Skip to main content
Journal cover image

Innovation and the future of advanced dosimetry: 2D to 5D

Publication ,  Conference
Oldham, M
Published in: Journal of Physics: Conference Series
June 5, 2017

Recent years have witnessed a remarkable evolution in the techniques, capabilities and applications of 3D dosimetry. Initially the goal was simple: to innovate new techniques capable of comprehensively measuring and verifying exquisitely intricate dose distributions from a paradigm changing emerging new therapy, IMRT. Basic questions emerged: how well were treatment planning systems modelling the complex delivery, and how could treatments be verified for safe use on patients? Since that time, equally significant leaps of innovation have continued in the technology of treatment delivery. In addition, clinical practice has been transformed by the addition of on-board imaging capabilities, which tend to hypo-fractionation strategies and margin reduction. The net result is a high stakes treatment setting where the clinical morbidity of any unintended treatment deviation is exacerbated by the combination of highly conformal dose distributions given with reduced margins with fractionation regimens unfriendly to healthy tissue. Not surprisingly this scenario is replete with challenges and opportunities for new and improved dosimetry systems. In particular tremendous interest exists in comprehensive 3D dosimetry systems, and systems that can resolve the dose in moving structures (4D) and even in deforming structures (5D). Despite significant progress in the capability of multi-dimensional dosimetry systems, it is striking that true 3D dosimetry systems are today largely found in academic institutions or specialist clinics. The reasons will be explored. We will highlight innovations occurring both in treatment delivery and in advanced dosimetry methods designed to verify them, and explore current and future opportunities for advanced dosimetry tools in clinical practice and translational research.

Duke Scholars

Published In

Journal of Physics: Conference Series

DOI

EISSN

1742-6596

ISSN

1742-6588

Publication Date

June 5, 2017

Volume

847

Issue

1

Related Subject Headings

  • 51 Physical sciences
  • 0299 Other Physical Sciences
  • 0204 Condensed Matter Physics
  • 0202 Atomic, Molecular, Nuclear, Particle and Plasma Physics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Oldham, M. (2017). Innovation and the future of advanced dosimetry: 2D to 5D. In Journal of Physics: Conference Series (Vol. 847). https://doi.org/10.1088/1742-6596/847/1/012006
Oldham, M. “Innovation and the future of advanced dosimetry: 2D to 5D.” In Journal of Physics: Conference Series, Vol. 847, 2017. https://doi.org/10.1088/1742-6596/847/1/012006.
Oldham M. Innovation and the future of advanced dosimetry: 2D to 5D. In: Journal of Physics: Conference Series. 2017.
Oldham, M. “Innovation and the future of advanced dosimetry: 2D to 5D.” Journal of Physics: Conference Series, vol. 847, no. 1, 2017. Scopus, doi:10.1088/1742-6596/847/1/012006.
Oldham M. Innovation and the future of advanced dosimetry: 2D to 5D. Journal of Physics: Conference Series. 2017.
Journal cover image

Published In

Journal of Physics: Conference Series

DOI

EISSN

1742-6596

ISSN

1742-6588

Publication Date

June 5, 2017

Volume

847

Issue

1

Related Subject Headings

  • 51 Physical sciences
  • 0299 Other Physical Sciences
  • 0204 Condensed Matter Physics
  • 0202 Atomic, Molecular, Nuclear, Particle and Plasma Physics