St. Luke's Regional Cancer Center has three linear accelerators which allow radiation oncologists to
chose the most optimal type of radiation for each patient.
Three dimensional treatment planning allows the radiation oncologist to
avoid critical structures from receiving radiation, while delivering a
high dose of radiation to the cancerous cells. The use of 3D planning is
beneficial for all types of cancer treated with external beam radiation.
The radiation oncologist utilizes CT imaging in the
localization of the treatment site. These detailed images of
cross-sectional anatomy are used to determine a specialized treatment plan
unique to each patient.
Intensity Modulated Radiation Therapy (IMRT) allows physicians to
increase the dose of radiation to certain tumors, while sparing critical
parts of the body that do not need treatment. IMRT helps decrease side effects
by limiting the dose to the normal surrounding tissue. At present, IMRT
has been shown effective in the treatment of some head and neck cancers, prostate
cancer and brain tumors.
After
defining the critical target volume and the normal tissues at risk from
radiation related effects, the Radiation Oncologist specifies the dose to
all tissues in the area.
The optimal radiation dose distribution is
then calculated by a computer-based treatment planning process. This
process precisely conforms the dose distribution to the tumor shape and
size while limiting the dose to the critical normal tissues near the
tumor. The computer calculates the best arrangement of radiation
intensities, as opposed to the conventional practice of utilizing uniform
radiation intensity throughout the tumor area. This allows the Radiation
Oncologist to deliver radiation that conforms to the tumor shape with an
extremely high degree of accuracy.
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