RADIATION THERAPY

The physician's prescription defines the area(s) to be treated, the amount of radiation dose, the duration of the course of therapy and the type of treatment or technique that will be used. This prescription, combined with the films created during the simulation, enable the Dosimetrist and Physicist to develop an individualized treatment plan.

An image of the tumor is created by using one or more of the following scanning techniques: traditional X-ray, CT scans, MRI or PET scans. Then the treatment plan is designed of multiple treatment areas (or fields) to deliver an optimal radiation dose to the tumor, while minimizing the amount of radiation delivered to delicate surrounding tissues.

The treatment plan may also involve block designs to protect tissue, field weighting to determine the amount of radiation to be delivered in each field or area and the field's various angles of entry and energy (or type of radiation used). Each individual treatment plan is thoroughly reviewed by a physicist and a physician. Once the plan has been approved, a treatment chart is prepared.

The treatment chart consists of two types: Electronic and Paper. The paper chart is used on a daily basis by the radiation therapists to record the amount and duration of the patient's radiation dose. The electronic chart verifies the proper machine setting and dosage delivery, electronically. This is created through a link between the treatment planning computer and the linear accelerator (treatment machine).

understanding radiation therapy
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