IMRT
Tumors to be treated are often surrounded by normal structures. The dose tolerances to the normal critical organs are one of the limiting factors to radiation dose prescribed to tumor. With the IMRT technique, one will be able to shape the radiation dose to the target and then minimize the dose to critical organs. Therefore, the expected dose could be prescribed to tumor while limiting the radiation damage to the normal tissue within the tolerance. The IMRT involves complicated treatment planning process (called inverse planning) and a dedicated delivery process using dynamic multi-leaf collimator (MLC). A comprehensive quality assurance program specific for both machine and individual patient was very critical and was developed at Duke to ensure the quality treatment of IMRT. We use latest Varian Eclipse inverse planning system and Clinac 21EX machine with120-leaf MLC to delivery fine radiation dose to the target.