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Imrt A New Treatment Method For Nasopharyngeal Cancer

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fondas vakalis
fondas vakalis
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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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Vakalis breast radiotherapy
Vakalis breast radiotherapyVakalis breast radiotherapy
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Vakalis - RT for prostate cancer
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Vakalis - RT for prostate cancer
 
Her2 positive metastatic breast ca
Her2 positive metastatic breast caHer2 positive metastatic breast ca
Her2 positive metastatic breast ca
 
nonsquamous NSCLC
nonsquamous NSCLCnonsquamous NSCLC
nonsquamous NSCLC
 
Advanced breast cancer
Advanced breast cancerAdvanced breast cancer
Advanced breast cancer
 
Second line therapy for nsclc
Second line therapy for nsclcSecond line therapy for nsclc
Second line therapy for nsclc
 
Vegf in colorectal ca
Vegf in colorectal caVegf in colorectal ca
Vegf in colorectal ca
 
HER2 negative metastatic breast ca
HER2 negative metastatic breast caHER2 negative metastatic breast ca
HER2 negative metastatic breast ca
 
817731 slides
817731 slides817731 slides
817731 slides
 
Radiobiology behind dose fractionation
Radiobiology behind dose fractionationRadiobiology behind dose fractionation
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2012-michael joiner-hypofractionation
2012-michael joiner-hypofractionation2012-michael joiner-hypofractionation
2012-michael joiner-hypofractionation
 
RECTAL CA - VAKALIS . X
RECTAL CA - VAKALIS . XRECTAL CA - VAKALIS . X
RECTAL CA - VAKALIS . X
 
Vakalis - gastric ca radiotherapy
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Vakalis - gastric ca radiotherapy
 
Vakalis.X H&N CANCER
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Vakalis.X H&N CANCER
 
Vakalis pancreas
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Vakalis pancreas
 
Vakalis prostate
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Dernier

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Imrt A New Treatment Method For Nasopharyngeal Cancer