The aim of this study was to design a cage-like radiotherapy system(CRTS)to further promote the clinical application of noncoplanar radiotherapy.The CRTS comprises two stands,two O-rings,several arc girders,an X-ray h...The aim of this study was to design a cage-like radiotherapy system(CRTS)to further promote the clinical application of noncoplanar radiotherapy.The CRTS comprises two stands,two O-rings,several arc girders,an X-ray head,an imaging subsystem,and a treatment couch.The X-ray head rotates with O-rings around the patient’s body and slides along the arc girder.Compared with the C-arm linear accelerator(C-Linac),the clinically available spatial irradiation angle ranges(SIARs)of the CRTS for the head,chest,and abdomen were 33%,63.6%,and 62.6%larger,respectively.Moreover,according to a preliminary planning comparison based on the dose distribution simulation method,the CRTS achieved much better protection of normal tissue than the C-Linac.Furthermore,the CRTS enabled accurate noncoplanar irradiation without movement of the body being irradiated,allowed automatic control of the movements of different parts without risk of collisions,and provided continuous radiation over an angle that considerably exceeded a full turn.These advantages make CRTS very promising for noncoplanar radiotherapy.展开更多
This work aims to summarize and evaluate the current planning progress based on the linear accelerator in stereotactic radiotherapy(SRT).The specific techniques include 3-dimensional conformal radiotherapy,dynamic con...This work aims to summarize and evaluate the current planning progress based on the linear accelerator in stereotactic radiotherapy(SRT).The specific techniques include 3-dimensional conformal radiotherapy,dynamic conformal arc therapy,intensity-modulated radiotherapy,and volumetric-modulated arc therapy(VMAT).They are all designed to deliver higher doses to the target volume while reducing damage to normal tissues;among them,VMAT shows better prospects for application.This paper reviews and summarizes several issues on the planning of SRT to provide a reference for clinical application.展开更多
基金the National Natural Science Foundation of China(No.11475261)partially supported by the National Key Project of Research and Development of China(No.2016YFC0904600).
文摘The aim of this study was to design a cage-like radiotherapy system(CRTS)to further promote the clinical application of noncoplanar radiotherapy.The CRTS comprises two stands,two O-rings,several arc girders,an X-ray head,an imaging subsystem,and a treatment couch.The X-ray head rotates with O-rings around the patient’s body and slides along the arc girder.Compared with the C-arm linear accelerator(C-Linac),the clinically available spatial irradiation angle ranges(SIARs)of the CRTS for the head,chest,and abdomen were 33%,63.6%,and 62.6%larger,respectively.Moreover,according to a preliminary planning comparison based on the dose distribution simulation method,the CRTS achieved much better protection of normal tissue than the C-Linac.Furthermore,the CRTS enabled accurate noncoplanar irradiation without movement of the body being irradiated,allowed automatic control of the movements of different parts without risk of collisions,and provided continuous radiation over an angle that considerably exceeded a full turn.These advantages make CRTS very promising for noncoplanar radiotherapy.
文摘This work aims to summarize and evaluate the current planning progress based on the linear accelerator in stereotactic radiotherapy(SRT).The specific techniques include 3-dimensional conformal radiotherapy,dynamic conformal arc therapy,intensity-modulated radiotherapy,and volumetric-modulated arc therapy(VMAT).They are all designed to deliver higher doses to the target volume while reducing damage to normal tissues;among them,VMAT shows better prospects for application.This paper reviews and summarizes several issues on the planning of SRT to provide a reference for clinical application.
