Intraoperative radiotherapy using a mobile electron LINAC: a retroperitoneal sarcoma case

Area of Science:

• Oncology
• Medical Physics
• Surgical Oncology

Background:

• Intraoperative radiation therapy (IORT) offers targeted radiation delivery during surgery.
• Mobile linear accelerators (LINACs) aim to increase IORT accessibility and ease of use.
• Despite availability since 1999, widespread adoption of mobile IORT systems remains limited.

Purpose of the Study:

• To present a case study of a patient with retroperitoneal sarcoma undergoing IORT using a mobile LINAC.
• To illustrate the practical application, ease of use, and operating room adaptability of mobile LINAC systems.
• To discuss the multidisciplinary team's role and the overall feasibility of mobile LINACs in IORT.

Main Methods:

• Case presentation of a patient with retroperitoneal sarcoma receiving IORT.
• Demonstration of mobile LINAC setup and operation within an operating room environment.
• Review of multidisciplinary team coordination and workflow during the procedure.

Main Results:

• The mobile LINAC system proved easy to set up and operate in the OR.
• The system demonstrated adaptability to the surgical environment for IORT delivery.
• Successful integration of the mobile LINAC into the patient's treatment plan was achieved.

Conclusions:

• Mobile LINACs represent a feasible and adaptable technology for enhancing IORT delivery.
• The case highlights the potential for increased accessibility and simplified application of IORT.
• Effective multidisciplinary collaboration is crucial for successful mobile IORT implementation.