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Treatment Planning

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Stereotactic Body Radiation Therapy

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Abstract

In the time since the introduction of stereotactic body radiotherapy (SBRT), the technique has afforded local control rates for early-stage non-small-cell lung cancer comparable to those achieved after surgery. In addition, SBRT is both effective and well-tolerated by medically inoperable or elderly patients. SBRT allows delivery of high doses to a limited target volume, with a high degree of precision, thus reducing doses delivered to other areas including organs at risk. Recently, the technique has found clinical applications in the treatment of liver and pancreatic cancer. When thoracic and abdominal tumors are treated with SBRT, one of the most important issues is consideration of respiratory motion. Improper treatment planning may cause a tumor to receive an underdose or normal tissue an overdose. In this Chapter, we describe treatment planning for tumors that are moving; we discuss CT imaging and targeting. Additionally, we suggest that consistent forms of documentation should be used to prescribe, report on, and record SBRT treatment.

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Authors and Affiliations

  1. Department of Radiotherapy, Kyoto University Hospital, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan

    Mitsuhiro Nakamura

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Correspondence to Mitsuhiro Nakamura .

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  1. Department of Radiation Oncology, Hiroshima University, Hiroshima, Hiroshima, Japan

    Yasushi Nagata

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Nakamura, M. (2015). Treatment Planning. In: Nagata, Y. (eds) Stereotactic Body Radiation Therapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54883-6_9

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  • DOI: https://doi.org/10.1007/978-4-431-54883-6_9

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