Radiation Oncology

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Fundamentals of Radiation Oncology

Author : Hasan Murshed
Publisher : Academic Press
ISBN 13 : 0128141298
Total Pages : 746 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Fundamentals of Radiation Oncology by : Hasan Murshed

Download or read book Fundamentals of Radiation Oncology written by Hasan Murshed and published by Academic Press. This book was released on 2019-01-05 with total page 746 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fundamentals of Radiation Oncology: Physical, Biological, and Clinical Aspects, Third Edition continues to provide current, concise, and a readily available source of clinical information for busy practicing radiation oncologists. The book consists of 26 chapters, divided into four parts: Part I describes the basic science of radiation oncology, with discussions of radiation physics, radiation protection, and radiation biology, as well as molecular biology. Part II describes techniques and modalities of radiation oncology including brachytherapy, intensity-modulated radiation therapy (IMRT), stereotactic radiotherapy (SRS), stereotactic body radiation therapy (SBRT), and proton therapy. Significant recent advances made in the areas of immunotherapy and combined modality therapy; as such, these chapters have also been added to this new edition. Part III describes the clinical science of radiation oncology including risk factors, symptoms/signs, and investigations needed for the cancer diagnosis and up-to-date treatment recommendations in accordance with the new AJCC staging system. In addition, radiation treatment techniques, with an emphasis on IMRT, have been expanded to all the chapters. Also included in this version of the book is a chapter on benign diseases. Updated annotated bibliographies of latest landmark studies providing evidence-based rationale for the recommended treatments are presented at the end of each chapter. Part IV describes palliative radiation treatments to improve the quality of life for cancer patients and the management of side effects from radiation treatment. This book is a must-have for all radiation oncology residents, radiation oncologists and all professionals engaged in the care of cancer patients. New chapters on brachytherapy, IMRT/IGRT, SRS, SBRT, proton therapy, immunotherapy, combined modality therapy, and benign diseases Eighth edition of the AJCC staging system IMRT techniques for all common cancer sites, along with up-to-date treatment recommendations Relevant, landmark studies that provide evidence-based rationale for recommended treatments

Manual for Radiation Oncology Nursing Practice and Education

Author : Maurene McQuestion
Publisher :
ISBN 13 : 9781635930443
Total Pages : pages
Book Rating : 4.9/5 (34 download)

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Book Synopsis Manual for Radiation Oncology Nursing Practice and Education by : Maurene McQuestion

Download or read book Manual for Radiation Oncology Nursing Practice and Education written by Maurene McQuestion and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Advances in technology, research, and evidence-based practice have led to improvements in the care of patients receiving radiation therapy. The knowledge and expertise required by nurses must focus on the needs of patients who come into their care at any point across the trajectory of the cancer journey. Nurses may work with patients at varying stages of the radiation therapy process and in a wide range of settings. Regardless, however, the need to be knowledgeable about the symptoms and side effects associated with this treatment is essential for nurses caring for this patient population. The Oncology Nursing Society has published the fifth edition of Manual for Radiation Oncology Nursing Practice and Education to support nurses who care for patients who will receive, are receiving, or have received radiation therapy. The fifth edition features significant updates and changes to the content to reflect advances in technology, treatment options, and symptom manage¬ment. New sections have been added based on input from radiation oncology nurses or as a result of changes in treatment options, the needs of specific patient populations, and observations from clinical practice. New topics include patients with cognitive changes and dementia; general distress and coping; patients with mental illness; special populations, such as women who are pregnant, ado-lescents, and young adults; special needs related to late effects of treatment and cardiac toxicities; and treatment modalities, includ¬ing cobalt therapy and immunotherapy. This manual serves as an essential resource for individual nurses new to working in a radiation therapy set¬ting as well as to nurses wanting to advance their knowledge in radiation biology and protection, diverse radiation therapy modalities, combination treatments, site- or disease-specific concerns, symptom management, special populations, and care during transition points. Additionally, this manual can be a resource to advanced practice clinicians, educators, and administrators, with a focus on support for nursing staff seeking the education and skills required to care for patients receiving radiation therapy and their families"--

Pediatric Radiation Oncology

Author : Edward C. Halperin
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451148690
Total Pages : 480 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Pediatric Radiation Oncology by : Edward C. Halperin

Download or read book Pediatric Radiation Oncology written by Edward C. Halperin and published by Lippincott Williams & Wilkins. This book was released on 2012-03-28 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Established since 1986 as the definitive text and reference on use of radiation therapy for childhood cancer, Pediatric Radiation Oncology is now in its thoroughly revised and updated Fifth Edition. This edition reviews all significant recent clinical trials—including, for the first time, significant European clinical trials—and provides increased coverage of international and Third World issues. The latest cancer staging guidelines are included. New chapters cover psychosocial aspects of radiotherapy for the child and family and medical management of pain, nausea, nutritional problems, and blood count depression in the child with cancer. This edition also has full-color illustrations throughout. A companion website includes the full text and an image bank.

