Image-guided radiotherapy.

Fiche publication


Date publication

décembre 2021

Journal

Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique

Auteurs

Membres identifiés du Cancéropôle Est :
Dr BESSIERES Igor


Tous les auteurs :
de Crevoisier R, Lafond C, Mervoyer A, Hulot C, Jaksic N, Bessières I, Delpon G

Résumé

We present the updated recommendations of the French society for oncological radiotherapy on image-guided radiotherapy (IGRT). The objective of the IGRT is to take into account the anatomical variations of the target volume occurring between or during the irradiation fractions, such as displacements and/or deformations, so that the delivered dose corresponds to the planned dose. This article presents the different IGRT devices, their use and quality control, and quantify the possible additional dose generated by each of them. The practical implementation of IGRT in various tumour locations is summarised, from the different "RecoRad™" guideline articles. Adaptive radiotherapy is then detailed, due to its complexity and its probable development in the next years. The place of radiation technologist in the practice of IGRT is then specified. Finally, a brief update is proposed on the delicate question of the additional dose linked to the in-room imaging, which must be estimated and documented at a minimum, as long as it is difficult to integrate it into the calculation of the dose distribution.

Mots clés

Adaptive radiotherapy, Additional dose, Dose additionnelle, French society for radiation oncology, Guidelines, Image-guided radiotherapy, Radiation therapy, Radiothérapie, Radiothérapie adaptive, Radiothérapie guidée par l’image, Recommandations, Société française de radiothérapie oncologique

Référence

Cancer Radiother. 2021 12 22;26(1-2):34-49