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UK Clinicians Pass 200th Patient Milestone for Advanced Treatment Methods for Lung Cancer
Date:11/22/2011

LEEDS, England, Nov. 22, 2011 /PRNewswire/ -- Setting the pace in the United Kingdom for lung SBRT treatments, clinicians at the St. James's University Hospital are becoming increasingly adept in managing respiratory motion and accurately targeting mobile lung tumors, a difficult task before the introduction of advanced technology. For many of the more than 200 patients treated, St. James's doctors have used Elekta's Symmetry™ solution, 4D image guidance technology that enables clear visualization of moving targets.

"For certain patients with lung tumors that move a large amount during breathing, Symmetry 4D cone beam CT [CBCT] has been incredibly useful," says John Lilley, physicist at St. James's, part of The Leeds Teaching Hospitals NHS Trust.

"The standard 3D volume imaging system (3D CBCT) on our Elekta Synergy® treatment machine is great for imaging targets that remain still, but moving objects – become blurred," he explains. "However, by taking the 4D CT planning scan – which shows the 'envelope' of space within which the tumor is moving – and matching that to 4D Symmetry reconstructions, which show the tumor's position during the breathing cycle, we can more easily localize moving tumors."

Symmetry goes from part-time to full-time

Previously, St. James's clinicians had been using the capabilities of Symmetry only in three specific instances: 1) cases in which considerable tumor motion was observed in the planning 4D CT scan, 2) if the 3D CBCT images did not provide clear tumor visualization or 3) if the planning 4D CT did not resolve the tumor sufficiently, requiring clinicians to use Symmetry to check tumor motion. Recently, though, they have incorporated Symmetry for all lung cancer cases two days before the patient officially begins treatment ("Day 0"), according to Kevin N. Franks, M.D., Consultant in Clinical Oncology at St. James's.

"We're doing it for all patients now to
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SOURCE Elekta
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