There are many advantages to the static delivery of a photon compensator. Because the entire tumor is receiving dose simultaneously, treatment times and monitor units are reduced significantly. This is especially beneficial for very large fields equating to a shorter time on the table and less radiation for your patient. Compensators are not for every patient, but when the right case presents itself, they are a great tool to have. Our Materials

Case Studies:

Solid Modulated Accelerated Radiation Therapy for Early Stage Breast Cancer Conservation / T. Yaeger MD, N. Cost CMD, Wake Forest Univ

Solid IMRT Breast Case Study / V. LaCerba, Radiation Oncology Resources

A retrospective study on tx time and MU's between compensator-based IMRT and segmental MLC delivery, S. Chang et al, UNC

Reduction of skin dose with compensator-based IMRT compared to MLC-based delivery, K. Javedan et al, Moffitt Cancer Center

Quantification of delivered IMRT dose distributions for mobile targets , K. Forster et al, Moffitt Cancer Center

Practical Solutions for Dealing With Varian Field Size Limitations When Planning Large IMRT fields with Pinnacle3, V. LaCerba et al, ROR

Peer Reviewed Articles:

"Compensators: An Alternative IMRT Delivery Technique", S. Chang et al, UNC

"On Dose to a Moving Target While Employing Different IMRT Delivery Techniques"; E. Ehler et al, Univ of Wisconsin

"Intensity Modulation Delivery Techniques" Step & Shoot MLC Auto-sequence vs Use of a Modulator", S, Chang et al, UNC

"Compensator Intensity Modulated Radiotherapy - A Tradition Tool for Modern Application"' S. Chang, UNC

"Compensator-based IMRT in H&N Cancer: Our Experience in Achieving Dosimetric Parameters and Their Clinical Correlation" S. Nangia et al

"IMRT with Compensators for H&N Cancers" H. Salz et al

"3-D Conformal - Intensity Modulated Radiotherapy with Compensators for H&N Cancers: Clinical Results of Normal Tissue Sparing", T. Wendt et al

"Comparison of Three Comcomitant Boast Techniques for Early Stage Breast Cancers"' J. Horton MD et al, UNC

"Solid Modulation: Problem Solving IMRT", D. Vassey et al, Gibbs Cancer Center

"On Compensator Design for Photon Beam Intensity Modulated Conformal Therapy", S. Jiang et al, Med. College of Ohio

"Compensators for Intensity Modulated Beams", D. Dimitriadis et al, McGill Univ

Presentations:

Very Large Field IMRT via Compensators, R. Mitra, Ochsner Clinic

A Comparative Analysis Between Conventional MLC Based and Solid Compensator Based IMRT Treatment Techniques. A Clinical Review After 5 Years, I. Parsai, Univ of Toledo

SnapShot IMRT with compensators and FFF beams, V. Feygelman, Moffitt Cancer Center

Getting Started:

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