Image-Guided Radiotherapy of Lung Cancer

Description:
Lung cancer is the leading cause of cancer death in the United States, but IGRT (image guided radiation therapy) offers the possibility of more aggressive and enhanced treatments. The only available source on the subject that emphasizes new imaging techniques, and provides step-by-step treatment guidelines for lung cancer, this source helps clinicians locate and target tumors with enhanced speed, improve the accuracy of radiation delivery, and correctly target cancerous masses while avoiding surrounding structures. Any clinician who routinely treats patients with lung cancer has probably had times when they wished they could spend a month at an institution such as the M.D. Anderson Cancer Center and see how things are done there. Of course, very few of us have the ability to do that, but this book is the next best thing. It is an excellent resource for any radiation oncologist who has a significant practice of patients with lung cancer. As the title suggests, this book focuses primarily on novel approaches to image-guided radiotherapy in the treatment of lung cancer. The purpose is to provide a comprehensive review of emerging technologies used in radiation oncology to localize and treat lung cancer. Entire chapters are dedicated to topics such as respiratory gating, 4-D CT, IMRT, stereotactic body radiation therapy, and proton therapy. World authorities like Dr. Cox and Dr. Komaki have taken the time to summarize and synthesize the available data on this very complex topic. Understanding the nuances of each of these techniques is becoming increasingly important to practicing radiation oncologists. The authors have done a very nice job of meeting their stated objective. To their credit, they were able to convey complicated information in a way that can be understood reasonably well by a reader who is not necessarily a lung cancer specialist. The target audience is radiation oncology residents and practitioners. It may also be of value to thoracic surgeons or medical oncologists wanting a better understanding of the technical issues involved in lung tumor localization. A review of the landmark studies that helped to define the standard of care for both small cell and non-small cell lung cancer begins the book. The remainder is organized into chapters that focus on various techniques used to improve targeting accuracy, escalate dose, or improve dose distribution in an effort to spare organs at risk. While all chapters are well done, the respiratory-gated radiation therapy, stereotactic body, IMRT, and proton therapy chapters are especially instructive. The color art for the respiratory-gated radiation therapy chapter are particularly illustrative and beautifully done. It's difficult to find any glaring shortcomings in this book.


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