Popis: |
Central nervous system treatment planning has been evolving as new technology and research are being released. Traditional treatment methods, such as three-dimensional conformal radiotherapy (3D-CRT), are slowly being replaced by newer techniques, such as intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT). This chapter discusses important planning details to create 3D-CRT, IMRT, and VMAT plans and provides plan evaluation guidelines to ensure high quality plans are produced. In addition, there are helpful tips for Varian Eclipse and Philips Pinnacle users to develop plans in a standardized and efficient manner. These planning details are used to develop several planning strategies which explain how to approach gliomas, hippocampal avoidance whole brain radiation therapy, craniospinal irradiation (CSI), craniopharyngioma, and pituitary tumors. By the end of this chapter, the reader should feel confident to treat patients safely and effectively so that the treatment plans satisfy a clinician’s criteria. |