The Tomotherapy Experience at Advocate Good 在倡导良好的设备经验.pptVIP

The Tomotherapy Experience at Advocate Good Samaritan Hospital Mark Pankuch Today’s Discussion The History of Radiation at Good Samaritan Quick Overview of the Tomotherapy Unit Treatment population and Statistics of our experience Results from Shielding Comparison of plans Advocate Good Samaritan Treated first patient on May 13, 2002 Single Linac Vault with a Seimens Primus Hand me down GE CT scanner from radiology Paper-less / Film-less department Advocate Good Samaritan Within two years reached capacity for a single Linac department Began offering HDR treatments Strong administrative and physician support for expansion Advocate Good Samaritan New Vault was needed Doubling current patient volumes appeared as an over estimation for potential volume Present day IGRT with OBI not commonly available What did Tomotherapy Offer that Good Sam was missing? IGRT “Top End” IMRT The Answer For Good Sam? Tomotherapy Tomotherapy MLC MLC’s Oriented in the Sagital Plane The Treatment Process Patient is set up on table to moveable lasers (2 min) High energy CT scan performed in the Tx Position (3 Min) New images are fused with planning CT images (3 Min) Adjustments are made for patient position (2 min) Treatment is delivered (10 Min) Of Special Note on Hardware: No flattening filter Output ~ 900 MU / min Tx = 10,000 MU MLC’s very, very fast (us) Capable of MVCT export MVCT ~ 2-3 cGy Planning System Single workstation for planning Cluster of 16 computers, w/ dual processors for computing. Optimizations done on “beamlets” that can be calculated overnight Very few contouring tools, need another system for contouring and fusions No planning review station, system not multitasking What type of patients have we treated? Tomotherapy Not optimal for all treatment sites Rotational / Helical Treatments Need the capability to give low doses to large areas of normal tissues Ability of “cave out” doses Very conformal, with good dose drop off Simultaneous Boost