The role of 6D IGRT in positioning and monitoring for single isocenter planning


Fang-Fang Yin, PhD, Professor of Radiation Oncology and Medical Physics at Duke University discusses the role of 6D image guided radiation therapy (IGRT) in positioning and monitoring for single isocenter planning using Elements Multiple Brain Mets SRS. He begins by generally discussing single-isocenter radiosurgery for multiple intracranial targets (SIRMIT) and covers the two common approaches: 5-arc volumetric modulated arc therapy (VMAT) and dynamic conformal arcs. He then addresses the challenges of using SIRMIT and delves into correction strategies for setup accuracy and plan quality, including proposed localization and QA requirements. Finally, he provides examples from his institution for planning and image guidance.


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