In view of the sophistication of radiotherapy technical platforms, departments are equipped with consoles sharing advanced softwares (contouring, multimodality imaging and dosimetry). The use of two twin Elekta Synergy linear accelerators (including agility, volumetric cone-beam imaging for soft tissue visualization and an integrated 6D real time patient positioning) offers excellent clinical flexibility and efficiency, while ensuring that patient safety and comfort remain a priority. The combination of high resolution beam shaping and rapid leaf speeds allows higher dose rates to be used for more effective modulation and since reducing unwanted dose to healthy tissue or organs-at-risk is critical, the Agility leaf bank provides extremely low transmission (< 0.5%). Cone beam CT is an imaging modality that produces volume imaging in an easier and quicker fashion than conventional medical CT. The 6D patient positioning is used for stereotactic treatments so as to correct transational and rotational set-up errors
The complete integration of such hardware and software systems makes it possible to perform the most advanced external beam Radiotherapy techniques: for example 3D-conformal radiotherapy, Intensity- Modulated Radiation Therapy (IMRT), Volumetric Modulated Arc Therapy (VMAT), Image Guided Radiation Therapy (IGRT), Deep Inspiration Breath Hold Technique (DIBH), Stereotactic Body Radiation Therapy (SBRT), Intracranial Stereotactic Radiosurgery or Conventionally Fractionated Stereotactic Radiotherapy (FSRT) and Deformable Multimodality Imaging Registration.
Our hardware and software technologies are designed to reach the utmost accuracy and precision by obtaining the desired therapeutic effect and minimizing the risk of complications. With the Stereotactic Body Radiation Therapy (SBRT), tumors are treated with limited but highly precise dose and focused radiation delivery as to minimize the risk of complications. It also require accurate and custom mapping for each individual patient’s anatomy and organ motion. To this end a great range of methods and techniques consisting of very complex devices are used: for example, in case of lung or liver tumors, a breathing control system enables to operate with a particular procedure which involves a stationary target. On the contrary, in case of brain tumors it is performed a non-invasive but strong immobilization, involving dental amalgam as well.
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International Office
Fondazione Poliambulanza opens its doors to the New Surgical Centre and the New Multifunctional Intensive Care Unit.