Stereotactic Radiosurgery with Helical Tomotherapy®

A robust and efficient planning technique was identified to produce plans of radiosurgical quality using the TomoTherapy treatment planning system. Dose calculation did not exceed a few hours and resulting delivery times were less than one hour, which allows the process to fit into a single day radiosurgery workflow. Plan conformity compared favorably with published results for gamma knife radiosurgery. In addition, plan homogeneity was similar to linac-based approaches.

Treatment using Intensity-Modulated Radiation Therapy

In this initial experience with accelerated IMRT plus capecitabine for patients who had large HepatoCellular Carcinoma lesions, the results demonstrated acceptable toxicity with promising local control. The relatively low acute and late toxicity observed with this program suggested that dose intensification can be incorporated into the treatment regimen if needed. Cancer 2009. © 2009 American Cancer Society.