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Quality and Safety in Radiotherapy

Quality and Safety in Radiotherapy Author Todd Pawlicki
ISBN-10 1439804370
Release 2010-12-20
Pages 643
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The first text to focus solely on quality and safety in radiotherapy, this work encompasses not only traditional, more technically oriented, quality assurance activities, but also general approaches of quality and safety. It includes contributions from experts both inside and outside the field to present a global view. The task of assuring quality is no longer viewed solely as a technical, equipment-dependent endeavor. Instead, it is now recognized as depending on both the processes and the people delivering the service. Divided into seven broad categories, the text covers: Quality Management and Improvement includes discussions about lean thinking, process control, and access to services. Patient Safety and Managing Error looks at reactive and prospective error management techniques. Methods to Assure and Improve Quality deals broadly with techniques to monitor, assure, and improve quality. People and Quality focuses on human factors, changing roles, staffing, and training. Quality Assurance in Radiotherapy addresses the general issues of quality assurance with descriptions of the key systems used to plan and treat patients and includes specific recommendations on the types and frequencies of certain tests. Quality Control: Equipment and Quality Control: Patient-Specific provides explicit details of quality control relating to equipment and patient-specific issues. Recently, a transformation of quality and safety in radiotherapy has begun to take place. Among the key drivers of this transformation have been new industrial and systems engineering approaches that have come to the forefront in recent years following revelations of system failures. This book provides an approach to quality that is long needed, one that deals with both human and technical aspects that must be the part of any overall quality improvement program.



Adaptive Radiation Therapy

Adaptive Radiation Therapy Author X. Allen Li
ISBN-10 1439816352
Release 2011-01-27
Pages 426
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Modern medical imaging and radiation therapy technologies are so complex and computer driven that it is difficult for physicians and technologists to know exactly what is happening at the point-of-care. Medical physicists responsible for filling this gap in knowledge must stay abreast of the latest advances at the intersection of medical imaging and radiation therapy. This book provides medical physicists and radiation oncologists current and relevant information on Adaptive Radiation Therapy (ART), a state-of-the-art approach that uses a feedback process to account for patient-specific anatomic and/or biological changes, thus delivering highly individualized radiation therapy for cancer patients. The book should also benefit medical dosimetrists and radiation therapists. Adaptive Radiation Therapy describes technological and methodological advances in the field of ART, as well as initial clinical experiences using ART for selected anatomic sites. Divided into three sections (radiobiological basis, current technologies, and clinical applications), the book covers: Morphological and biological biomarkers for patient-specific planning Design and optimization of treatment plans Delivery of IMRT and IGRT intervention methodologies of ART Management of intrafraction variations, particularly with respiratory motion Quality assurance needed to ensure the safe delivery of ART ART applications in several common cancer types / anatomic sites The technology and methodology for ART have advanced significantly in the last few years and accumulated clinical data have demonstrated the need for ART in clinical settings, assisted by the wide application of intensity modulated radiation therapy (IMRT) and image-guided radiation therapy (IGRT). This book shows the real potential for supplying every patient with individualized radiation therapy that is maximally accurate and precise.



Informatics in Radiation Oncology

Informatics in Radiation Oncology Author George Starkschall
ISBN-10 9781439825839
Release 2013-09-05
Pages 329
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Reflecting the increased importance of the collaborations between radiation oncology and informatics professionals, Informatics in Radiation Oncology discusses the benefits of applying informatics principles to the processes within radiotherapy. It explores how treatment and imaging information is represented, stored, and retrieved as well as how this information relates to other patient data. The book deepens your knowledge of current and emerging information technology and informatics principles applied to radiation oncology so that all the data gathered—from laboratory results to medical images—can be fully exploited to make treatments more effective and processes more efficient. After introducing the basics of informatics and its connection to radiation oncology, the book examines the process of healthcare delivery in radiation oncology, the challenges of managing images in radiotherapy, and the burgeoning field of radiogenomics. It then presents teaching, clinical trials, and research tools and describes open access clinical imaging archives in radiotherapy, techniques for maximizing information from multimodality imaging, and the roles of images in treatment planning. It also looks at how informatics can improve treatment planning, the safety and efficiency of delivery systems, image-guided patient positioning, and patient assessment. The book concludes with discussions on how outcomes modeling evaluates the effectiveness of treatments, how quality control informatics improves the reliability of processes, and how to perform quality assurance on the informatics tools. With contributions from a host of top international experts in radiation oncology, medical physics, and informatics, this book leads the way in moving the field forward. It encourages you to find new ways of applying informatics to radiation oncology and help your patients in their fight against cancer.



