Physicists and Clinicians at Leading Dutch Cancer Center Report Advances in Stereotactic Lung Tumor Treatments Using RapidArc Ra
November 30 2009 - 8:00AM
PR Newswire (US)
AMSTERDAM, Nov. 30 /PRNewswire-FirstCall/ -- Researchers from VU
University Medical Center in Amsterdam have reported that RapidArc®
radiotherapy from Varian Medical Systems (NYSE:VAR) has clinical
advantages over earlier fixed-beam approaches to stereotactic
treatments of lung tumors. Their findings, based on treatment of 85
medically inoperable lung cancer patients, were reported at the
recent annual meeting of the American Society for Radiation
Oncology (ASTRO) in Chicago and a condensed version has been
published in the 'Green Journal' (Radiotherapy and Oncology) 93
(2009). "RapidArc enabled much faster treatment for these patients,
with treatment in just six minutes, reducing the risk of patient
motion and achieving superior dose conformity around the target
while reducing dose to the chest wall by almost a third," says Dr.
Wilko Verbakel, medical physicist. "Dose conformity is extremely
important when you are treating close to critical structures and
the conformity you see with RapidArc is always better or at least
as good as with fixed-beam IMRT and certainly better than
achievable with ten static non-coplanar beams or dynamic conformal
arc." Clinicians at VU deliver stereotactic RapidArc treatments
using the Novalis Tx(TM) radiosurgical platform from Varian and
BrainLAB. The high dose delivery capability of Novalis Tx combined
with the speed of RapidArc enables stereotactic treatments with
beam-on time of as little as six and a half minutes, even for the
highest doses, which previously took about 30 minutes to deliver.
Hypo-fractionated stereotactic lung treatments at VU are delivered
in three sessions of 18 Gy each, five sessions of 11 Gy each or
eight sessions of 7.5 Gy each, depending on the size and position
of the tumor. Planning, described by Dr. Verbakel as 'very easy'
using RapidArc, is based on 4D CT scans and the treatment field
allows a small margin to account for tumor motion caused by
breathing. Additional recent research by the team at VU has shown
that, unlike with some other advanced radiation delivery
techniques, treatment of a moving tumor with RapidArc has no
negative dosimetric consequences. RapidArc®, Varian's technology
for delivering volumetric modulated arc therapy (VMAT), enables
clinicians to deliver a highly-precise image-guided
intensity-modulated treatment quickly, often with as little as one
or two revolutions of the treatment machine around the patient.
This enables treatments that are up to eight times faster than
alternative approaches. Professor Suresh Senan, radiation
oncologist at VU, adds, "We are very encouraged by these findings
and RapidArc is now our standard technique for all patients with
stage 1 lung tumors." *This research received grant support from
Varian Medical Systems. Editorial Contact: Neil Madle, Varian
Medical Systems, +44 7786 526068, W.F.A.R. Verbakel, S. Senan, C.
Ong, J.P. Cuijpers, B.J. Slotman, F.J. Lagerwaard Rapid Delivery of
Stereotactic Radiotherapy for Peripheral Lung Tumors using
Volumetric Intensity Modulated Arcs - Radiother Oncol. 2009
Oct;93(1): 122-4. Available here:
http://www.thegreenjournal.com/article/PIIS0167814009002709/abstract
The abstract from ASTRO is available here:
http://www.redjournal.org/article/S0360-3016(09)01321-2/fulltext
ABOUT VARIAN MEDICAL SYSTEMS Varian Medical Systems, Inc., of Palo
Alto, California, is the world's leading manufacturer of medical
devices and software for treating cancer and other medical
conditions with radiotherapy, radiosurgery, proton therapy, and
brachytherapy. The company supplies informatics software for
managing comprehensive cancer clinics, radiotherapy centers and
medical oncology practices. Varian is a premier supplier of tubes
and digital detectors for X-ray imaging in medical, scientific, and
industrial applications and also supplies X-ray imaging products
for cargo screening and industrial inspection. Varian Medical
Systems employs approximately 5,100 people who are located at
manufacturing sites in North America, China, and Europe and in its
79 sales and support offices around the world. For more
information, visit http://www.varian.com/ DATASOURCE: Varian
Medical Systems, Inc. CONTACT: Neil Madle of Varian Medical
Systems, +44 7786 526068, Web Site: http://www.varian.com/
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