Abstract
From its inception, the practice of radiation oncology has relied on its practitioner’s ability to determine the location of the disease being treated. This may be accomplished through direct physical examination by the physician or through inference based on clinical knowledge of the disease process. In all cases, the best clinical outcomes are obtained when the disease location can be determined sufficiently well to completely encompass the intended target in prescribed ionizing radiation fields, as well as to protect healthy tissue from the same fields. Thus, radiation oncology has always relied on the best image guidance methods available at the time in order to obtain the maximum therapeutic ratios for successful treatment. Image guidance has two major roles to play in the practice of radiation oncology. First, it allows one to detect the location of disease within the patient for delineation of the target region. Second, it allows one to locate the specified target region at the time of treatment so that the patient can be positioned correctly with respect to the treatment field. The ability to detect both diseased and normal tissues has been greatly enhanced through advances in imaging technologies such as computed tomography (CT), magnetic resonance imaging (MRI), ultrasound (US), single-photon emission tomography (SPECT), and positron emission tomography (PET).
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Tenn, S., Agazaryan, N. (2011). Image-Guidance in Shaped Beam Radiosurgery and SBRT. In: De Salles, A., et al. Shaped Beam Radiosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11151-8_3
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