[Overview of the development of clinical and dosimetric methods for radiotherapy planning for cancer patients in Hungary].
Authors review the three-decade development and clinical application of treatment planning in Hungary from the beginning of high energy radiotherapy till today. Before 1978 the dose plans have been prepared manually in the external therapy. In 1978 the National Computer Network for Treatment Planning was organized and put into practice. In a few therapy centres [National Institute of Oncology, Budapest (NIO), Uzsoki Hospital, Budapest (UH) and Medical University, Pécs] local initiatives resulted in new softwares. Program tests were made in each therapy centres. Dose computation and measurement methods in the field of other technics, as brachytherapy (UH and NIO), stereotactic and total body irradiation (NIO), are also reviewed. Most important results were reached in the UH and NIO in the field of clinical application of dose planning methods. Upon summing up the results it can be stated that although the infrastructure in Hungarian radiotherapy is still undeveloped the treatment planning has achieved an adequate level, due to the managing and developing work of radiation physicists and radiooncologists. The conclusion of the paper is that presently we are not able to meet the requirement prescribed by the ICRU standards appeared in 1986. It means that there is a real demand in each centres to install up-to-date (3D) softwares in treatment planning and appropriate dose meters. In the National Institute of Oncology, Budapest the problem was settled in a very cost-saving way--joining to an international 3D treatment planning project.
Treer
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Országos Onkológiai Intézet, Budapest.
Németh
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D006801:Humans; D006814:Hungary; D009369:Neoplasms / Q000532:radiotherapy*; D011879:Radiotherapy Dosage; D011880:Radiotherapy Planning, Computer-Assisted