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RADIATION mEDICINE

John S. Ravita, MD
 

The department purchased a Nucletron Simplicity digital simulator. This upgraded the sim capability with digital imaging and networking. It was installed in the existing HDR brachytherapy suite. A digital simulator enables patients to be treated with brachytherapy without physical movement from the time their treatment is radiographed and planned through the actual HDR treatment. This adds not only to patient convenience and safety, but also to treatment accuracy.

To increase precision of IMRT, a SonArray unit is utilized. This unit uses ultrasound to anatomically localize the target organ on a daily basis. This allows for variations in patient setup and normal intrinsic body movement. This further increases precision of IMRT treatments.

Intensity modulated radiotherapy (IMRT) of prostate and breast patients are planned on the new Eclipse system. This software was developed at Memorial Sloan Kettering in New York and has added capabilities both in planning and physics QA when compared to the existing Plato treatment planning system.

Plans for future improvement include investigation of on board kv tube and flat panel imager for image guided radiotherapy or “4-D” radiotherapy.

The department continues to focus not only on the satisfaction and convenience of the patients we treat, but also on the technical advances we can add to patient care.