{"id":4236,"date":"2022-12-05T16:31:25","date_gmt":"2022-12-05T15:31:25","guid":{"rendered":"https:\/\/www.icotec-medical.com\/case\/optimized-radiation-therapy\/"},"modified":"2023-11-14T09:43:57","modified_gmt":"2023-11-14T08:43:57","slug":"advanced-radiation-therapy","status":"publish","type":"case","link":"https:\/\/www.icotec-medical.com\/en-us\/cases\/advanced-radiation-therapy\/","title":{"rendered":"Advanced Radiation Therapy"},"content":{"rendered":"\n<h4 class=\"wp-block-heading has-text-align-center has-red-color has-text-color\">Case 1<\/h4>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\">Advanced Radiation Therapy Improves Local Tumor Control<\/h1>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">A 52 year-old male patient was diagnosed with an osteosarcoma of L1.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2023\/11\/0282US_OnePager_Case1AdvancedTherapy_2023-07-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download Case<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-getwid-images-slider has-arrows-none has-dots-outside has-images-center has-cropped-images\"><div class=\"wp-block-getwid-images-slider__wrapper\" data-effect=\"slide\" data-slides-show=\"1\" data-slides-show-laptop=\"1\" data-slides-show-tablet=\"1\" data-slides-show-mobile=\"1\" data-slides-scroll=\"1\" data-autoplay=\"false\" data-autoplay-speed=\"6000\" data-infinite=\"true\" data-animation-speed=\"800\" data-center-mode=\"false\" data-variable-width=\"false\" data-arrows=\"none\" data-dots=\"outside\" data-spacing=\"none\"><div class=\"wp-block-getwid-images-slider__item\"><figure><img decoding=\"async\" width=\"1088\" height=\"612\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1-Slider-1.jpg\" data-id=\"1896\" data-link=\"https:\/\/www.icotec-medical.com\/case\/optimierte-strahlentherapie\/case1-slider-2\" data-original-link=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1-Slider-1.jpg\" class=\"wp-block-getwid-images-slider__image wp-image-1896\" srcset=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1-Slider-1.jpg 1088w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1-Slider-1-300x169.jpg 300w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1-Slider-1-1024x576.jpg 1024w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1-Slider-1-768x432.jpg 768w\" sizes=\"(max-width: 1088px) 100vw, 1088px\" \/><\/figure><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-section\"><div class=\"wp-block-getwid-section__wrapper\"><div class=\"wp-block-getwid-section__inner-wrapper\"><div class=\"wp-block-getwid-section__background-holder\"><div class=\"wp-block-getwid-section__background\"><\/div><div class=\"wp-block-getwid-section__foreground\"><\/div><\/div><div class=\"wp-block-getwid-section__content\"><div class=\"wp-block-getwid-section__inner-content\">\n<h2 class=\"wp-block-heading wide\">Therapy<\/h2>\n\n\n\n<div class=\"wp-block-getwid-accordion\" data-active-element=\"none\">\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><h3 class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\"><strong>Step 1<\/strong><br>Multidisciplinary Tumor Board Decision<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/h3><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p class=\"wp-block-paragraph\">The expert panel\u2019s decision for the best possible therapeutic success: tumor resection, dorsal stabilization, chemotherapy, and adjuvant proton therapy. In order to improve the success of radiation therapy, implants made of <a href=\"https:\/\/www.icotec-medical.com\/en-us\/black-armor\/\">BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK<\/a> were used.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><h3 class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\"><strong>Step 2<\/strong><br>Surgical Intervention<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/h3><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p class=\"wp-block-paragraph\">Anterior corpectomy and VBR with the <a href=\"https:\/\/www.icotec-medical.com\/en-us\/implants\/kong-tl-vbr-system\/\">KONG<sup>\u00ae<\/sup>-TL VBR System<\/a> and dorsal percutaneous stabilization with the <a href=\"https:\/\/www.icotec-medical.com\/en-us\/implants\/vader-pedicle-system\/\">VADER<sup>\u00ae<\/sup> Pedicle System<\/a><\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-full is-style-default\"><img decoding=\"async\" width=\"1011\" height=\"665\" data-id=\"1835\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1_schritt2_1.jpg\" alt=\"CT, sagittal\" class=\"wp-image-1835\" srcset=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1_schritt2_1.jpg 1011w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1_schritt2_1-300x197.jpg 300w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case1_schritt2_1-768x505.jpg 768w\" sizes=\"(max-width: 1011px) 100vw, 1011px\" \/><figcaption class=\"wp-element-caption\">CT, sagittal<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"210\" height=\"146\" data-id=\"1791\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Fall1S2-2.jpg\" alt=\"CT, axial\" class=\"wp-image-1791\"\/><figcaption class=\"wp-element-caption\">CT, axial<\/figcaption><\/figure>\n<\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><h3 class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\"><strong>Step 3<\/strong><br>Advanced Radiation Therapy<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/h3><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p class=\"wp-block-paragraph\">With the artifact-free BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK implants, <a href=\"https:\/\/www.icotec-medical.com\/en-us\/tumor-therapy\/radiation-therapy\/\">proton therapy<\/a> could be both planned and delivered with high precision. The material\u2019s radiolucency enabled homogeneous application of the radiation dose in the tumor tissue. At the same time, the surrounding organs at risk were protected.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-3 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"196\" height=\"150\" data-id=\"1792\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Fall1S3.jpg\" alt=\"\" class=\"wp-image-1792\"\/><figcaption class=\"wp-element-caption\">Planning of postoperative radiotherapy in axial CT<\/figcaption><\/figure>\n<\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><h3 class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Therapeutic Success<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/h3><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p class=\"wp-block-paragraph\">Six months after the intervention, the patient presents for follow-up with no complaints and no radiologically detectable recurrence.