Computer-controlled treatment delivery

https://doi.org/10.1016/S1053-4296(95)80002-6Get rights and content

Computer-controlled treatment machines and the delivery of conformal radiotherapy treatments using computer-controlled and/or automated delivery techniques have become an important new area of clinical and research activity in recent years. The historical experience with simple multileaf collimators and control systems used for dynamic conformal therapy has been expanded with the development of a number of different methods used to deliver modern conformal therapy treatments. Various approaches to these automated and semi-automated treatments are described. Safety considerations are a critical part of the automated delivery process, and are also briefly reviewed. Early experience with these techniques at a number of centers is briefly described.

References (46)

  • TateT et al.

    Conformation therapy: A method of improving the tumour treatment volume ratio

    Clin Radiol

    (1986)
  • ChinLM et al.

    A computer-controlled radiation therapy machine for pelvic and paraaortic nodal areas

    Int J Radiat Oncol Biol Phys

    (1981)
  • ChinLM et al.

    Dose optimization with computer-controlled gantry rotation, collimator motion and dose-rate variation

    Int J Radiat Oncol Biol Phys

    (1983)
  • TakahashiS

    Various types of rotation radiography

    Jpn Med J

    (1949)
  • GreenA

    A technical advance in irradiation technique

    Proc R Soc Med

    (1959)
  • TakahashiS

    Conformation radiotherapy-rotation techniques as applied to radiography and radiotherapy of cancer

    Acta Radiologica

    (1965)
  • BoyerAL et al.

    Clinical dosimetry for implementation of a multileaf collimator

    Med Phys

    (1992)
  • BrahmeA et al.

    Microtrons for electron and photon radiotherapy

    IEEE Trans Nucl Sci NS

    (1981)
  • BrahmeA et al.

    Electron and photon beams from a 50 MeV racetrack microtron

    Acta Radiol Oncol

    (1980)
  • BrahmeA

    Design Principles and clinical possibilities for a new generation of radiation therapy equipment

    Acta Oncol

    (1987)
  • FraassBA et al.

    An electronic chart for computer-controlled conformal therapy

  • KesslerML et al.

    Graphical simulator for design and verification of computer controlled treatment delivery

  • McShanDL et al.

    UM-CCRS/SP: Sequence processor for computer-controlled radiotherapy treatment delivery

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