Radiation Oncology - A Question Based Review

Author : Borislav Hristov
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469887924
Total Pages : 1331 pages
Book Rating : 4.4/5 (698 download)

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Book Synopsis Radiation Oncology - A Question Based Review by : Borislav Hristov

Download or read book Radiation Oncology - A Question Based Review written by Borislav Hristov and published by Lippincott Williams & Wilkins. This book was released on 2014-07-11 with total page 1331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to serve as a comprehensive active learning tool for medical students, residents, and junior attending physicians, Radiation Oncology: A Question-Based Review is geared toward helping professionals quickly and efficiently review a specific topic in clinical radiation oncology. Organized into sections by system and with over 90 chapters covering all the sites and conditions for which radiation is used clinically. This publication covers in detail all the sites and cancer types currently treated with radiotherapy with an emphasis on treatment recommendations and the evidence behind them. Additionally, detailed questions are included on the natural history, epidemiology, diagnosis, staging, and treatment-related side effects for each cancer type.

Clinical Radiation Oncology

Author : Leonard L. Gunderson, MD, MS, FASTRO
Publisher : Elsevier Health Sciences
ISBN 13 : 0323240984
Total Pages : 2253 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Clinical Radiation Oncology by : Leonard L. Gunderson, MD, MS, FASTRO

Download or read book Clinical Radiation Oncology written by Leonard L. Gunderson, MD, MS, FASTRO and published by Elsevier Health Sciences. This book was released on 2015-08-26 with total page 2253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perfect for radiation oncology physicians and residents needing a multidisciplinary, treatment-focused resource, this updated edition continues to provide the latest knowledge in this consistently growing field. Not only will you broaden your understanding of the basic biology of disease processes, you'll also access updated treatment algorithms, information on techniques, and state-of-the-art modalities. The consistent and concise format provides just the right amount of information, making Clinical Radiation Oncology a welcome resource for use by the entire radiation oncology team. Content is templated and divided into three sections -- Scientific Foundations of Radiation Oncology, Techniques and Modalities, and Disease Sites - for quick access to information. Disease Sites chapters summarize the most important issues on the opening page and include a full-color format, liberal use of tables and figures, a closing section with a discussion of controversies and problems, and a treatment algorithm that reflects the treatment approach of the authors. Chapters have been edited for scientific accuracy, organization, format, and adequacy of outcome data (such as disease control, survival, and treatment tolerance). Allows you to examine the therapeutic management of specific disease sites based on single-modality and combined-modality approaches. Features an emphasis on providing workup and treatment algorithms for each major disease process, as well as the coverage of molecular biology and its relevance to individual diseases. Two new chapters provide an increased emphasis on stereotactic radiosurgery (SRS) and stereotactic body irradiation (SBRT). New Associate Editor, Dr. Andrea Ng, offers her unique perspectives to the Lymphoma and Hematologic Malignancies section. Key Points are summarized at the beginning of each disease-site chapter, mirroring the template headings and highlighting essential information and outcomes. Treatment algorithms and techniques, together with discussions of controversies and problems, reflect the treatment approaches employed by the authors. Disease Site Overviews allow each section editor to give a unique perspective on important issues, while online updates to Disease Site chapters ensure your knowledge is current. Disease Site chapters feature updated information on disease management and outcomes. Four videos accessible on Expert Consult include Intraoperative Irradiation, Prostate Brachytherapy, Penile Brachytherapy, and Ocular Melanoma. Thirty all-new anatomy drawings increase your visual understanding. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Essentials of Clinical Radiation Oncology

Author : Matthew C. Ward, MD
Publisher : Springer Publishing Company
ISBN 13 : 0826168558
Total Pages : 670 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Essentials of Clinical Radiation Oncology by : Matthew C. Ward, MD

