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Imrt A New Treatment Method For Nasopharyngeal Cancer

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IMRT - A New Treatment Method for Nasopharyngeal Cancer ,[object Object],[object Object],[object Object]
INTRODUCTION
Is conventional radiotherapy good enough for NPC? ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Three Major Issues of the NPC ,[object Object],[object Object],[object Object]
The potential benefit of IMRT for NPC ,[object Object],[object Object],[object Object]
Contents ,[object Object],[object Object],[object Object]
Patients and Methods ,[object Object],[object Object],[object Object],[object Object]
 
The procedures of IMRT for nasopharyngeal cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immobilization
Imaging acquisition and contouring
 
 
Dose calculation with inverse planning ,[object Object]
Dose limits of inverse planning
Inverse planning
IMRT QA and Treatment MLC Controller TPS Leaf Motion Treatment Machine Record and Verify Log File Indep. MU Calc. DMLC Port Film/ DRR Comparison Film/Ion Chamber Verification ?
NPC2: 測量值 NPC2: 運算值
NPC4: 測量值 NPC4: 運算值
Verification the treatment position by simulation
Verification the treatment position by portal imaging (EPID)
Intensity-modulated radiotherapy (IMRT)
RESULTS
 
 
Acute Reaction
Dosimetry
 
[object Object]
[object Object]
Discussion ,[object Object],[object Object],[object Object]
How to define the treatment targets?
How to define the treatment targets? ,[object Object],[object Object],[object Object]
How to define the treatment targets? ,[object Object],[object Object],[object Object]
How to decide the doses to the different targets and different critical organs? ,[object Object],[object Object]
SMART IMRT Schedule ,[object Object],[object Object],[object Object]
SIB IMRT Schedule ,[object Object],[object Object],[object Object]
Is the IMRT really better than conventional or 3-D conformal radiotherapy?
IMRT Two opposed
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
IMRT must be applied very carefully!
[object Object]
 
Thank You!

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