Principles and Practice of Image Guided Radiation Therapy of Lung Cancer

Principles and Practice of Image Guided Radiation Therapy of Lung Cancer Author Jing Cai
ISBN-10 1498736734
Release 2017
Pages 416
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This book gives a comprehensive overview on the use of image-guided radiation therapy (IGRT) in the treatment of lung cancer, covering step-by-step guidelines for clinical implementations, fundamental principles and key technical advances. It covers benefits and limitations of techniques as well as quality and safety issues related to IGRT practice. Addresses imaging simulation, treatment planning, verification, and delivery Discusses important quality assurance issues Describes current methods using specialized machines and technologies Jing Cai, PhD, is an Associate Professor of Radiation Oncology at Duke University Medical Center. Joe Y. Chang, MD, PhD, is Professor in the Department of Radiation Oncology at The University of Texas MD Anderson Cancer Center in Houston. Fang-Fang Yin, PhD, is Chief of the Division of Radiation Physics, Professor of Radiation Oncology, and Director of the Medical Physics program at Duke University.



Image Processing in Radiation Therapy

Image Processing in Radiation Therapy Author Kristy K. Brock
ISBN-10 9781439830185
Release 2016-04-19
Pages 286
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Images from CT, MRI, PET, and other medical instrumentation have become central to the radiotherapy process in the past two decades, thus requiring medical physicists, clinicians, dosimetrists, radiation therapists, and trainees to integrate and segment these images efficiently and accurately in a clinical environment. Image Processing in Radiation Therapy presents an up-to-date, detailed treatment of techniques and algorithms for the registration, segmentation, reconstruction, and evaluation of imaging data. It describes how these tools are used in radiation planning, treatment delivery, and outcomes assessment. The book spans deformable registration, segmentation, and image reconstruction and shows how to incorporate these practices in radiation therapy. The first section explores image processing in adaptive radiotherapy, online monitoring and tracking, dose accumulation, and accuracy assessment. The second section describes the mathematical approach to deformable registration. The book presents similarity metrics used for registration techniques, discussing their effectiveness and applicability in radiation therapy. It also evaluates parametric and nonparametric image registration techniques and their applications in radiation therapy processes. The third section assesses the efficiency, robustness, and breadth of application of image segmentation approaches, including atlas-based, level set, and registration-based techniques. The fourth section focuses on advanced imaging techniques for radiotherapy, such as 3D image reconstruction and image registration using a graphics processor unit. With contributions from an international group of renowned authors, this book provides a comprehensive description of image segmentation and registration, in-room imaging, and advanced reconstruction techniques. Through many practical examples, it illustrates the clinical rationale and implementation of the techniques.



Hendee s Radiation Therapy Physics

Hendee s Radiation Therapy Physics Author Todd Pawlicki
ISBN-10 9781118575260
Release 2016-01-19
Pages 344
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The publication of this fourth edition, more than ten years on from the publication of Radiation Therapy Physics third edition, provides a comprehensive and valuable update to the educational offerings in this field. Led by a new team of highly esteemed authors, building on Dr Hendee’s tradition, Hendee’s Radiation Therapy Physics offers a succinctly written, fully modernised update. Radiation physics has undergone many changes in the past ten years: intensity-modulated radiation therapy (IMRT) has become a routine method of radiation treatment delivery, digital imaging has replaced film-screen imaging for localization and verification, image-guided radiation therapy (IGRT) is frequently used, in many centers proton therapy has become a viable mode of radiation therapy, new approaches have been introduced to radiation therapy quality assurance and safety that focus more on process analysis rather than specific performance testing, and the explosion in patient-and machine-related data has necessitated an increased awareness of the role of informatics in radiation therapy. As such, this edition reflects the huge advances made over the last ten years. This book: Provides state of the art content throughout Contains four brand new chapters; image-guided therapy, proton radiation therapy, radiation therapy informatics, and quality and safety improvement Fully revised and expanded imaging chapter discusses the increased role of digital imaging and computed tomography (CT) simulation The chapter on quality and safety contains content in support of new residency training requirements Includes problem and answer sets for self-test This edition is essential reading for radiation oncologists in training, students of medical physics, medical dosimetry, and anyone interested in radiation therapy physics, quality, and safety.



