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Delivering adaptive radiotherapy to the bladder during radical treatment

Published online by Cambridge University Press:  01 August 2012

Claire Arthur ,
Jac Livsey  and
Ananya Choudhury
Claire Arthur*
Affiliation:
The Christie NHS Foundation Trust, Manchester, United Kingdom
Jac Livsey
Affiliation:
The Christie NHS Foundation Trust, Manchester, United Kingdom
Ananya Choudhury
Affiliation:
The Christie NHS Foundation Trust, Manchester, United Kingdom The University of Manchester, United Kingdom
*
Correspondence to: Claire Arthur, The Christie NHS Foundation Trust, Manchester, United Kingdom. E-mail: claire.arthur@christie.nhs.uk
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Abstract

Radical radiotherapy to the bladder for muscle-invasive bladder cancer is a challenging treatment to plan and deliver because of organ mobility and its varying volume. The dynamic target volume can be tracked with imaging during the treatment course, enabling an adaptive response and adjustment of the patient’s individual treatment plan. This article summarises the difficulties encountered when treating the bladder, different approaches to patient imaging and adaptive radiotherapy techniques. Ultimately these technological advances support the delivery of a personalised treatment plan to ensure optimal dose delivery to the tumour and simultaneous sparing of adjacent normal tissue.

Keywords

BladderAdaptiveImagingRadiotherapy
Type
Literature Review
Information
Journal of Radiotherapy in Practice , Volume 12 , Issue 2 , June 2013 , pp. 195 - 202
Copyright
Copyright © Cambridge University Press 2012

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