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IMPROVISED RADIOTHERAPY TECHNIQUES IN TELE COBALT WITHOUT MLC

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Kidwai Memorial Institute of Oncology, Bangalore
Kidwai Memorial Institute of Oncology, Bangalore

TELECOBALT MACHINES , COBALT : RADIOTHERAPY CONCEPT OF STEP AND SHOOT & JAW BASED IMRT IS USED

Health & MedicineTechnology
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IMPROVISED BEAM MODIFICATION TECHNIQUES IN TELECOBALT - A Feasibility Study A comparison between cobalt and linear accelerator-based IMRT treatment plans ,[object Object],[object Object],[object Object],[object Object],BOG 24June2011 Presentation
Investigating team (Co-investigators) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],INTRODUCTION
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Recent advances in -
3DCRT/IMRT/IGRT ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
2 D planning systems ,[object Object]
Most often in our routine clinical practice: - ,[object Object],[object Object],[object Object],[object Object]
RATIONALE FOR THE STUDY ,[object Object],[object Object]
[object Object],[object Object],[object Object],MATERIALS & METHODS
Mould room techniques ,[object Object],[object Object],[object Object],[object Object]
CT simulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Machine
CT TPS ,[object Object],[object Object]
Virtual Simulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
TPS Planning Process ,[object Object],[object Object],[object Object],[object Object]
Conformal Radiation ,[object Object],[object Object],[object Object],Geometrical Field shaping Geometrical Field shaping with Intesity Modulation
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Improvisation of 3D plan
[object Object],[object Object]
BEV : 4 Quadrant
BEV : 9 Quadrant
BEV : 9 Quadrant
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Conventional 3 D Plan : Filed AP & 2 Lateral with shield
Improvised 3D Plan for Telecobalt
IMRT Plan : 95% isodose covering PTV Cobalt Plan: 90% isodose covering TV
IMRT Plan: Good coverage in other sections Cobalt Plan: Slight dipping of isodose lines near the lt eye due to fixed shielding block , can be improved with Cerrobent blocks
DVH : Cobalt plan has comparatively similar DVHG to IMRT with considerable normal issue low doses
Comparison of Mean Dose to PTV and adjacent Normal tissue
RT Technique used: Fields, Sub Fields and Shielded Zones: 8 Field
Field Positions: AP(2), RAO, LAO, Rt Lat (2), Lt Lat(2)
 
Plan Implementation and Treatment Delivery Verification
Setup Time ,[object Object],[object Object],[object Object]
CASE 2 ,[object Object],[object Object]
 
 
 
 
 
 
 
CONCLUSION ,[object Object],[object Object],[object Object],[object Object]
thank you

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