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Imaging & Oncology - Society of Radiographers

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Benefits<br />

Our research and development collaboration with Elekta has been very<br />

successful, resulting in real benefits for our patients. Elekta are provided<br />

with a clinical environment to test their new equipment and receive<br />

valuable feedback about their products prior to general release. For us it<br />

has meant that we have been able to use new equipment and s<strong>of</strong>tware<br />

as soon as it is available and so <strong>of</strong>fer our patients the most up-to-date<br />

radiotherapy. We can also evaluate s<strong>of</strong>tware prior to clinical release to test<br />

all the new features that have been promised. The disadvantage is that<br />

we spend time identifying problems during testing that are subsequently<br />

corrected ready for when others get to use the s<strong>of</strong>tware clinically later on.<br />

This takes significant resources so should not be undertaken lightly.<br />

The future for patients at Leeds<br />

Our collaboration with Elekta has meant that we have been able to <strong>of</strong>fer<br />

faster treatments on the research linacs to a limited number <strong>of</strong> patients<br />

with lung, prostate or head and neck cancer. We will soon have VMAT<br />

available on our PFI linacs so will be able to <strong>of</strong>fer this type <strong>of</strong> treatment<br />

to many more patients. The quicker treatments will mean that we can<br />

treat more patients each day on the PFI linacs, as well as providing a<br />

much better patient experience. Having the experience <strong>of</strong> VMAT on the<br />

research linacs will mean that converting from IMRT to VMAT on the PFI<br />

linacs will be simpler. In the future, we would hope Agility TM features<br />

in the replacement programme <strong>of</strong> the PFI linacs so that we could fully<br />

realise the advantages that this work has shown. Although this article has<br />

concentrated on the VMAT and the Agility TM aspects <strong>of</strong> our collaboration,<br />

we have also worked on other projects such as image guided radiotherapy,<br />

which help ensure that the planned doses are delivered more accurately to<br />

the patient 4 .<br />

“Radiation can be<br />

concentrated to the<br />

cancer cells rather<br />

than normal tissue”<br />

Figure 4: The Agility TM head being lifted onto the linac.<br />

We are currently working on projects that we expect to demonstrate<br />

further reduction in treatment times whilst reducing doses to normal<br />

tissue.<br />

Conclusion<br />

None <strong>of</strong> what we have achieved would be possible without the high level<br />

<strong>of</strong> commitment and dedication shown by all the staff who have worked<br />

on these projects. Having a responsibility to develop and pioneer new<br />

treatment methods is not without difficulties, but is also very rewarding.<br />

We anticipate that with further collaboration with Elekta we will continue<br />

to refine treatment pathways and improve outcomes for our patients.<br />

{ 16 } IMAGING & ONCOLOGY 2013

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