization and Planning for Radiosurgery with Respiratory Motion Trackingp. 249
Xsight Lung Tracking System: A Fiducial-Less Method for Respiratory Motion Trackingp. 265
CyberKnife Radiosurgery: Quality of Life and Cost Considerationsp. 283
Abbreviationsp. 295
Subject Indexp. 297
List of Contributorsp. 309
Table of Contents provided by Publisher. All Rights Reserved.

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