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Radiosurgical Planning: Gamma Tricks and Cyber Picks [Kõva köide]

  • Formaat: Hardback, 182 pages, kõrgus x laius x paksus: 260x179x16 mm, kaal: 642 g, Illustrations, Contains 1 CD-ROM
  • Ilmumisaeg: 30-Jul-2009
  • Kirjastus: Wiley-Blackwell
  • ISBN-10: 0470175567
  • ISBN-13: 9780470175569
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  • Formaat: Hardback, 182 pages, kõrgus x laius x paksus: 260x179x16 mm, kaal: 642 g, Illustrations, Contains 1 CD-ROM
  • Ilmumisaeg: 30-Jul-2009
  • Kirjastus: Wiley-Blackwell
  • ISBN-10: 0470175567
  • ISBN-13: 9780470175569
Teised raamatud teemal:
A self-contained treatment of surgical planning forbeginners and a compendium of tips and tricks for experts

Radiosurgery is a complex procedure requiring the physician to construct a radiosurgical plan, i.e., a map that tells the radiation device exactly where to aim the beams of radiation. While there are plenty of books and articles describing radiosurgery's efficacy, until now there has been no instruction manual for those who wish to learn the secrets of its execution in common practice.

Radiosurgical Planning: Gamma Tricks and Cyber Picks is the first self-contained instruction manual for both beginners and experts, teaching the art and science of radiosurgery with an emphasis on the use of the Gamma Knife and the CyberKnife for treatment oflesions in both the brain and body.

The authors-who together hold more than thirty years of experience in the field of radiosurgery-begin with a discussion of the general principles of radiosurgical planning, radiosurgical algorithms, and an overview of practical first steps for beginners. Next, they offer an extensive compendium of practical tricks and picks for more seasoned experts. Included is a bonus CD-ROM that contains exercise files that can be loaded directly into the Gamma Knife planning software, as well as stand-alone simulation software that allows readers to practice radiosurgical planning without the necessity for a real radiosurgical device.

Radiosurgical Planning: Gamma Tricks and Cyber Picks is an indispensable resource for physicians, medical physicists, dosimetrists, neurosurgery and radiation oncology residents, and anyone involved in the expanding field of radiosurgery.

