Document Detail


First quinquennial review of intensity-modulated radiotherapy at St Bartholomew's Hospital, London.
MedLine Citation:
PMID:  20674299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intensity-modulated radiotherapy (IMRT) is a relatively new technique of delivering external beam radiotherapy that is becoming increasingly available in the UK. This paper summarises the introduction and initial clinical work in IMRT over the period 2004-2009. Physics aspects of commissioning are described, including the development of a robust method of quality control using a sweeping gap test. Details of the organisational changes necessary to introduce IMRT are given. The clinical selection and practice in head and neck sites are described, together with promising early results on the maintenance of salivary flow after IMRT. A summary of research into optimal planning for pelvic cancer follows. The controversial areas of breast and paediatric IMRT are discussed with recommendations on practice. The potential for concomitant boost therapy is exemplified in the treatment of brain metastatic disease.
Authors:
D Smith; N MacDougall; J Monk; A Sibtain; M E Powell; P N Plowman
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Publication Detail:
Type:  Journal Article     Date:  2010-07-31
Journal Detail:
Title:  Clinical oncology (Royal College of Radiologists (Great Britain))     Volume:  22     ISSN:  1433-2981     ISO Abbreviation:  Clin Oncol (R Coll Radiol)     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002902     Medline TA:  Clin Oncol (R Coll Radiol)     Country:  England    
Other Details:
Languages:  eng     Pagination:  666-74     Citation Subset:  IM    
Copyright Information:
Copyright 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Radiotherapy, St Bartholomew's Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Breast Neoplasms / radiotherapy
Cerebellar Neoplasms / radiotherapy
Female
Head and Neck Neoplasms / radiotherapy
Hospitals
Humans
London
Male
Medulloblastoma / radiotherapy
Middle Aged
Pelvic Neoplasms / radiotherapy
Practice Guidelines as Topic*
Quality Control
Radiotherapy, Intensity-Modulated* / methods,  standards
Rhabdomyosarcoma / radiotherapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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