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IMO Group | Special Techniques and programs
1. Treatmen Techniques

The technological evolution experienced during the last few years with respect to irradiation equipment, automatic collimator systems, computerized dosimetry planning, immobilization or stereotactic localization, has facilitated the appearance of a series of very different radiotherapy techniques.

Therefore our working methodology responds to the diversity of resources as well as having a multidisciplinary planning specifically oriented towards the most efficacious treatment according to the type of tumour.

As a consequence, we have the following treatment techniques available.

Conventional Linear Accelerator Radiotherapy. This involves applying the usual treatment after computerized planning of doses and determining irradiation fields. Suitable treatment is given according to the characteristics of each individual tumour.

Dynamic 3D Radiotherapy. This treatment involves the use of a Multi-leaf Collimator which produces multiple variable irradiation in accordance with pre-programmed computerized 3D dosimetry planning. This technique is used for highly localized tumours (for example, prostate or cerebral tumours).

Fractioned Stereotactic Radiotherapy. Together with traditional radiosurgery techniques, this facilitates a high degree of accuracy by localizing the area to be irradiated thanks to the repositionable stereotactic guide. Multiple sessions are required, therefore it is a fractioned technique. This is normally used for those cerebral tumours which, either due to their size or because they are located in areas close to the optic nerve, cannot be treated using traditional techniques.

Total Body Irradiation. This technique is fundamentally used for two specific indications: bone marrow transplantation (through photon irradiation) and fungoid mycosis (through electron irradiation). This technique is specially complex.

Intraoperative Radiotherapy. This is an irradiation technique which is complimentary to conventional surgery. Electron irradiation is applied to the areas affected by residual tumour - once this has been extirpated -, its origin and the area infiltrated.

Stereotactic Radiosurgery. This technique is indicated in the treatment of cerebral arteriovenous malformations, some types of cerebral tumours and functional disorders of the nervous system. It is based on the precise localization of the lesion to be treated using a stereotactic guide. Subsequently fine ionizing irradiation is produced by a Linear Accelerator.

High Rate Brachytherapy. This technique consists in the introduction of radioactive isotopes - Iodine 125 sources - directly into the tumour or body cavities, which allows local and, on occasions, intraoperative treatments. In all cases, this is an extremely complex technique which requires strict compliance with safety protocols for the handling of encapsulated sources.

IMRT. Intensity Modulated Radiotherapy is the most advanced Radiotherapy technique in existence today. It is fitting to emphasize that this technique allows the dosage of irradiation delivered to the tumour to be increased and to minimize the invasive effects on adjacent healthy tissue, as 3D simulation and precise dose adjustment allows greater control of the irradiation intensity.

Body Radiosurgery. This technique is an extension of conventional Radiosurgery, taking it beyond the head and neck and validated by a stereotactic guide .

2. Special Programs

Tehy respond to a multidisciplinary planning as well as to the specificity of each treatment in relation to the individual characteristics of each tumour. Briefly, the most common indications are as follows:

Radiosurgery for cerebral metastases, cerebral tumours and cerebral arteriovenous malformations.

Fractioned Stereotactic Radiotherapy for cerebral and head and neck tumours.

Dynamic 3D Radiotherapy for prostate tumours.

Intraoperative electron Radiotherapy for selected rectal, pancreatic, lung, stomach and bladder tumours.

Intraoperative electron Radiotherapy for sarcomas.

Total cutaneous electron radiation for cutaneous lymphomas.

Total body photon irradiation in bone marrow transplant programs.

Intraoperative Brachytherapy in hepatic metastases.

High Rate Brachytherapy in gynaecological tumours.

 
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