%0 Journal Article
%T Image Application in Single Isocenter Multiple Target SRS
%A Junfang Gao
%A Jeffrey P. Limmer
%J International Journal of Medical Physics,Clinical Engineering and Radiation Oncology
%P 27-40
%@ 2168-5444
%D 2024
%I Scientific Research Publishing
%R 10.4236/ijmpcero.2024.132003
%X Single
isocenter multiple target stereotactic radiosurgery (SIMT-SRS) has potentially
emerged as a new pillar in radio-immune combination therapy for the management
of brain metastasis. Accuracy and efficiency are pushed to a higher level in the era of the linear accelerator-based SIMT-SRS. This short review focuses on patient selection, image preparation, patient
simulation, electronic portal imaging device (EPID)
QA, and the patient treatment process in the SIMT-SRS treatment only. Image-relevant recommendations and guidelines are presented
and contrast application, acquisition efficiency, and alignment accuracy of CT
and MRI images are explored. With guidance, the SIMT-SRS can be implemented with high precision and efficiency. 1 mm or
0.5 mm and non-uniform PTV margin expansion for all targets would
become possible. It will enhance cancer killing effect in radio-immune
combination therapy. General routine daily, monthly, and annual linear
accelerator image quality assurances are excluded.
%K SIMT-SRS
%K Image Application
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131824