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"818\" height=\"855\" data-id=\"1837\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg_2.png\" alt=\"MRT, sagittal\" class=\"wp-image-1837\" srcset=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg_2.png 818w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg_2-287x300.png 287w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg_2-768x803.png 768w\" sizes=\"(max-width: 818px) 100vw, 818px\" \/><figcaption class=\"wp-element-caption\">MRT, sagittal<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"947\" data-id=\"1838\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg-1024x947.png\" alt=\"MRT, axial\" class=\"wp-image-1838\" srcset=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg-1024x947.png 1024w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg-300x277.png 300w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg-768x710.png 768w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2022\/12\/Case01_erfolg.png 1168w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">MRT, axial<\/figcaption><\/figure>\n<\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><h3 class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Conclusion<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/h3><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.icotec-medical.com\/en-us\/blackarmor\/\">BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK<\/a> enables optimized radiation therapy<span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"1\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-1\">1<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-1\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"1\">Shi C. et al. (2022): Comprehensive Evaluation of Carbon-Fiber-Reinforced Polyetheretherketone (CFR-PEEK) Spinal Hardware for Proton and Photon Planning. Technology in Cancer Research &amp; Treatment. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35410544\/\">PubMed, PMID: 35410544<\/a>)<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"2\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-2\">2<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-2\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"2\">Kr\u00e4tzig T. et al. (2021): Carbon-Fiber-Reinforced PEEK versus Titanium Implants: An In Vitro Comparison of Susceptibility Artifacts in CT and MR Imaging. Neurosurgical Review. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32930911\/\">PubMed, PMID: 32930911<\/a>)<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"3\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-3\">3<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-3\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"3\">M\u00fcller BS. et al. (2020): The Dosimetric Impact of Stabilizing Spinal Implants in Radiotherapy Treatment Planning with Protons and Photons: Standard Titanium Alloy vs. Radiolucent Carbon-Riber-Reinforced PEEK Systems. <a>Journal of Applied Clinical Medical Physics. <\/a>(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32476247\/\">PubMed, PMID: 32476247<\/a>)<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"4\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-4\">4<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-4\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"4\">Klippel N. (2018): Dosimetric Impact of Titanium and Carbon Implants in Photon Therapy. Annual SSRMP Meeting.<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"5\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-5\">5<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-5\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"5\">Schmidhalter D. et al. (2020): Dosimetric Analysis of Spine SBRT in Case of CFR-PEEK Implants. Annual SASRO Meeting.<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"6\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-6\">6<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-6\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"6\">Ringel F. et al. (2017): Radiolucent Carbon Fiber-Reinforced Pedicle Screws for Treatment of Spinal Tumors: Advantages for Radiation Planning and Follow-Up Imaging. World Neurosurgery. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28478252\/\">PubMed, PMID: 28478252<\/a>)<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"7\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-7\">7<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-7\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"7\">Poel R. et al. (2020): Assessing the Advantages of CFR-PEEK over Titanium Spinal Stabilization Implants in Proton Therapy \u2013 A Phantom Study. Physics in Medicine and Biology. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32315991\/\">PubMed, PMID: 32315991<\/a>)<\/span><\/span>and thus increases local tumor control. Due to the precise radiation application in the tumor area, the organs at risk are protected.<span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"8\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-8\">8<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-8\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"8\">Shi C. et al. (2022): Comprehensive Evaluation of Carbon-Fiber-Reinforced Polyetheretherketone (CFR-PEEK) Spinal Hardware for Proton and Photon Planning. Technology in Cancer Research &amp; Treatment. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35410544\/\">PubMed, PMID: 35410544<\/a>)<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"9\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-9\">9<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-9\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"9\">Kr\u00e4tzig T. et al. (2021): Carbon-Fiber-Reinforced PEEK versus Titanium Implants: An In Vitro Comparison of Susceptibility Artifacts in CT and MR Imaging. Neurosurgical Review. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32930911\/\">PubMed, PMID: 32930911<\/a>)<\/span><\/span><span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"10\" data-mfn-post-scope=\"000000000000163f0000000000000000_4236\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-000000000000163f0000000000000000_4236-10\">10<\/a><\/sup><span id=\"mfn-content-000000000000163f0000000000000000_4236-10\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"10\">Poel R. et al. (2020): Assessing the Advantages of CFR-PEEK over Titanium Spinal Stabilization Implants in Proton Therapy \u2013 A Phantom Study. Physics in Medicine and Biology. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32315991\/\">PubMed, PMID: 32315991<\/a>)<\/span><\/span><\/p>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"lazyblock-next-Z1LXh0w wp-block-lazyblock-next\">  \n  <div id=\"next-link\" class=\"next center\">\n    <a class=\"link chevron\" href=\"https:\/\/www.icotec-medical.com\/en-us\/cases\/advanced-radiation-therapy\/\">Show next case<\/a>\n  <\/div><\/div>\n\n<div class=\"lazyblock-slider-implants-1HstCj wp-block-lazyblock-slider-implants\"><div id=\"slider-implants\" class=\"slider block-lazyblock\">\n  <div class=\"container\">\n    \n    <div class=\"head\">\n      <h3 class=\"left\">Inserted BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK Implants<\/h3>\n      <a class=\"link right chevron\" href=\"https:\/\/www.icotec-medical.com\/klinischeanwendung\/implantate\/\">Show all implants<\/a>\n    <\/div>\n  \n    <div id=\"implants\" class=\"swiper\">\n      \n      <div class=\"swiper-wrapper\">\n                  <div class=\"column 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