What are the limitations to the accuracy of our current technologies in radiation oncology? The immobilization of the patient, definition of the target, motion of the target and localization of the target are the major concerns that must be addressed. Current approaches to meet these needs have brought new technical systems with greater precision and new clinical procedures with higher expectations of practice. This text offers discussions on these issues, including advances in intensitymodulated radiotherapy planning, clinical target definition for the major tumor sites, management of organ motion, target localization and image guidance systems, and the expanding applications of high-precision treatment with stereotactic body radiotherapy. The technologies of radiotherapy planning and delivery have undergone rapid change. While these changes have been welcomed and carefully nurtured for the benefit of the cancer patient, each change has carried with it a spectrum of new concerns about its appropriate application and efficient integration into radiotherapy practice. These technologies, and the clinical treatment programs that bring them into practical use, are the focus of this volume.These technical achievements are closely interrelated: one development gives opportunity for another, but often necessitates the creation of a third, and then redefines the use of several others. Understanding this evolving world of new technologies and their applications requires broad perspectives from different vantage points. This volume first takes the viewpoint of computerized treatment planning and delivery with intensity-modulated radiotherapy (IMRT), an elaboration of
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