1st Edition

Adaptive Motion Compensation in Radiotherapy

Edited By Martin J. Murphy Copyright 2012
    165 Pages 23 Color & 122 B/W Illustrations
    by CRC Press

    166 Pages 23 Color & 122 B/W Illustrations
    by CRC Press

    External-beam radiotherapy has long been challenged by the simple fact that patients can (and do) move during the delivery of radiation. Recent advances in imaging and beam delivery technologies have made the solution—adapting delivery to natural movement—a practical reality. Adaptive Motion Compensation in Radiotherapy provides the first detailed treatment of online interventional techniques for motion compensation radiotherapy.

    This authoritative book discusses:

    • Each of the contributing elements of a motion-adaptive system, including target detection and tracking, beam adaptation, and patient realignment
    • Treatment planning issues that arise when the patient and internal target are mobile
    • Integrated motion-adaptive systems in clinical use or at advanced stages of development
    • System control functions essential to any therapy device operating in a near-autonomous manner with limited human interaction
    • Necessary motion-detection methodology, repositioning techniques, and approaches to interpreting and responding to target movement data in real time

    Medical therapy with external beams of radiation began as a two-dimensional technology in a three-dimensional world. However, in all but a limited number of scenarios, movement introduces the fourth dimension of time to the treatment problem. Motion-adaptive radiation therapy represents a truly four-dimensional solution to an inherently four-dimensional problem. From these chapters, readers will gain not only an understanding of the technical aspects and capabilities of motion adaptation but also practical clinical insights into planning and carrying out various types of motion-adaptive radiotherapy treatment.

    Martin J. Murphy
    Real-time tumor localization
    Ruijiang Li, Laura I. Cerviño, and Steve B. Jiang
    Theoretical aspects of target detection and tracking
    Gregory C. Sharp
    Respiratory gating
    Geoffrey D. Hugo and Martin J. Murphy
    The CyberKnife® image-guided frameless radiosurgery system
    Martin J. Murphy
    Fundamentals of tracking with a linac MLC
    Dualta McQuaid and Steve Webb
    Couch-based target alignment
    Kathleen T. Malinowski and Warren D. D’Souza
    Robotic LINAC tracking based on correlation and prediction
    Florist Ernst and Achim Schweikard
    Treatment planning for motion adaptation in radiation therapy
    Alexander Schlaefer
    Treatment planning for motion management via DMLC tracking
    Lech Papiez and Dharanipathy Rangaraj
    Real-time motion adaptation in Tomotherapy® using a binary MLC
    Weiguo Lu, Mingli Chen, Carl Mauer, and Gustavo Olivera
    Combination of a LINAC with 1.5 T MRI for real-time image-guided radiotherapy
    Jan J. W. Lagendijk, Bas W. Raaymakers, and Marco Van Vulpen
    The ViewRayTM system
    Daniel Low
    Fault detection in image-based tracking
    Gregory C. Sharp


    Dr. Martin J. Murphy received his Ph.D. in physics from the University of Chicago in 1980. Following postdoctoral fellowships in nuclear physics at the University of California/Berkeley and the University of Washington and a stint as a research scientist in gamma-ray astronomy at the Lockheed Palo Alto Research Laboratories, he entered the field of radiation therapy research and development in 1992 as Director of System Development of the CyberKnife at Accuray Incorporated. In 1995, he joined the Department of Radiation Oncology at Stanford University as a senior research scientist to continue development of the CyberKnife’s image guidance and target tracking capabilities. In 2003, Dr Murphy joined the Department of Radiation Oncology at Virginia Commonwealth University, where he is presently engaged in several research programs involving medical image registration, CT reconstruction, and real-time motion-adaptive control systems.

    "The book has contributions from many eminent scientists and each chapter is well written and informative. … an informative and useful book that will be of particular interest to those seeking an overview of the different means of achieving adaptive motion compensation in radiotherapy that either are or may be available in the near future."
    —Chris Bragg, Journal of Radiotherapy in Practice, 2013