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An example of IGRT would include comparison of a cone beam computed tomography (CBCT) dataset, acquired on the treatment machine, with the computed tomography (CT) dataset from planning. IGRT would also include matching planar kilovoltage (kV) radiographs or megavoltage (MV) images with digital reconstructed radiographs (DRRs) from the planning CT.
Modern tomotherapy and conventional linac systems incorporate one or both of megavoltage X-ray or kilovoltage X-ray imaging systems, enabling image-guided radiation therapy (IGRT). In tomotherapy, images are acquired in a very similar manner to a CT scanner, thanks to their closely related design. [8] [9] [10]
Doctor reviewing a radiation treatment plan. In radiotherapy, radiation treatment planning (RTP) is the process in which a team consisting of radiation oncologists, radiation therapist, medical physicists and medical dosimetrists plan the appropriate external beam radiotherapy or internal brachytherapy treatment technique for a patient with cancer.
Cone beam computed tomography (or CBCT, also referred to as C-arm CT, cone beam volume CT, flat panel CT or Digital Volume Tomography (DVT)) is a medical imaging technique consisting of X-ray computed tomography where the X-rays are divergent, forming a cone.
See proton therapy for a good example of the different effects of intensity-modulated radiation therapy (IMRT) vs. charged particle therapy. This procedure reduces damage to healthy tissue between the charged particle radiation source and the tumor and sets a finite range for tissue damage after the tumor has been reached.
Diagnostic X-rays – 20 to 150 keV (mammography to CT); this is the range of photon energies at which the photoelectric effect, which gives maximal soft-tissue contrast, predominates. Orthovoltage X-rays – 200 to 500 keV; Supervoltage X-rays – 500 to 1000 keV
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Cone-beam spiral computed tomography (CT) is a medical imaging technology that has impacted healthcare since its development in the early 1990s. [1] [2] This technology offers advancements over traditional fan-beam CT, including faster scanning speed, higher image quality, and the ability to generate true three-dimensional volumes, even with contrast-enhancement.