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Image-guided Radiotherapy to Manage Respiratory Motion: Lung and Liver.

J Dhont1, S V Harden2, L Y S Chee2

  • 1Department of Electronics and Informatics (ETRO),Vrije Universiteit Brussel (VUB), Brussels, Belgium; Imec, Leuven, Belgium.

Clinical Oncology (Royal College of Radiologists (Great Britain))
|October 10, 2020
PubMed
Summary
This summary is machine-generated.

Respiratory and cardiac motion significantly challenge radiotherapy accuracy. Image-guided techniques and respiratory-correlated delivery improve tumor targeting, especially for lung and liver cancers.

Keywords:
Image-guided radiotherapyliver oligometastaseslung cancermotion managementrespiratory motion

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Area of Science:

  • Radiation oncology
  • Medical imaging
  • Biophysics

Background:

  • Organ motion from respiration and cardiac activity complicates thoracic and upper abdominal radiotherapy.
  • Accurate radiation delivery requires precise tumor and organ-at-risk localization, which is hindered by organ motion.

Purpose of the Study:

  • To review image-guided strategies for managing respiratory motion in radiotherapy.
  • To focus on the application of these techniques in lung and liver radiotherapy.

Main Methods:

  • Review of modern imaging techniques for motion quantification during radiotherapy simulation and delivery.
  • Discussion of respiratory-correlated radiotherapy delivery approaches.
  • Synthesis of current image-guided respiratory motion management strategies.

Main Results:

  • Advanced imaging allows better quantification of organ motion, reducing positional uncertainty.
  • Integration of imaging advances with respiratory-correlated techniques enables effective motion management.
  • Key strategies for image-guided respiratory motion management have been developed.

Conclusions:

  • Image-guided respiratory motion management is crucial for accurate radiotherapy in the thorax and upper abdomen.
  • These techniques, particularly for lung and liver tumors, mitigate challenges posed by organ motion.
  • Continued development in imaging and delivery enhances precision in radiotherapy for moving targets.