By Edward C. Halperin MD, Luther W. Brady MD, Carlos A. Perez MD, David E. Wazer MD
Principles and perform of Radiation Oncology is designed to supply a greater realizing of the traditional background of melanoma, the actual equipment of radiation program, the results of irradiation on common tissues, and the main really appropriate ways that radiation treatment will be hired within the remedy of melanoma sufferers. This encyclopedic textual content locations better emphasis at the use of radiation oncology in palliative and supportive care, as well as therapy.
Included within the new version: chapters on molecular biology and body structure, know-how review and value gain, mixed chemotherapy and irradiation in head and neck melanoma, breast: level Tis, pancreas, leukemias (adult and childhood), retinoblastoma, strange tumors in youth, and endovascular brachytherapy. This version additionally gains improved assurance of recent three-D ideas and IMRT and a better emphasis on pediatric concerns.
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Additional resources for Principles and Practice of Radiation Oncology
Example text
I have been for a long time interested in the problems of the cathode rays from a vacuum tube as studied by Hertz and Lenard. I had followed theirs and other researches with great interest, and determined as soon as I had time to make some researches of my own. This time I found at the close of last October. ” “I was working with a Crookes’ tube covered with a shield of black cardboard. A piece of barium platinocyanide paper lay on the bench there. ” “The effect was one which could only be produced, in ordinary parlance, by the passage of light.
First, the radiation oncologist must consider volume (Fig. 2). What is the appropriate volume of tissue that needs to be irradiated for the purpose of achieving the desired curative or palliative goal in the context of the justification? Does one need to treat strictly the visualized or palpable tumor mass? Is it also appropriate to treat the mass and surrounding lymphatic drainage? Does one have to worry about the routes of spread of microscopic disease? All of these are crucial questions in formulating a plan for a course of radiation therapy.
If blocks are used rather than a multi–leaf collimator, there may be errors in constructing the blocks related to user error or because the cutting wire becomes too hot or is moved too fast around a corner when the Styrofoam mold is cut. Patient-Related Uncertainties • Target delineation. No matter how sophisticated the computerized treatment planning system, it will be to no avail if the physician is uncertain about where the tumor is located. The inherent problems related to positron emission tomography, MRI, CT, and our ability to make correlations between anatomic and functional imaging and the location of tumor may result in difficulty determining the extent of tumor as well as in transferring anatomic information from imaging studies to the 3D treatment planning system.
