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Targeted Radiation Therapy for Cancer Initiative

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Technical Report,04 Aug 2014,03 Aug 2015

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The Geneva Foundation Tacoma United States

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This program is intended to establish the infrastructure to provide state-of-the art targeted radiation therapy to military personnel and veterans with cancer. The research aspect of this project is intended to demonstrate whether 1 targeted radiation therapy with real time localization and tracking will allow use of a smaller planning treatment volume margin with a significant decrease in rectal and bladder volume treated and whether the use of such targeted therapy can occur within standard treatment times and thus feasible for routine clinical use, 2 the use of Vac-Lokregistered immobilization devices are necessary when patients are treated using the Calypso system, 3 Beaconregistered Transponder is of benefit in pelvic radiation therapy following prostatectomy, 4 the precision and accuracy of radiation therapy using breath-hold technique for left-sided breast cancer patients treated with adjuvant radiation therapy, with the benefit of confirmatory tracking via the Calypsoregistered 4D Localization System will help to spare toxicity to the heart, 5 a military medical center department, with essentially fixed costs and without financial incentive to treat patients with multiple fractions, will manage patients differently than a typical civilian practice and whether this difference changed the outcome for palliative patients, 6 use of the Calypso system, and other advanced radiation therapy equipment, can improve treatment techniques and outcomes in malignancies arising in other parts of the body.

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