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Recent advanced in Surface Guided Radiation Therapy.

P Freislederer1, M Kügele2,3, M Öllers4

  • 1Department of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany. philipp.freislederer@med.uni-muenchen.de.

Radiation Oncology (London, England)
|August 2, 2020
PubMed
Summary
This summary is machine-generated.

Surface Guided Radiation Therapy (SGRT) is increasingly used in radiation oncology for precise patient positioning and motion management. Recent advancements expand its applications across various body sites and highlight future research in personalized treatment and patient safety.

Keywords:
Deep-inspiration breath-holdIntra-fractional motion mitigationMotion managementPatient positioningPatient safetySGRTSurface guided radiation therapy

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Area of Science:

  • Radiation Oncology
  • Medical Imaging
  • Radiotherapy Technology

Background:

  • Surface Guided Radiation Therapy (SGRT) is a rapidly growing imaging technique in radiation oncology.
  • While not new, recent advancements have unlocked novel clinical applications and specialized techniques.
  • SGRT's adoption necessitates adaptation of workflows across diverse anatomical treatment sites.

Purpose of the Study:

  • To review the latest developments in SGRT, encompassing general clinical applications and specialized techniques.
  • To discuss the adaptation of SGRT workflows for various body sites and the evolving quality assurance needs.
  • To provide an outlook on emerging research trends and potential future applications of SGRT.

Main Methods:

  • Review of current literature on Surface Guided Radiation Therapy (SGRT) applications and advancements.
  • Analysis of SGRT's role in patient positioning, real-time feedback, and motion management.
  • Examination of SGRT integration in special radiotherapy modalities and quality assurance protocols.

Main Results:

  • SGRT is widely applied for patient positioning, real-time monitoring, and motion management (e.g., gating).
  • Recent developments include SGRT in accelerated partial breast irradiation, particle therapy, and pediatrics.
  • SGRT is now utilized across multiple body sites, from breast to intracranial, requiring site-specific adaptations and stringent quality assurance.

Conclusions:

  • SGRT offers significant advancements in radiotherapy, enhancing precision and safety.
  • Ongoing research focuses on deformable surfaces for motion surrogates, anatomical variation detection, and personalized treatment strategies.
  • SGRT is poised to further improve patient safety by integrating measures for recognizing anatomical variations and treatment accessories.