Cardiovascular and Neurovascular Imaging

Cardiovascular and Neurovascular Imaging Author Carlo Cavedon
ISBN-10 9781439890578
Release 2015-08-22
Pages 470
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Cardiovascular and Neurovascular Imaging: Physics and Technology explains the underlying physical and technical principles behind a range of cardiovascular and neurovascular imaging modalities, including radiography, nuclear medicine, ultrasound, and magnetic resonance imaging (MRI). Examining this interdisciplinary branch of medical imaging from academic, clinical, and industrial perspectives, this comprehensive book: Covers each major imaging modality as well as special applications, time-resolved techniques, and image-guided therapies Discusses image quality and accuracy, radiation safety and dosimetry, and image formation and analysis Explores current and future trends in vascular imaging procedures and technologies Featuring chapters authored by field experts, Cardiovascular and Neurovascular Imaging: Physics and Technology combines the latest information on the physics and technology of cardiovascular and neurovascular imaging under one cover, providing students, professionals, and researchers with a single, state-of-the-art reference.



Comprehensive Brachytherapy

Comprehensive Brachytherapy Author Jack Venselaar
ISBN-10 9781439844991
Release 2012-11-08
Pages 535
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Modern brachytherapy is one of the most important oncological treatment modalities requiring an integrated approach that utilizes new technologies, advanced clinical imaging facilities, and a thorough understanding of the radiobiological effects on different tissues, the principles of physics, dosimetry techniques and protocols, and clinical expertise. A complete overview of the field, Comprehensive Brachytherapy: Physical and Clinical Aspects is a landmark publication, presenting a detailed account of the underlying physics, design, and implementation of the techniques, along with practical guidance for practitioners. Bridging the gap between research and application, this single source brings together the technological basis, radiation dosimetry, quality assurance, and fundamentals of brachytherapy. In addition, it presents discussion of the most recent clinical practice in brachytherapy including prostate, gynecology, breast, and other clinical treatment sites. Along with exploring new clinical protocols, it discusses major advances in imaging, robotics, dosimetry, Monte Carlo-based dose calculation, and optimization.



Clinical 3D Dosimetry in Modern Radiation Therapy

Clinical 3D Dosimetry in Modern Radiation Therapy Author Ben Mijnheer
ISBN-10 9781351645119
Release 2017-10-31
Pages 674
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This book provides a first comprehensive summary of the basic principles, instrumentation, methods, and clinical applications of three-dimensional dosimetry in modern radiation therapy treatment. The presentation reflects the major growth in the field as a result of the widespread use of more sophisticated radiotherapy approaches such as intensity-modulated radiation therapy and proton therapy, which require new 3D dosimetric techniques to determine very accurately the dose distribution. It is intended as an essential guide for those involved in the design and implementation of new treatment technology and its application in advanced radiation therapy, and will enable these readers to select the most suitable equipment and methods for their application. Chapters include numerical data, examples, and case studies.