Foreword xi
Douglas Kondziolka
Foreword xiii
John R. Adler, Jr.
Preface xv
Acknowledgments xvii
Part I: General Principles of Radiosurgical Planning
1(46)
What Is This Book and What Is Radiosurgical Planning?
3(14)
Preliminaries I: Three Confessions, an Apology and a Promise
3(1)
Preliminaries II: Is This Book for Beginners or Experts?
4(1)
Preliminaries III: What Is in This Book?
4(1)
The Need for a Plan
5(2)
Isodose Lines and Doses
7(3)
Isodose Lines Versus Isodose Shells
10(2)
Nomenclature
12(1)
Prescriptions to Isodose Lines: Problems
12(1)
Radiosurgical Heresy: The Utility of Heterogeneity
13(1)
Selection of Isodose Lines
14(1)
So What is Radiosurgical Planning?
15(2)
Introducing the Gamma Knife, Its Algorithm, and Its Strategies
17(12)
The Gamma Knife
18(2)
The Gamma Knife: Perfection or Perfexion?
20(7)
A Word About Trunnions
27(2)
Introducing the CyberKnife, Its Algorithm, and Its Strategies
29(6)
A Different Animal: The CyberKnife
29(1)
The CyberKnife: Inverse Planning
30(1)
CyberKnife Parameters
31(1)
A Hidden Competition
32(1)
Monitor Units
33(2)
Compromises and Four Goals of Radiosurgical Planning
35(4)
Why Every Plan Is a Compromise
35(1)
Goal One: Punish the Guilty
36(1)
Goal Two: Protect the Innocent
36(1)
Goal Three: Guide the Heat
37(1)
Goal Four: Minimize the Volume
38(1)
Practical First Choices
39(8)
Choose to Do It Yourself
39(1)
Choose the Dose, Tumor Size, and Critical Structures
40(1)
Choose the Clinical Goal
40(1)
Choose the Tumor
40(3)
Choose the Prescription Isodose Line
43(1)
Choose the Margin
43(1)
Choose How to Protect the Innocent
44(1)
Choose the Collimator
45(1)
Choose Your Schedule
45(2)
Part II: Tricks and Picks
47(104)
Gamma Tricks
49(64)
Tricks to Get Started
49(3)
Taking the First Shot
49(1)
Use Lots of Shots
49(1)
Spread Out Your Shots: Introducing Renormalization
50(2)
Use Central Shots
52(1)
Use All the Lines
52(1)
Tricks for Geometric Building Blocks
52(10)
The Virtual Collimator
53(1)
The Virtual Collimator on-the-Fly
53(1)
The Virtual Collimator Revisited
54(1)
Making Nubbins: Renormalization Again
54(3)
Making Ovals and Barbells
57(2)
Making Fingers
59(1)
Paradoxical Weighting
59(1)
Renormalization for Large Targets
60(1)
The Virtual Collimator Revisited Again
61(1)
Tricks for Caps
62(3)
Covering the Caps
62(2)
Cap Weights
64(1)
Tricks of Strategy
65(1)
Divide and Switch
65(1)
Check Collisions Early
66(1)
Use All the Angles
66(1)
Tricks for Display
66(4)
Quick Comparisons of Different Treatments
67(1)
Quick Comparison of Different Plans
68(1)
Better Ways to Move Shots
68(1)
Switch On, Switch Off
68(1)
The DVH Calculator
68(1)
Critical Doses at a Glance
69(1)
Tricks for Contouring
70(2)
Smart Margins
70(1)
Influence at a Distance by Renormalization
71(1)
Effortless Expansion and Contraction
71(1)
Tricks for Managing the Heat
72(11)
Turning Up the Heat
72(1)
Turning Down the Heat
73(1)
Steering the Heat I
74(2)
Steering the Heat II
76(1)
Steering the Heat III
76(2)
Quenching the Heat
78(1)
Detecting Instability
79(2)
The Cavity Trick
81(2)
Tricks for Arteriovenous Malformations
83(4)
The Nidus-Slice Trick
84(2)
Watch Your z!!
86(1)
Tricks for Shielding
87(5)
Shields Up!
87(1)
Plug Tricks
88(1)
How Many Plugs Exactly?
89(1)
Reaching Laterally: The Plug-Squash Trick
89(2)
Plugs for Notches
91(1)
The Half-Doughnut Trick: Vertical and Horizontal Shots
91(1)
Tricks for Multiple Lesions
92(6)
Tricks for Multiple Lesions
93(2)
The Scientific Weigh
95(1)
Top-to-Bottom Matrix Organization
96(2)
Segregation of Collimators
98(1)
Beware of Matrix Effects
98(1)
Tricks for Trunnions
98(1)
Whole Numbers for Trunnions
98(1)
Use Larger Collimators
99(1)
Special Tricks
99(5)
Save Time with Fewer Groups
99(1)
Plan Within a Plan
100(1)
The Perfexion Trick
100(1)
Control Your Angles with Asymmetric Plugs
100(3)
Help from the Wizard
103(1)
Tricks Especially for Perfexion
104(6)
Understanding the Isodose Lines
104(1)
Deceptive Symmetry
105(2)
Hope for Skewed Targets
107(1)
Virtual Sectors
107(1)
Doughnuts to Perfexion: A Hypothesis
108(1)
Corruption of Dose Gradient
108(1)
The Time Cost of Sector Blocking
109(1)
A Final, Special Gamma Knife Trick
110(3)
Pre-planning
110(3)
Cyber Picks
113(38)
Fusion Picks
113(2)
Plant the Right Seed
113(1)
Mental Fusion
114(1)
Tricks for Setup
115(3)
Smart Centering
115(1)
Collimator Size: Simplicity
116(1)
Collimator Size: Complexity
116(1)
Optimal Matrices
117(1)
Tricks for Outlining
118(2)
Choose Your Margins: Tumors
118(1)
Combining CT and MRI
119(1)
Make Realistic Contours
119(1)
Tricks to Set Dose
120(2)
Mastering Dose Ratios
120(1)
Stubborn Isodose Lines
121(1)
Tricks to Boost Dose
122(1)
The Power of Small Collimators
122(1)
Forcing the Low-Isodose Line
122(1)
Tricks to Constrain Dose
123(7)
Start Simple
123(1)
Beam Me Off!
123(1)
Control Dose with a Margin Call
124(1)
A Shell Game
124(1)
Anisotropy to the Rescue: Lopsided Margin Structures
125(1)
Ultimate Control of Dose with Shells and Margins
126(2)
Protecting the Innocent with Buffer Zones
128(1)
Splitting Critical Structures
129(1)
Separating Targets
129(1)
Tricks for Conformality
130(6)
Splitting Targets
130(1)
Look Under the Hood
131(1)
Trim a Little Off the Top, Please
132(1)
Adding a Blip
133(1)
Equal Dose Points
133(1)
Turn Them Upside Down
134(1)
Optimal Number of Beams
135(1)
Special Tricks
136(3)
Plan Within a Plan
136(1)
The Doughnut Trick
137(2)
Tricks for Safety
139(3)
Grid Size Matters
139(2)
Beware Invisible Organs
141(1)
Tricks for Strategy
142(3)
Keep It Simple
142(1)
Relax Your Constraints
142(1)
Sparse Grids
143(1)
Non-isocentric May Not Be Best
144(1)
What to Tell Your Physicist
145(1)
Tricks for Scheduling
145(3)
Keeping Track of Treatment Time
145(2)
Schedules and Humans
147(1)
Tricks for Fun
148(3)
Surface Points Only?
148(3)
Part III: Parting Shots: How the Culture of Radiosurgery Affects Radiosurgical Planning
151(14)
Radiosurgery as a Human Effort
153(12)
The Neurosurgeon
153(3)
The Radiation Oncologist
156(3)
The Physicist
159(2)
The Physicist (The UK Perspective)
161(4)
References 165(2)
Appendixes 167(2)
Appendix I: Site of Maximum Dose of Two Shots of Unequal Size 169(2)
Appendix II: Exercises for Gamma Knife Radiosurgical Planning 171(4)
Appendix III: Tutorial for the Gamma Knife Simulator 175(4)
Index 179