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Radiation treatment planning. In radiotherapy, radiation treatment planning (RTP) is the process in which a team consisting of radiation oncologists, radiation therapist, medical physicists and medical dosimetrists plan the appropriate external beam radiotherapy or internal brachytherapy treatment technique for a patient with cancer.
The radiation used in CT scans can damage body cells, including DNA molecules, which can lead to radiation-induced cancer. [147] The radiation doses received from CT scans is variable. Compared to the lowest dose X-ray techniques, CT scans can have 100 to 1,000 times higher dose than conventional X-rays. [148]
Cone-beam spiral computed tomography (CT) is a medical imaging technology that has impacted healthcare since its development in the early 1990s. [1] [2] This technology offers advancements over traditional fan-beam CT, including faster scanning speed, higher image quality, and the ability to generate true three-dimensional volumes, even with contrast-enhancement.
Most radiation therapy is planned using the results of a 3D CT scan. A 3D scan largely presents a snapshot of the body at a particular point in time, however due to the time of the acquisition, in which the patient is likely to have moved in some way (even if only breathing), there will be an element of blurring or averaging in the 3D scan. [6]
Cone beam computed tomography. Not to be confused with Electron beam computed tomography. Cone beam computed tomography (or CBCT, also referred to as C-arm CT, cone beam volume CT, flat panel CT or Digital Volume Tomography (DVT)) is a medical imaging technique consisting of X-ray computed tomography where the X-rays are divergent, forming a cone.
X-ray computed tomography operates by using an X-ray generator that rotates around the object; X-ray detectors are positioned on the opposite side of the circle from the X-ray source. A sinogram (left) and an image sample (right). [1] Picture of a CT scout (scanogram or topogram) as used for planning every scan slice.
In modern radiation therapy, 3D dose distributions are typically created in a computerized treatment planning system (TPS) based on a 3D reconstruction of a CT scan. The "volume" referred to in DVH analysis is a target of radiation treatment, a healthy organ nearby a target, or an arbitrary structure.
It added that tattoos, currently marked on patients’ skin during a CT planning scan as a guide to deliver radiation to the correct part of the body, would no longer be required for most patients.