Practical Radiotherapy Planning: 4th Edition (Paperback) book cover

Practical Radiotherapy Planning

4th Edition

By Ann Barrett, Stephen Morris, Jane Dobbs, Tom Roques

CRC Press

432 pages

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pub: 2009-06-26
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Planning is a critical stage of radiotherapy. Careful consideration of the complex variables involved and critical assessment of the techniques available are fundamental to good and effective practice.

First published in 1985, Practical Radiotherapy Planning has, over three editions, established itself as the popular choice for the trainee raditation oncologist and radiographer, providing the 'nuts and bolts' of planning in a practical and accessible manner.

This fourth edition encompasses a wealth of new material, reflecting the radical change in the practice of radiotherapy in recent years. The information contained within the introductory chapters has been expanded and brought up to date, and a new chapter on patient management has been added. CT stimulators, MLC shieldings and dose profiles, principles of IMRT, and use of MRI, PET and ultrasound are all included, amongst other new developments in this field.

The aim of the book remains unchanged. Complexity of treatment planning has increased greatly, but the fourth edition continues to emphasise underlying principles of treatment that can be applied for conventional, conformal and novel treatments, taking into account advances in imaging and treatment delivery.


"Beautifully illustrated, adequately referenced […] and written in plain English … buy it and don't lose it"

RAD Magazine

"the layout and presentation is very clear, with easy to read sections and headings … I strongly recommend this book as essential reading for trainees in clinical oncology as well as radiographers. It is a useful book for anyone involved in the planning and delivery of radiotherapy. It is good value for money.."

Oncology News

"The fourth edition represents a major revision of the 1999 edition. The introductory chapters are new, the book uses more clinical images to illustrate important planning concepts, and it emphasizes "the underlying principles of treatment, which can be applied to conventional, conformal, and novel treatments, taking into account advances in imaging and treatment delivery" as the authors state in the preface. Both trainees and practitioners of radiotherapy will find this a useful and quick guide to radiotherapy planning and treatment."

Doody's Book Review

"This edition is a great improvement on the previous as is more relevant to the modern practice of radiotherapy[…]this book fulfils the aims it sets out in the preface and (is) easily affordable by an individual trainee or a department."

SCOPE Magazine - the Institute of Physics and Engineering in Medicine

Table of Contents

What you need to know before planning radiotherapy treatment

Tumour Stage

Patient Performance Status

Prognostic Factors

Role of Other Treatments

Systems for Recording Outcomes

Clinical Anatomy

Underlying Principles of Radiotherapy Planning

Volume Definition (GTV, CTV)

Reducing Uncertainty in Targeting the Tumour (Immobilisation, Fiducial Markers, Predicting Organ Motion, PTV Margin Definition, Image-Guided and Adaptive Radiotherapy)

Tumour and Normal Organ Data Acquisition (Protocols for CT, MRI, PET and Image Registration)

Plan Production and Evaluation

D-Conformal and Intensity Modulated Planning Concepts

Forward and Inverse Planning

DVH and NTCP and TCP

Dose Prescription

D and D Treatment Delivery

Image guided radiotherapy

Gating, ABC, surface registration

Adaptive radiotherapy

Methods to Verify That the Planned Treatment Has Been Achieved

Portal Imaging

KV and MV Imaging

Portal dosimetry

Radiobiological Principles

Management of Patients During Radiotherapy

Protocols for Management of Side Effects

Scoring of Acute Effects

Radiographer- Led on Treatment Clinics

Head and Neck â€" General Considerations

Classification of Cervical Lymph Nodes

Choice of D Conformal Therapy Versus IMRT for:

Primary Tumour

Cervical Lymph Nodes

Sparing Normal Tissues

Matching Fields

Multi Modality Treatment Regimes (Surgery, Chemotherapy, Brachytherapy)

Fractionation Schedules





Oral cavity



Maxillary Antrum


Skin and Lip





Central Nervous System

Lymphomas and Spleen














Paediatric Tumours

Systemic Irradiation

Emergency Irradiation

Each anatomical site chapter (-) will cover:

Choice of patients for radiotherapy (stage, pathology, risk factors, performance status)

Sequencing of multi modality therapy

Clinical and radiological anatomy and assessment of primary disease

Data acquisition (immobilisation, imaging protocols, image registration)

Target volume definition (GTV, CTV, PTV, PRV)

Dose plan production

Dose prescription

Treatment delivery


About the Authors

Ann Barrett, Professor Emeritus of Oncology, University of East Anglia, Norwich
Jane Dobbs Consultant Emeritus in Clinical Oncology, Guy's and St Thomas' NHS Foundation Trust
Stephen Morris, Consultant Clinical Oncologist, Guy's and St Thomas' NHS Foundation Trust
Tom Roques, Consultant Clinical Oncologist, Norfolk and Norwich University Hospital NHS Foundation Trust

Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / General
MEDICAL / Oncology