Proton and Carbon Ion Therapy

Proton and Carbon Ion Therapy Author C-M Charlie Ma
ISBN-10 9781439816073
Release 2012-10-09
Pages 250
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Proton and Carbon Ion Therapy is an up-to-date guide to using proton and carbon ion therapy in modern cancer treatment. The book covers the physics and radiobiology basics of proton and ion beams, dosimetry methods and radiation measurements, and treatment delivery systems. It gives practical guidance on patient setup, target localization, and treatment planning for clinical proton and carbon ion therapy. The text also offers detailed reports on the treatment of pediatric cancers, lymphomas, and various other cancers. After an overview, the book focuses on the fundamental aspects of proton and carbon ion therapy equipment, including accelerators, gantries, and delivery systems. It then discusses dosimetry, biology, imaging, and treatment planning basics and provides clinical guidelines on the use of proton and carbon ion therapy for the treatment of specific cancers. Suitable for anyone involved with medical physics and radiation therapy, this book offers a balanced and critical assessment of state-of-the-art technologies, major challenges, and the future outlook of proton and carbon ion therapy. It presents a thorough introduction for those new to the field while providing a helpful, up-to-date reference for readers already using the therapy in clinical settings.



Monte Carlo Techniques in Radiation Therapy

Monte Carlo Techniques in Radiation Therapy Author Joao Seco
ISBN-10 9781466507944
Release 2016-04-19
Pages 342
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Modern cancer treatment relies on Monte Carlo simulations to help radiotherapists and clinical physicists better understand and compute radiation dose from imaging devices as well as exploit four-dimensional imaging data. With Monte Carlo-based treatment planning tools now available from commercial vendors, a complete transition to Monte Carlo-based dose calculation methods in radiotherapy could likely take place in the next decade. Monte Carlo Techniques in Radiation Therapy explores the use of Monte Carlo methods for modeling various features of internal and external radiation sources, including light ion beams. The book—the first of its kind—world examples, it illustrates the use of Monte Carlo modeling and simulations in dose calculation, beam delivery, kilovoltage and megavoltage imaging, proton radiography, device design, and much more.



Radiological Safety and Quality

Radiological Safety and Quality Author Lawrence Lau
ISBN-10 9789400772564
Release 2013-11-22
Pages 471
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This book is the product of a unique collaboration by experts from leading international, regional and national agencies and professional organizations discussing on the current ‘hot’ issue on the judicious use and safety of radiation in radiology. There have been several cases involving radiation overexposure that have received international attention. Strategies and solutions to guide readers how to maximize the benefits and minimize the risks when using radiation in medicine are covered.



Quality and Safety in Radiation Oncology

Quality and Safety in Radiation Oncology Author Adam P. Dicker, MD, PhD
ISBN-10 9781617052460
Release 2016-08-17
Pages 352
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Quality and Safety in Radiation Oncology is the first book to provide an authoritative and evidence-based guide to the understanding and implementation of quality and safety procedures in radiation oncology practice. Alongside the rapid growth of technology and radiotherapy treatment options for cancer in recent years, quality and safety standards are not only of the utmost importance but best practices ensuring quality and safety are crucial aspect of modern radiation oncology training. A detailed exploration and review of these standards is a necessary part of radiation oncologist’s professional competency, both in the clinical setting and at the study table while preparing for board review and MOC exams. Chapter topics range from fundamental concepts of value and quality to commissioning technology and the use of metrics. They include perspectives on quality and safety from the patient, third-party payers, as well as from the federal government. Other chapters cover prospective testing of quality, training and education, error identification and analysis, incidence reporting, as well as special technology and procedures, including MRI-guided radiation therapy, proton therapy and stereotactic body radiation therapy (SBRT), quality and safety procedures in resource-limited environments, and more. State-of-the-art quality assurance procedures and safety guidelines are the backbone of this unique and essential volume. Physicians, medical physicists, dosimetrists, radiotherapists, hospital administrators, and other healthcare professionals will find this resource an invaluable compendium of best practices in radiation oncology. Key Features: Case examples illustrate best practices and pitfalls Several dozen graphs, tables and figures help quantify the discussion of quality and safety throughout the text Section II covers all aspects of quality assurance procedures for the physicist