Download or read book Essentials of Clinical Radiation Oncology written by Matthew C. Ward, MD and published by Springer Publishing Company. This book was released on 2017-12-28 with total page 670 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of Clinical Radiation Oncology is a comprehensive, user-friendly clinical review that summarizes up-to-date cancer care in an easy-to-read format. Each chapter is structured for straightforward navigability and information retention beginning with a “quick-hit” summary that contains an overview of each disease, its natural history, and general treatment options. Following each "quick-hit" are high-yield summaries covering epidemiology, risk factors, anatomy, pathology, genetics, screening, clinical presentation, workup, prognostic factors, staging, treatment paradigms, and medical management for each malignancy. Each treatment paradigm section describes the current standard of care for radiation therapy including indications, dose constraints, and side effects. Chapters conclude with an evidence-based question and answer section which summarizes practice-changing data to answer key information associated with radiation treatment outcomes. Flow diagrams and tables consolidate information throughout the book that all radiation oncologists and related practitioners will find extremely useful when approaching treatment planning and clinical care. Essentials of Clinical Radiation Oncology has been designed to replicate a "house manual" created and used by residents in training and is a "one-stop" resource for practicing radiation oncologists, related practitioners, and radiation oncology residents entering the field. Key Features: Offers digestible information as a learning guide for general practice Examines essential clinical questions which are answered with evidence-based data from important clinical studies Places clinical trials and data into historical context and points out relevance in current practice Provides quick reference tables on treatment options and patient selection, workup, and prognostic factors by disease site

Essentials of Clinical Radiation Oncology, Second Edition

Author : Sarah M. C. Sittenfeld, MD
Publisher : Springer Publishing Company
ISBN 13 : 0826169090
Total Pages : 775 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Essentials of Clinical Radiation Oncology, Second Edition by : Sarah M. C. Sittenfeld, MD

Download or read book Essentials of Clinical Radiation Oncology, Second Edition written by Sarah M. C. Sittenfeld, MD and published by Springer Publishing Company. This book was released on 2021-09-07 with total page 775 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated and expanded, this Second Edition of Essentials of Clinical Radiation Oncology continues to provide a succinct and effective review of the most important studies in the field. Organized by disease topic and grouped by body part, each chapter employs structured sections for targeted information retrieval and retention. Chapters begin with a "Quick Hit" overview of each disease summarizing the most significant paradigms before moving into dedicated summaries on epidemiology, risk factors, anatomy, pathology, genetics, screening, clinical presentation, workup, prognostic factors, staging, treatment paradigm, and medical management. An evidence-based question-and-answer section concludes each chapter, which pairs commonly encountered clinical questions with answers connecting historical context and pertinent clinical studies to better inform decision-making and treatment planning. Providing the latest treatment paradigms and guidelines, this comprehensive second edition now outlines the evidence and must-know considerations for using radiation therapy with immunotherapy, the strategies for metastasis-directed therapy for oligometastatic disease, and much more. Written for the practicing radiation oncologist, related practitioner, and radiation oncology resident entering the field, this "one-stop" resource is the go-to reference for everyday practice. Key Features: Structured sections offer high-yield information for targeted review Cites need-to-know clinical studies and treatment guidelines in evidence-based question-and-answer format Each chapter has been reviewed and updated to include the most recent and relevant studies New chapters on spine tumors, thyroid cancer, sinonasal tumors, cholangiocarcinoma, renal cell carcinoma, multiple myeloma and plasmacytoma, miscellaneous pediatric tumors, and treatment of oligometastatic disease from underlying cancers Designed for quick reference with comprehensive tables on treatment options and patient selection, workup, and prognostic factors by disease site Purchase includes digital access for use on most mobile devices or computers

Pocket Radiation Oncology

Author : Chad Tang
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496398580
Total Pages : 320 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Pocket Radiation Oncology by : Chad Tang

Download or read book Pocket Radiation Oncology written by Chad Tang and published by Lippincott Williams & Wilkins. This book was released on 2019-04-16 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pocket Radiation Oncology is a practical, high-yield reference offering current, evidence-based practices and expert guidance from physicians at the world-renowned MD Anderson Cancer Center. Featuring an easy-to-use, loose-leaf format, it serves as a concise clinical companion and board study guide for medical students, residents, and attending physicians in radiation oncology.

Radiation Oncology Physics

Author : International Atomic Energy Agency
Publisher : IAEA
ISBN 13 :
Total Pages : 704 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Radiation Oncology Physics by : International Atomic Energy Agency

Download or read book Radiation Oncology Physics written by International Atomic Energy Agency and published by IAEA. This book was released on 2005 with total page 704 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication is aimed at students and teachers involved in teaching programmes in field of medical radiation physics, and it covers the basic medical physics knowledge required in the form of a syllabus for modern radiation oncology. The information will be useful to those preparing for professional certification exams in radiation oncology, medical physics, dosimetry or radiotherapy technology.

