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Medic-All Image-Guided Radiotherapy Center, FEMH 〉 Image-Guided Radiotherapy

Image-Guided Radiotherapy

Image-Guided Radiotherapy

√ Total Marrow Irradiation (TMI)
√ Helical Irradiation of Total Skin (HITS)
√ Stereotactic Ablative Radiotherapy (SABR)
√ Stereotactic Radiosurgery (SRS)

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Overview
Modern intensity modulated radiotherapy (IMRT) could reduce the irradiated dose to normal organs. IMRT combined with image-guided system provides a high-quality treatment by image registration. This adaptive radiotherapy plan during treatment could deliver the best conformal dose based on daily image tracking. The high-precision image-guided radiotherapy (IGRT) provides more accurate radiation to the target. Hence, it could increase the chance of better tumor control and decrease the risk of treatment complications. Currently, Far Eastern Memorial Hospital (FEMH) owns three innovative IGRT devices. We have confidence to offer the state-of-the-art radiotherapy for our cancer patients.
 
Features
Patients with oral cavity cancer who received daily image-guided radiotherapy (IGRT) had higher 5-year overall survival than those who received intensity modulated radiotherapy (IMRT) (87 % versus 48 %, p = 0.015). The local progression-free survival rate was also higher in patients who received IGRT (85 % versus 58 %, p = 0.006). More patients in the IGRT group completed the package of overall treatment time in ≤ 13 weeks and completed their course of radiation therapy in ≤ 8 weeks than patients in the IMRT group (89 % versus 68 %, p = 0.002; 84 % versus 58 %, p = 0.001), respectively. The rate of local failure in the primary tumor area was 24.0 % in the IMRT group and 6.8 % in the IGRT group. Among patients with primary local failure, the marginal failure rate was 52.6 % in the IMRT group and 0 % in the IGRT group.
Service Procedure
IGRT procedure
  1. CT simulation: Immobilization/Imaging
    • Treatment position fixation
    • Laser marker
    • Planning CT image acquisition
    • Image transfer to treatment planning
  2. Radiotherapy Treatment Planning: Delineation/Planning
    • Target delineation
    • Normal Organ contouring
    • Treatment planning
  3. Treatment Delivery: Image registration/Treatment
    • Patient positioning
    • CT image acquisition
    • Image registration
    • Planning CT vs. Daily CT
    • Treatment delivery
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