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Image Guided Radiation Therapy: Benefits and Risks, Certainties
Image Guided Radiation Therapy: Benefits and Risks, Certainties

...  “Image-guided radiotherapy (IGRT) makes use of many different imaging techniques, using modalities ranging from portal imaging to fluoroscopy to megavoltage cone-beam CT and following regimens as simple as a single setup image or as complex as intrafraction tumor tracking.”1 AAPM TG-75 (2007) ...
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... that the risks are averaged for male and female patients. Age averaged means that the patient’s age at the time of radiation exposure is not included as a covariate in the risk estimates. It is well established, however, that age at exposure, which affects cell proliferation rates in most organs, is ...
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... has been positively correlated with the radiation dose in the late stage. The parotid glands recover well without residual damage after low-dose irradiation (2.5 Gy). A radiation dose of 7.5 Gy [5] and 20 Gy [6] leads to slight loss and marked reduction (50% in number) of acinar cells, respectively. ...
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... use Lead apron (0.25 mm lead equivalent) and wear TLD below the apron. Always use collimator (diaphragm) to limit the field size to the area of interest in order to minimize the radiation exposure to other organs. While operating mobile X-ray equipment, operate from a minimum distance of 2m from the ...
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Image quality vs radiation dose of four cone beam computed

... correlation coefficient between the accuracy achieved on the mandible and the bone equivalent plastic was 0.37 and the correlation coefficient between the accuracy achieved on the mandible and the aluminium cylinder was 0.03. This means that based on the analysis of the physical phantom, no conclusi ...
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What the owner/ employer/ Radiation Safety Officer need to know

... Interventional radiology is a medical sub-specialty of radiology which utilizes minimallyinvasive image-guided procedures to diagnose and treat diseases in nearly every organ system. Using X-rays, CT, ultrasound, MRI, and other imaging modalities, interventional radiologists obtain images which are ...
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Radiation therapy



Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is therapy using ionizing radiation, generally as part of cancer treatment to control or kill malignant cells. Radiation therapy may be curative in a number of types of cancer if they are localized to one area of the body. It may also be used as part of adjuvant therapy, to prevent tumor recurrence after surgery to remove a primary malignant tumor (for example, early stages of breast cancer). Radiation therapy is synergistic with chemotherapy, and has been used before, during, and after chemotherapy in susceptible cancers. The subspecialty of oncology that focuses on radiotherapy is called radiation oncology.Radiation therapy is commonly applied to the cancerous tumor because of its ability to control cell growth. Ionizing radiation works by damaging the DNA of cancerous tissue leading to cellular death. To spare normal tissues (such as skin or organs which radiation must pass through to treat the tumor), shaped radiation beams are aimed from several angles of exposure to intersect at the tumor, providing a much larger absorbed dose there than in the surrounding, healthy tissue. Besides the tumour itself, the radiation fields may also include the draining lymph nodes if they are clinically or radiologically involved with tumor, or if there is thought to be a risk of subclinical malignant spread. It is necessary to include a margin of normal tissue around the tumor to allow for uncertainties in daily set-up and internal tumor motion. These uncertainties can be caused by internal movement (for example, respiration and bladder filling) and movement of external skin marks relative to the tumor position.Radiation oncology is the medical specialty concerned with prescribing radiation, and is distinct from radiology, the use of radiation in medical imaging and diagnosis. Radiation may be prescribed by a radiation oncologist with intent to cure (""curative"") or for adjuvant therapy. It may also be used as palliative treatment (where cure is not possible and the aim is for local disease control or symptomatic relief) or as therapeutic treatment (where the therapy has survival benefit and it can be curative). It is also common to combine radiation therapy with surgery, chemotherapy, hormone therapy, immunotherapy or some mixture of the four. Most common cancer types can be treated with radiation therapy in some way.The precise treatment intent (curative, adjuvant, neoadjuvant, therapeutic, or palliative) will depend on the tumor type, location, and stage, as well as the general health of the patient. Total body irradiation (TBI) is a radiation therapy technique used to prepare the body to receive a bone marrow transplant. Brachytherapy, in which a radiation source is placed inside or next to the area requiring treatment, is another form of radiation therapy that minimizes exposure to healthy tissue during procedures to treat cancers of the breast, prostate and other organs.Radiation therapy has several applications in non-malignant conditions, such as the treatment of trigeminal neuralgia, acoustic neuromas, severe thyroid eye disease, pterygium, pigmented villonodular synovitis, and prevention of keloid scar growth, vascular restenosis, and heterotopic ossification. The use of radiation therapy in non-malignant conditions is limited partly by worries about the risk of radiation-induced cancers.
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