Combining a Customized Immobilization System with an Innovative Use of the ExacTrac System for Precise Volumetric Modulated Arc Therapy of Challenging Forearm Sarcomas

Gianluca Ferini; Paolo Palmisciano; Valentina Zagardo; Anna Viola; Salvatore Ivan Illari; Valentina Marchese; Giuseppe E Umana; Vito Valenti

doi:10.1016/j.prro.2022.10.005

Combining a Customized Immobilization System with an Innovative Use of the ExacTrac System for Precise Volumetric Modulated Arc Therapy of Challenging Forearm Sarcomas

Pract Radiat Oncol. 2023 Mar-Apr;13(2):148-152. doi: 10.1016/j.prro.2022.10.005. Epub 2022 Nov 1.

Authors

Gianluca Ferini¹, Paolo Palmisciano², Valentina Zagardo³, Anna Viola⁴, Salvatore Ivan Illari⁴, Valentina Marchese³, Giuseppe E Umana⁵, Vito Valenti³

Affiliations

¹ Department of Radiation Oncology, REM Radioterapia srl, Viagrande, Italy. Electronic address: [email protected].
² Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Catania, Italy; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
³ Department of Radiation Oncology, REM Radioterapia srl, Viagrande, Italy.
⁴ Department of Radiation Oncology, Fondazione Instituto Oncologico del Mediterraneo, Viagrande, Italy.
⁵ Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Catania, Italy.

PMID: 36332798
DOI: 10.1016/j.prro.2022.10.005

Abstract

High-precision image-guided radiation therapy (RT) for tumors abutting the appendicular skeleton may mean technical difficulties and concerns among practitioners. This technical note addresses the specific challenge for normofractionated image-guided RT of a tumor target in a forearm through an unconventional use of a treatment verification system usually devoted to stereotactic RT.

MeSH terms

Forearm
Humans
Radiosurgery*
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted
Radiotherapy, Image-Guided*
Radiotherapy, Intensity-Modulated*
Sarcoma*