Image Guided Radiotherapy (IGRT) in Peru

During the image guided radiotherapy, X-rays and scans are used to study the cancerous region and inform the doctors of the shape, size and position of cancer. Image-guided radiotherapy incorporates the use of frequent images to ensure precise targeting of the radiation of the affected area to minimize the damage to healthy cells and organs. A variety of imaging techniques such as the 2-D, 3-D are used to position the body to ensure the accurate focus of the tumor.

Image-guided radiotherapy is the standard care for radiation therapy and id ideal for tumors and cancers located very close to sensitive structures and organs. The impact of image-guided radiotherapy continues to evolve with the advancement of technology that enables doctors to understand better the working of the human body.

Types of images used in the image guided radiotherapy

• Computed tomography
• Fluoroscopy
• Magnetic resonance imaging
• Positron emission tomography
• Conventional CT scans
• Optical tracking
• Megavoltage Computed tomography
• Ultrasound
• Digital X-ray

Advantages of the image guided radiotherapy

• Improve the accuracy of the radiation field placement
• Reduce the exposure of healthy tissue during radiation treatment
• There is accurate delivery of radiation to the cancerous cells
• Improved localization, definition and monitoring of tumor position, size and shape before and during treatment
• The possibility of higher, dosage of targeted radiation to improve tumor control
• Decreased radiation exposure to normal tissue surrounding the tumor

Types of cancers treated using the images guided radiotherapy

• Head and neck cancer
• Lung cancer
• Prostate cancer
• Breast cancer
• Gastrointestinal cancer such as stomach cancer

Steps taken during the planning of the image guided radiotherapy

• A CT scan is taken to the radiotherapy department
• MRI (Magnetic resonance imaging) and PET (Positron emission tomography) scans of the area to be exposed to radiation treatment.
• The results of the scans are fed into the radiotherapy computer used in planning.
• The computer program then designs the radiation beams that resemble the tumor to ensure that healthy tissue is not exposed to the radiation
• The skin is where the cancerous cells are marked to ensure only that area is treated during other sessions
• Where the radiotherapy is happening to your neck and head, a plastic mask or mould will be worn during treatment.

Side effects of the image guided radiotherapy

The possibility of developing side effects in the image guided radiotherapy is low but the side effects may include:

• Tiredness
• Skin reaction