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Is SBRT Ready for Widespread Use in Cancer Treatment
1.
Stereotactic Body Radiation
Therapy: Is It Ready For Primetime? Joseph Herman MD, MSc Department of Radiation Oncology
2.
3.
4.
5.
Treatment Planning
Liver Planning Target Volume Target Volumes
6.
Target Volumes Gross
Tumor Volume Planning Target Volume
7.
Pre-radiation 6 months
post-radiation Radiographic Response
8.
Survival as a
Function of Dose Dawson et. al., J Clin. Onc . 18:2210, 2000 ; Ben-Josef et al 2006 Time (years)
9.
IMRT Plan to
Deliver High Dose to Potential Resection Margin Vineberg and Ten Haken, 2004
10.
11.
12.
Image Alignment:
AP Radiographs Reference Image Treatment Image Hepatic microcoil
13.
Body Frame
14.
15.
Breath Hold at
Normal Exhale Pressure Volume Flow Valve closed, Breath held Valve open
16.
17.
Synchrony ™ camera
Treatment couch Linear accelerator Manipulator Image detectors X-ray sources Targeting System Robotic Delivery System Cyberknife
18.
19.
20.
SRS Axial View
GTV 60% 50% Koong et al. Stanford; IJROBP 2004
21.
SRS Coronal View
GTV 60% 50% Koong et al. Stanford; IJROBP 2004
22.
23.
24.
25.
Small Animal Irradiation
26.
27.
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