PET-CT in Radiotherapy Treatment Planning

Author: Paulino> Arnold C.  

Publisher: Elsevier Health Sciences‎

Publication year: 2008

E-ISBN: 9781437721393

P-ISBN(Paperback): 9781416032243

Subject: R730.44 radiation isotope diagnostic

Keyword: 肿瘤学

Language: ENG

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Description

Here is an exciting new guide to the use of PET-CT imaging in radiotherapy. You'll get practical, useful information for utilizing this novel imaging technique-from different methods for contouring biological target volumes in various anatomic regions to how different experts use this imaging in targeted treatment. This thorough text helps you make concise, accurate treatment choices based on current evidence and expert authority. The result is an essential tool for everyone on the radiotherapy treatment team in the era of image-guided radiotherapy.Helps familiarize you with the basics of PET imaging in nuclear medicine.Covers the use of PET-CT with radiotherapy treatment planning, offering practical guidance in how different experts use this relatively new technology.Highlights contrast using full-color images, clearly indicating target volumes and different radiation dosages.Outlines the advantages and disadvantages of different techniques in contouring PET-CT target volumes for radiotherapy.Features case illustrations in using PET-CT in radiotherapy treatment planning for different tumor sites.

Chapter

Non-FDG-PET Radionuclides and Radiotherapy Target Delineation

Impact of Organ Motion

Conclusions

Part II Principles of Imaging in Nuclear Medicine

Chapter 2 Principles of PET-CT Scanning

Positron Decay

PET Imaging

Clinical Imaging Protocols

Technical Aspects of PET Imaging

Typical Images

Future Developments

Part III PET-CT Fusion and Target Delineation

Chapter 3 Image Registration and Fusion Techniques

Introduction

Radiotherapy Imaging Systems

Integrating PET Imaging into Radiation Treatment Planning

Image Registration Methods

Image Registration and Fusion Software Tools

Clinical Application of Image Registration and Fusion

Conclusion

Chapter 4 Biological Target Volume

INTRODUCTION

VOLUMES FOR RADIATION TARGETING

LIMITATIONS OF CT-SIMULATION ALONE

POTENTIAL OF PET FOR BIOLOGICAL TARGET VOLUME

PET-CT SCANNING FOR TARGETING

IMPACT OF PET-CT ON TARGETS

DEFINING THE TARGET: CURRENT METHODS OF PET IMAGE SEGMENTATION

FUTURE RADIOTRACERS FOR TARGETING

SUMMARY

Part IV Clinical Applications

Chapter 5 Head and Neck

Introduction

Rationale for Use of PET or PET-CT in Head and Neck Cancer

Fusion Technique and Target Delineation

Problems Associated with PET-CT and Radiotherapy Target Delineation

Review of Studies Using PET-CT for Radiotherapy Planning

Use of Other Tracers in Radiotherapy Target Delineation for Head and Neck Cancer

Future Directions

Chapter 6 Esophageal Cancer

INTRODUCTION

RATIONALE FOR THE USE OF PET AND PET-CT FOR ESOPHAGEAL CANCER

PET-CT SIMULATION AND TARGET VOLUME DELINEATION

PROBLEMS ASSOCIATED WITH PET-CT

CASE ILLUSTRATIONS

FUTURE DIRECTIONS

Chapter 7 Rectal and Anal Cancers

INTRODUCTION

Rationale for the Use of PET and PET-CT

Therapy

Fusion Technique and Target Delineation

Problems Associated with PET-CT

Review of Studies Using PET-CT for Radiotherapy Planning

Case Illustration

Future Direction

Chapter 8 Non-Small Cell Lung Cancer

INTRODUCTION

Tumor Edge Definition

Spatial Resolution

Misregistration Due to Target Motion

PET-CT Changes in Target Volume Delineation

Retrospective Studies in PET-CT Fusion

Prospective Studies in PET-CT Fusion

Conclusions

Chapter 9 Small Cell Lung Cancer

INTRODUCTION

FDG-PET in Staging of Small Cell Lung Cancer

Practical Aspects of Applying FDG-PET in Radiation Treatment Planning for Small Cell Lung Cancer

Case Illustrations

Chapter 10 Gynecologic Cancer

INTRODUCTION

RATIONALE FOR USE OF PET AND PET-CT IN GYNECOLOGIC MALIGNANCIES

FUSION TECHNIQUE AND TARGET DELINEATION

PROBLEMS ASSOCIATED WITH PET-CT OF THE PELVIS

REVIEW OF STUDIES USING PET-CT FOR TREATMENT PLANNING IN GYNECOLOGIC MALIGNANCIES

CASE ILLUSTRATIONS

OTHER GYNECOLOGIC SUBSITES

FUTURE DIRECTION

Chapter 11 Genitourinary Cancer

INTRODUCTION

Rationale for Use of PET and PET-CT in Genitourinary Malignancies

Fusion Technique, Fiducial Markers, and Target Delineation

Problems Associated with PET-CT and Radiotherapy Target Delineation

PET-CT in Radiation Treatment Planning—Case Illustrations

Future Directions

Chapter 12 Lymphoma

INTRODUCTION

Rationale for Use of PET and PET-CT for Lymphoma

Fusion Technique and Target Delineation

Pitfalls Associated with PET-CT

Review of Studies Using PET-CT for Radiotherapy Treatment Planning

Case Illustrations

Future Directions

Chapter 13 Melanoma

INTRODUCTION

FDG-PET in Melanoma

PET-CT in Melanoma

PET-CT in Radiation Treatment Planning in Melanoma

Conclusion

Chapter 14 Pediatric Tumors

INTRODUCTION

Special Issues in Children

Rationale for Use of PET or PET-CT in Pediatric Tumors

Possible Role of PET-CT in Radiotherapy Treatment Planning

Role of PET in Adaptive Therapy

Summary

Chapter 15 Central Nervous System Tumors

INTRODUCTION

Energy Metabolism as Measured by 18F-fluorodeoxy-D-glucose (FDG)

Assessing Response to Therapy Using FDG-PET

Other Potential Markers for Diagnosis, Response, and Tumor Targeting Compared to FDG-PET Imaging

Grading and Prognosis: FDG-PET vs. Amino Acid Tracers

Other Markers of Tumor Proliferation Including DNA Synthesis, and Hypoxia as Related to Diagnosis, Grading, Outcome of High-Grade Gliomas, and Potential Targeting for Radiotherapy

Markers of DNA Biosynthesis 2-[11C]thymidine (TdR), 18F-3' deoxy-3' -fluorothymidine (FLT)

Conclusions

Part V Economic Considerations

Chapter 16 Economic Considerations of PET Scanning in Diagnosis, Staging, and Radiation Therapy Treatment Planning

Cost-Effectiveness of PET Scanning in the Workup and Diagnosis of Malignancies

Cost-Effectiveness of Incorporating PET Scanning in the Radiation Therapy Treatment Planning Process

Index

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