Practical Radiotherapy Planning  book cover
4th Edition

Practical Radiotherapy Planning

ISBN 9780340927731
Published June 26, 2009 by CRC Press
476 Pages 200 Color & 100 B/W Illustrations

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Book Description

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.

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

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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


"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