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Radiation Safety Guide for Diagnostic Imaging X
Radiation Safety Guide for Diagnostic Imaging X

... The effects of radiation, like those of most chemical substances, can be seen clearly only at doses much higher than are allowed by Federal and State regulations. Biological effects of radiation may be classified as prompt or delayed. Prompt effects can appear in a matter of minutes to as long as a ...
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Main Office - University of Manitoba

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WHITE PAPER FINAL on August 13, 2010 Title: Proposed
WHITE PAPER FINAL on August 13, 2010 Title: Proposed

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Image-guided radiation therapy

Image-guided radiation therapy (IGRT) is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan. The patient is localized in the treatment room in the same position as planned from the reference imaging dataset. An example of IGRT would include localization of a cone beam computed tomography (CBCT) dataset with the planning 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. These two methods comprise the bulk of IGRT strategies currently employed circa 2013.This process is distinct from the use of imaging to delineate targets and organs in the planning process of radiation therapy. However, there is clearly a connection between the imaging processes as IGRT relies directly on the imaging modalities from planning as the reference coordinates for localizing the patient. The variety of medical imaging technologies used in planning includes x-ray computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) among others. The precision of IGRT is significantly improved when N-localizer technology is used in conjunction with these medical imaging technologies. Through advancements in imaging technology, combined with a further understanding of human biology at the molecular level, the impact of IGRT on radiotherapy treatment continues to evolve.
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