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Radiother Oncol ; 197: 110366, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38830537

RESUMEN

As a component of myeloablative conditioning before allogeneic hematopoietic stem cell transplantation (HSCT), Total Body Irradiation (TBI) is employed in radiotherapy centers all over the world. In recent and coming years, many centers are changing their technical setup from a conventional TBI technique to multi-isocenter conformal arc therapy techniques such as Volumetric Modulated Arc Therapy (VMAT) or Helical Tomotherapy (HT). These techniques allow better homogeneity and control of the target prescription dose, and provide more freedom for individualized organ-at-risk sparing. The technical design of multi-isocenter/multi-plan conformal TBI is complex and should be developed carefully. A group of early adopters with conformal TBI experience using different treatment machines and treatment planning systems came together to develop technical recommendations and share experiences, in order to assist departments wishing to implement conformal TBI, and to provide ideas for standardization of practices.


Asunto(s)
Planificación de la Radioterapia Asistida por Computador , Radioterapia de Intensidad Modulada , Irradiación Corporal Total , Humanos , Radioterapia de Intensidad Modulada/métodos , Radioterapia de Intensidad Modulada/normas , Irradiación Corporal Total/métodos , Planificación de la Radioterapia Asistida por Computador/métodos , Planificación de la Radioterapia Asistida por Computador/normas , Dosificación Radioterapéutica , Trasplante de Células Madre Hematopoyéticas/métodos , Órganos en Riesgo/efectos de la radiación
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