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This book, written by leading international experts, describes alternate fractionation strategies in which technology-driven precise targeting and dosing allow for improved conformance and decreased volumes, with concordant lessening of toxicity, reduction in treatment time, and lower overall health care expense. The aim is to provide the advanced clinician with an up-to-date evidence-based reference that will assist in the delivery of enhanced patient care in daily practice. Traditional multi-week fractionation schedules were established at a time when the inclusion of relatively large amounts of normal tissue was unavoidable owing to the lack of accurate target localization during treatment. Such schedules are time and resource consuming, difficult for patients, and expensive. Nevertheless, acceptance of alternate fractionation strategies has been slow in some countries. The paradigm is, however, changing as evidence accumulates to demonstrate improved local control, equivalence of tolerance, or both. In documenting these alternate strategies, this book will be of value for radiation oncologists, medical physicists, and oncologists worldwide.
This volume is the first truly international text to take the practitioner from the history, the physical basis, and the rationale of brachytherapy through to the techniques, the results, and the management of complications. It is also the first truly comprehensive and complete textbook of brachytherapy. The chapters on the physics of brachytherapy and the technical planning of internal and surface radiotherapy are designed to enhance the practitioner’s knowledge base and capabilities in this demanding specialty field. Disease site-specific chapters cover a wide range of applications, including ocular tumors, soft tissue sarcomas, cancers of the head and neck, skin, breast, lung, esophagus, and prostate, and gynecologic and anorectal malignancies. Each chapter incorporates the American and European guidelines and the text has been written from both perspectives by many of the most noted global experts in the field. A concluding chapter is devoted to brachytherapy quality assurance.
The thoroughly updated fifth edition of this landmark work has been extensively revised to better represent the rapidly changing field of radiation oncology and to provide an understanding of the many aspects of radiation oncology. This edition places greater emphasis on use of radiation treatment in palliative and supportive care as well as therapy.
Designed for rapid, on-the-spot consultation, this handy manual presents the most essential information that is immediately required in the daily clinical practice of radiation oncology. The first 12 chapters succinctly review concepts that are crucial in treatment planning and patient management. The remaining 52 chapters describe treatment regimens for all cancer sites and tumor types.This revised, updated Second Edition reflects the past three years' many improvements in radiation treatment of malignancies. A new chapter covers intensity modulated radiation therapy (IMRT). The book contains more than 300 practical illustrations, including full-color in the chapters on IMRT and 3-D physics and treatment planning.
Ideal for on-the-spot consultation, this pocket manual, Radiation Oncology: Management Decisions, provides easily accessible information for residents and practitioners in radiation oncology. It presents the most essential information that is immediately required in the clinical setting. The first eight chapters of the book focus on key basic concepts; the remaining 46 chapters describe treatment regimens for all cancer sites and tumor types. Includes coverage of pain and palliation, and covers all latest therapeutic techniques. This edition includes expanded information on image-guided therapy, 3D techniques, and 4D protocols. The updated cancer staging guidelines have been used throughout the manual. In addition, there is a brand-new chapter devoted to QUANTEC dosage recommendations.