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Physics Perspectives on the Role of 3D Imaging

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Abstract

To improve complication-free disease control, various sophisticated high-tech external beam therapy approaches have been proposed that allow delivering adequate doses to both tumor and areas of lymphatic drainage, while at the same improving sparing of the primary organs at risk rectum, bladder and bowel structures. These techniques are based on improved immobilization, the use of intensity modulation for both high energy photons and protons, and the use of image guidance for patient set-up verification. It is well known that the topography of the female pelvis shows substantial changes during time due to organ movement and tumor shrinkage, thus image guidance is mandatory when applying steep dose gradients to increasing conformity of external beam therapy plans. Although advanced external beam therapy techniques have challenged brachytherapy as a boost modality, image guidance with optimization has contributed to sustain brachytherapy as the golden standard as a boost technique. This chapter addresses the physics perspectives of intensity modulation, image guidance and the combination with advanced brachytherapy for the treatment of locally advanced cervix cancer.

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Author information

Authors and Affiliations

  1. Department of Radiotherapy, Vienna General Hospital, Medical University of Vienna, Währinger Gürtel 18–20, 1090, Vienna, Austria

    Dietmar Georg & Christian Kirisits

Authors
  1. Dietmar Georg
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  2. Christian Kirisits
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Correspondence to Dietmar Georg .

Editor information

Editors and Affiliations

  1. Dana-Farber Cancer Institute, Dept. Radiation Oncology, Harvard Medical School, Binney St. 44, Boston, 02115, Massachusetts, USA

    Akila N. Viswanathan

  2. , Division Medical Radiation Physics, AKH Wien-MUW, Währinger Gürtel 18-20, Wien, 1090, Austria

    Christian Kirisits

  3. Dept. Radiation Oncology, Medical College of Wisconsin, Watertown Plank Road 8701, Milwaukee, 53226, Wisconsin, USA

    Beth E. Erickson

  4. Klinik Strahlentherapie und, Strahlenbiologie, Universitätsklinikum Wien, Währinger Gürtel 18-20, Wien, 1090, Austria

    Richard Pötter

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Georg, D., Kirisits, C. (2011). Physics Perspectives on the Role of 3D Imaging. In: Viswanathan, A., Kirisits, C., Erickson, B., Pötter, R. (eds) Gynecologic Radiation Therapy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68958-4_6

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  • DOI: https://doi.org/10.1007/978-3-540-68958-4_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-68954-6

  • Online ISBN: 978-3-540-68958-4

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