Principles and Practice of Radiation Therapy

Principles and Practice of Radiation Therapy Author Charles M. Washington
ISBN-10 9780323287814
Release 2015-03-10
Pages 928
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The only radiation therapy text written by radiation therapists, Principles and Practice of Radiation Therapy, 4th Edition helps you understand cancer management and improve clinical techniques for delivering doses of radiation. A problem-based approach makes it easy to apply principles to treatment planning and delivery. New to this edition are updates on current equipment, procedures, and treatment planning. Written by radiation therapy experts Charles Washington and Dennis Leaver, this comprehensive text will be useful throughout your radiation therapy courses and beyond. Comprehensive coverage of radiation therapy includes a clear introduction and overview plus complete information on physics, simulation, and treatment planning. Spotlights and shaded boxes identify the most important concepts. End-of-chapter questions provide a useful review. Chapter objectives, key terms, outlines, and summaries make it easier to prioritize, understand, and retain key information. Key terms are bolded and defined at first mention in the text, and included in the glossary for easy reference. UPDATED chemotherapy section, expansion of What Causes Cancer, and inclusions of additional cancer biology terms and principles provide the essential information needed for clinical success. UPDATED coverage of post-image manipulation techniques includes new material on Cone beam utilization, MR imaging, image guided therapy, and kV imaging. NEW section on radiation safety and misadministration of treatment beams addresses the most up-to-date practice requirements. Content updates also include new ASRT Practice Standards and AHA Patient Care Partnership Standards, keeping you current with practice requirements. UPDATED full-color insert is expanded to 32 pages, and displays images from newer modalities.



Quality and Safety in Radiology

Quality and Safety in Radiology Author Hani H. Abujudeh
ISBN-10 9780199938230
Release 2012-03-08
Pages 384
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Radiology has been transformed by new imaging advances and a greater demand for imaging, along with a much lower tolerance for error as part of the Quality & Safety revolution in healthcare. With a greater emphasis on patient safety and quality in imaging practice, imaging specialists are increasingly charged with ensuring patient safety and demonstrating that everything done for patients in their care meets the highest quality and safety standards. This book offers practical guidance on understanding, creating, and implementing quality management programs in Radiology. Chapters are comprehensive, detailed, and organized into three sections: Core Concepts, Management Concepts, and Educational & Special Concepts. Discussions are applicable to all practice settings: community hospitals, private practice, academic radiology, and government/military practice, as well as to those preparing for the quality and safety questions on the American Board of Radiology's "Maintenance of Certification" or initial Board Certification Examinations. Bringing together the various elements that comprise the quality and safety agenda for Radiology, this book serves as a thorough roadmap and resource for radiologists, technicians, and radiology managers and administrators.



Radiation Safety Problems in the Caspian Region

Radiation Safety Problems in the Caspian Region Author Mohammed K. Zaidi
ISBN-10 9781402023781
Release 2006-03-02
Pages 250
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Senior scientists from neighboring and other NATO countries joined their efforts to help this region to get to know their problems, discussed their solutions and how they can be helped out. Distinguished experts described how they had succeeded in developing the solutions to such problem in their countries.



Patient Centered Care in Medical Imaging and Radiotherapy

Patient Centered Care in Medical Imaging and Radiotherapy Author Aarthi Ramlaul
ISBN-10 9780702055232
Release 2013-03-26
Pages 328
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Health investigation and treatment have moved from a clinician-centred approach to a patient-centred approach during the past few decades. Patients are now rightly regarded as empowered and informed users of health services, not passive recipients. Motivated by this philosophical shift, this new book identifies the key issues underpinning the complete delivery of ‘good’ patient care and considers their application in the medical radiation sciences. Taking a UK/European perspective, the authors examine how a holistic approach is related to legislation, human rights and perceived patient needs. Medical imaging and radiotherapy are front line services experienced by vast numbers of patients with acute and chronic medical conditions, including trauma and cancer. The book includes coverage of behavioural science and health psychology together with practical applications such as safe manual handling, infection control and radiation safety. This provides the reader with a comprehensive understanding of what contributes to the patient’s experience in diagnostic imaging and radiotherapy. It also considers other aspects of the patient experience, such as inter-professional team working, disability, communication, clinical procedures and practice.