Practical Clinical Workflows for Online and Offline Adaptive Radiation Therapy

Adaptive radiotherapy emerged over 20 years ago and is now an established clinical practice in a number of organ sites. No one solution for adaptive therapy exists. Rather, adaptive radiotherapy is a process which combines multiple tools for imaging, assessment of need for adaptation, treatment plan...

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Bibliographic Details
Published inSeminars in radiation oncology Vol. 29; no. 3; pp. 219 - 227
Main Authors Green, Olga L., Henke, Lauren E., Hugo, Geoffrey D.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2019
Subjects
Humans
Image Processing, Computer-Assisted - methods
Neoplasms - radiotherapy
Patient Positioning
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted - methods
Radiotherapy, Image-Guided - methods
Workflow
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Summary:Adaptive radiotherapy emerged over 20 years ago and is now an established clinical practice in a number of organ sites. No one solution for adaptive therapy exists. Rather, adaptive radiotherapy is a process which combines multiple tools for imaging, assessment of need for adaptation, treatment planning, and quality assurance of this process. Workflow is therefore a critical aspect to ensure safe, effective, and efficient implementation of adaptive radiotherapy. In this work, we discuss the tools for online and offline adaptive radiotherapy and introduce workflow concepts for these types of adaptive radiotherapy. Common themes and differences between the workflows are introduced and controversies and areas of active research are discussed.
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ISSN:1053-4296
1532-9461
1532-9461
DOI:10.1016/j.semradonc.2019.02.004