Two-year clinical experience with tomotherapy: the French national cancer institute project on implementing new
Philippe Giraud1, Guy Kantor, Michael Yassa
1Department of Radiation Oncology, Hôpital Européen Georges Pompidou, Paris Descartes University, Sorbonne Cité Paris, France. philippe.giraud@egp.aphp.fr
Abstract:
The pooled 2-year clinical experience using three tomotherapy units installed in France in 2007 is presented. Treatment indications and protocols were devised for each disease site and were the result of a consensus. A total of 642 patients were treated for central nervous system, head and neck, thoracic, abdominal, and pelvic tumors. Overall, grade 3, 4, and 5 acute toxicity was 10.7%, 0.3%, and 0.2%, respectively. Grade 3 chronic toxicity was 1.2%. There was no grade 4 or 5 chronic toxicity. The use of tomotherapy in a broad clinical practice is safe, and acute and chronic toxicity both are acceptable for all anatomical locations.
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