Absolute Clinical Radiation Oncology Review

Author : Daniel M. Trifiletti
Publisher : Springer
ISBN 13 : 3319968092
Total Pages : 492 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Absolute Clinical Radiation Oncology Review by : Daniel M. Trifiletti

Download or read book Absolute Clinical Radiation Oncology Review written by Daniel M. Trifiletti and published by Springer. This book was released on 2019-01-22 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a quick reference guide for clinicians in radiation oncology. It is designed to be an intuitive and easily reviewed study guide for board or maintenance of certification examinations, as well as a quick reference for residents and established radiation oncologists who need a refresher. The text begins with a general pearls chapter that radiation oncologists should consider in all aspects of their practice, including cancer visibility, dosing, counseling recommendations, and toxicity management. The subsequent chapters then delve into different cancer disease sites, including pediatrics, central nervous system, head and neck, thoracic, breast, gastrointestinal, gynecologic, genitourinary, hematologic, soft tissue, palliative, and radiophysics/radiobiology. Within each chapter, each disease and its recommended approach is then summarized in only a few pages, allowing a focus on the most essential information. Bullet points, figures, tables, and images make for an intuitive reader experience. Recommendations are taken from the American Society for Radiation Oncology (ASTRO), the European Society for Radiation Oncology (ESTRO), and the National Comprehensive Cancer Network (NCCN). Planning guides for imaging, diagnosis, and staging offer readers a starting point in approaching each patient based on disease origin, and dosing guidelines then detail consideration for treatment methods. Each chapter additionally includes disease-specific pearls and key points to test the knowledge reviewed in the chapters. Experts in the disease sites from the United States serve as senior authors on each chapter. The authors include all diseases associated with radiation oncology training to ensure a comprehensive resource for exam studying and clinical care. Residents, trainees, and established radiation oncologists find this an ideal study resource for both board and certification exams, as well as an easily accessible aid during practice.

Basic Radiation Oncology

Author : Murat Beyzadeoglu
Publisher : Springer Nature
ISBN 13 : 3030873080
Total Pages : 541 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Basic Radiation Oncology by : Murat Beyzadeoglu

Download or read book Basic Radiation Oncology written by Murat Beyzadeoglu and published by Springer Nature. This book was released on 2022-01-01 with total page 541 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical, up-to-date, bedside-oriented radiation oncology book encompasses the essential aspects of the subject with coverage on radiation physics, radiobiology, and clinical radiation oncology. The first two sections examine concepts that are crucial in radiation physics and radiobiology. The third section describes radiation treatment regimens appropriate for the main cancer sites and tumor types.

Handbook of Radiation Oncology

Author : Bruce G. Haffty
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763731434
Total Pages : 828 pages
Book Rating : 4.7/5 (314 download)

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Book Synopsis Handbook of Radiation Oncology by : Bruce G. Haffty

Download or read book Handbook of Radiation Oncology written by Bruce G. Haffty and published by Jones & Bartlett Learning. This book was released on 2009 with total page 828 pages. Available in PDF, EPUB and Kindle. Book excerpt: Whether you are a practicing radiation oncologist or a student of medicine, nursing, physics, dosimetry, or therapy, this handbook is a valuable resource covering the issues most pertinent to patients undergoing radiation therapy. Handbook of Radation Oncology covers general oncologic principles, workup, staging, and multidisciplinary aspects of treatment, basic principles of physics and radiobiology, and specific technologies including brachytherapy, radiosurgery, and unsealed sources.

Practical Radiation Oncology Physics

Author : Sonja Dieterich
Publisher : Elsevier Health Sciences
ISBN 13 : 0323262090
Total Pages : 387 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Practical Radiation Oncology Physics by : Sonja Dieterich

Download or read book Practical Radiation Oncology Physics written by Sonja Dieterich and published by Elsevier Health Sciences. This book was released on 2015-08-21 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perfect for radiation oncologists, medical physicists, and residents in both fields, Practical Radiation Oncology Physics provides a concise and practical summary of the current practice standards in therapeutic medical physics. A companion to the fourth edition of Clinical Radiation Oncology, by Drs. Leonard Gunderson and Joel Tepper, this indispensable guide helps you ensure a current, state-of-the art clinical practice. Covers key topics such as relative and in-vivo dosimetry, imaging and clinical imaging, stereotactic body radiation therapy, and brachytherapy. Describes technical aspects and patient-related aspects of current clinical practice. Offers key practice guideline recommendations from professional societies throughout - including AAPM, ASTRO, ABS, ACR, IAEA, and others. Includes therapeutic applications of x-rays, gamma rays, electron and charged particle beams, neutrons, and radiation from sealed radionuclide sources, plus the equipment associated with their production, use, measurement, and evaluation. Features a "For the Physician" box in each chapter, which summarizes the key points with the most impact on the quality and safety of patient care. Provides a user-friendly appendix with annotated compilations of all relevant recommendation documents. Includes an enhanced Expert Consult eBook with open-ended questions, ideal for self-assessment and highlighting key points from each chapter. Download and search all of the text, figures, and references on any mobile device.

