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TomoTherapy, a commercialized form of IMRT, is the latest is radiation
delivery systems. First used in 2003, TomoTherapy treatment is so new,
that many oncologists aren’t even trained on it. However, TomoTherapy
is gaining speed and is now used in over 100 locations across the
United States, Europe, and Asia.
The term TomoTherapy comes from the Greek word “tomos,” which means
“section”. Tomography, for example, is medical imaging technology that
images “sections” of the body, more commonly referred to as “slices” in
the medical community. Thus, TomoTherapy could be referred to as “slice
therapy”.
The “slicing” comes from
TomoTherapy’s
ability to deliver radiation from multiple angles, rather than from
several fixed positions, as the delivery system spins around the
patient. This allows continuous delivery of radiation to the target,
providing a higher dose than what is traditionally possible.
Furthermore, TomoTherapy combines a highly sophisticated form of
intensity-modulated radiotherapy (IMRT), treatment planning, and CT
image guided patient positioning. Combining these technologies allows
radiation oncologists to obtain an up-to-date image of a tumor
location, position the patient, direct treatment right before delivery,
and make last-minute adjustments if necessary.
Essentially, TomoTherapy allows for more accurate, higher dose delivery
of radiation treatment while minimizing healthy-tissue damage as well
6as treatment and recovery times.
TomoTherapy is commonly
used to treat cancers of the lungs, head and neck, breast, prostate,
and others. If you are looking at treatment options and wish to
consider TomoTherapy, you should ask your doctor specifically about it.
Because it is so new not all doctors are aware of it and its advantages
over conventional treatment for certain types of cancer.
If TomoTherapy is right for you, a radiation oncologist that has been
specially trained in TomoTherapy will be required. Because of its
limited distribution, few doctors receive TomoTherapy training during
their residency. However, because TomoTherapy is a combination of
existing technologies, the experience level in TomoTherapy specifically
is less important than a doctor’s overall experience in radiation
treatment.
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