Immobilizations devices


 Present.- Ambuj kumar, BMTR 2               nd   year 2010-13
                          batch.


Support.- Akhil chaudhary,BMTR, 2 year 2010-13     nd



 Moderat.- MR. Randeep Singh Bedi,
     seniour RTT at RGCI & RC , Faculty BMTR GGSIPU.
Definition
     Devices used to lock the patient’s target anatomy to
      restrict the movement of that site (within limit) for
      precise dose delivery which leads to achieve our goals
      which is fire maximum dose on target and possibly
      minimum dose to normal tissues.
      why ?
   increase target accuracy
   easy to use
   quick to set up
   comfortable for the patient
   durable enough to withstand an entire course of treatment
   increase patient throughput
   reimbursable under complex treatment device
Aim
• Although the primary goal of immobilization system is
  to limit patient motion and reduce the probability of
  major positioning errors, there are other benefits as
  well.
• A well constructed immobilizing system can reduce
  the time for daily patient set up.
• It can make the patient feel more secure and less
  apprehensive.
• It can reduce the reliance on patient co-operation and
  alertness, and it can help to stabilize the relationship
  between external skin marks and internal structures.
History
   sand bags
   tape
   bite block
   plaster casts
   “home-made devices”
Considerations
          for selecting a device
   cost
   convenience
   accuracy
   speed
   compatibility
   attenuation
   durability
FRAME BASED
frameless
Immobilization devices   Positioning & support devices
• Orfit cast             •   AIO
• Vac lok                •   Base plate
                         •   Thorax positioning board
• Velcro Straps
                         •   Belly board
• Alfa cradle            •   Leg rest
• Pituitary board        •   Knee rest
• Breast board           •   Grip poles
• Customized foam pads   •   Head supports
                         •   Hand protudrance
• Wing board
                         •   Prone pillow
• Indexing bar           •   Prone head support
Errors
   Localization Error
       results from the failure to appreciate the full extent of the
        disease or to design adequate treatment fields
   Immobilization Error
       occurs as a result of displacement of the treatment fields
        relative to the intended treatment volume
Immobilizations devices
Immobilizations devices

Immobilizations devices

  • 1.
    Immobilizations devices Present.-Ambuj kumar, BMTR 2 nd year 2010-13 batch. Support.- Akhil chaudhary,BMTR, 2 year 2010-13 nd Moderat.- MR. Randeep Singh Bedi, seniour RTT at RGCI & RC , Faculty BMTR GGSIPU.
  • 2.
    Definition Devices used to lock the patient’s target anatomy to restrict the movement of that site (within limit) for precise dose delivery which leads to achieve our goals which is fire maximum dose on target and possibly minimum dose to normal tissues.  why ?  increase target accuracy  easy to use  quick to set up  comfortable for the patient  durable enough to withstand an entire course of treatment  increase patient throughput  reimbursable under complex treatment device
  • 3.
    Aim • Although theprimary goal of immobilization system is to limit patient motion and reduce the probability of major positioning errors, there are other benefits as well. • A well constructed immobilizing system can reduce the time for daily patient set up. • It can make the patient feel more secure and less apprehensive. • It can reduce the reliance on patient co-operation and alertness, and it can help to stabilize the relationship between external skin marks and internal structures.
  • 4.
    History  sand bags  tape  bite block  plaster casts  “home-made devices”
  • 5.
    Considerations for selecting a device  cost  convenience  accuracy  speed  compatibility  attenuation  durability
  • 7.
  • 10.
    frameless Immobilization devices Positioning & support devices • Orfit cast • AIO • Vac lok • Base plate • Thorax positioning board • Velcro Straps • Belly board • Alfa cradle • Leg rest • Pituitary board • Knee rest • Breast board • Grip poles • Customized foam pads • Head supports • Hand protudrance • Wing board • Prone pillow • Indexing bar • Prone head support
  • 12.
    Errors  Localization Error  results from the failure to appreciate the full extent of the disease or to design adequate treatment fields  Immobilization Error  occurs as a result of displacement of the treatment fields relative to the intended treatment volume