Adult CNS Radiation Oncology

Author : Eric L. Chang
Publisher : Springer
ISBN 13 : 3319428780
Total Pages : 766 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Adult CNS Radiation Oncology by : Eric L. Chang

Download or read book Adult CNS Radiation Oncology written by Eric L. Chang and published by Springer. This book was released on 2018-07-27 with total page 766 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book elucidates the radiation therapy protocols and procedures for the management of adult patients presenting with primary benign and malignant central nervous system tumors. With the development of new treatment strategies and rapid advancement of radiation technology, it is crucial for radiation oncologists to maintain and refine their knowledge and skills. Dedicated exclusively to adult CNS radiation oncology, this textbook explores CNS tumors ranging from the common to the esoteric as well as secondary cancers of metastatic origin. The first half of the book is organized anatomically: tumors of the brain, spinal cord, leptomeninges, optic pathway, ocular choroid, and skull base. The second half covers primary CNS lymphoma, rare CNS tumors, metastatic brain disease, vascular conditions of the CNS, radiation-associated complications, and radiation modalities. Each chapter provides guidance on treatment field design, target delineation, and normal critical structure tolerance constraints in the context of the disease being treated. Learning objectives, case studies, and Maintenance of Certification Self-Assessment Continuing Medical Education-style questions and answers are incorporated throughout the book. This is an ideal guide for radiation oncologists, residents, and fellows, but medical students may also find value in the text.

Radiation Oncology: A Physicist's-Eye View

Author : Michael Goitein
Publisher : Springer Science & Business Media
ISBN 13 : 0387726454
Total Pages : 330 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis Radiation Oncology: A Physicist's-Eye View by : Michael Goitein

Download or read book Radiation Oncology: A Physicist's-Eye View written by Michael Goitein and published by Springer Science & Business Media. This book was released on 2007-08-14 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: The papers collected in this hugely useful volume cover the principle physical and biological aspects of radiation therapy and in addition, address practical clinical considerations in the planning and delivering of that therapy. The importance of the assessment of uncertainties is emphasized. Topics include an overview of the physics of the interactions of radiation with matter and the definition of the goals and the design of radiation therapy approaches.

Gynecologic Radiation Oncology: A Practical Guide

Author : Patricia Eifel
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496362454
Total Pages : 352 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Gynecologic Radiation Oncology: A Practical Guide by : Patricia Eifel

Download or read book Gynecologic Radiation Oncology: A Practical Guide written by Patricia Eifel and published by Lippincott Williams & Wilkins. This book was released on 2016-07-13 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering practical approaches to common clinical problems, Gynecologic Radiation Oncology: A Practical Guide compiles the extensive clinical experience of Drs. Patricia J. Eifel and Ann H. Klopp from MD Anderson Cancer Center into one user-friendly volume. This reference addresses practical aspects of the field: how to evaluate the role of radiation therapy in various clinical settings, how to explain the rationale for treatment recommendations to referring physicians and patients, when and how to apply various external beam and brachytherapy techniques to address specific clinical problems, and how to monitor and manage patients during and after treatment. The book focuses on the following items, which can have immediate application to the treatment of patients with gynecologic cancers.

Decision Making in Radiation Oncology

Author : Jiade J. Lu
Publisher : Springer Science & Business Media
ISBN 13 : 3642138322
Total Pages : 548 pages
Book Rating : 4.6/5 (421 download)

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Book Synopsis Decision Making in Radiation Oncology by : Jiade J. Lu

Download or read book Decision Making in Radiation Oncology written by Jiade J. Lu and published by Springer Science & Business Media. This book was released on 2010-11-22 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decision Making in Radiation Oncology is a reference book designed to enable radiation oncologists, including those in training, to make diagnostic and treatment decisions effectively and efficiently. The design is based on the belief that “a picture is worth a thousand words.” Knowledge is conveyed through an illustrative approach using algorithms, schemas, graphics, and tables. Detailed guidelines are provided for multidisciplinary cancer management and radiation therapy techniques. In addition to the attention-riveting algorithms for diagnosis and treatment, strategies for the management of disease at individual stages are detailed for all the commonly diagnosed malignancies. Clinical trials that have yielded “gold standard” treatment and their results are documented in the schemas. Moreover, radiation techniques, including treatment planning and delivery, are presented in an illustrative way. This groundbreaking publication is an essential tool for physicians in their daily clinical practice.