title: [Which rules apply to hypofractionated radiotherapy?].
abstract: Hypofractionated radiotherapy is now more widely prescribed due to improved targeting techniques (intensity modulated radiotherapy, image-guided radiotherapy and stereotactic radiotherapy). Low dose hypofractionated radiotherapy is routinely administered mostly for palliative purposes. High or very high dose hypofractionated irradiation must be delivered according to very strict procedures since every minor deviation can lead to major changes in dose delivery to the tumor volume and organs at risk. Thus, each stage of the processing must be carefully monitored starting from the limitations and the choice of the hypofractionation technique, tumour contouring and dose constraints prescription, planning and finally dose calculation and patient positioning verification.
authors: Département de radiothérapie, institut de cancérologie de l'Ouest Nantes-Angers, boulevard Jacques-Monod, 44805 Saint-Herblain, France; Centre de recherche en cancérologie Nantes-Angers, UMR Inserm 892, quai Moncousu, 44007 Nantes cedex 1, France; CNRS 6299, quai Moncousu, 44007 Nantes cedex 1, France. Electronic address: stephane.supiot@ico.unicancer.fr.
authors: S
authors: S
authors: Supiot
authors: Département de radiothérapie, institut de cancérologie de l'Ouest Nantes-Angers, boulevard Jacques-Monod, 44805 Saint-Herblain, France; Centre de recherche en cancérologie Nantes-Angers, UMR Inserm 892, quai Moncousu, 44007 Nantes cedex 1, France; CNRS 6299, quai Moncousu, 44007 Nantes cedex 1, France.
authors: K
authors: K
authors: Clément-Colmou
authors: Centre de recherche en cancérologie Nantes-Angers, UMR Inserm 892, quai Moncousu, 44007 Nantes cedex 1, France; CNRS 6299, quai Moncousu, 44007 Nantes cedex 1, France.
authors: F
authors: F
authors: Paris
authors: Centre de recherche en cancérologie Nantes-Angers, UMR Inserm 892, quai Moncousu, 44007 Nantes cedex 1, France; CNRS 6299, quai Moncousu, 44007 Nantes cedex 1, France.
authors: I
authors: I
authors: Corre
authors: Centre de recherche en cancérologie Nantes-Angers, UMR Inserm 892, quai Moncousu, 44007 Nantes cedex 1, France; CNRS 6299, quai Moncousu, 44007 Nantes cedex 1, France; Département de radiophysique, institut de cancérologie de l'Ouest Nantes-Angers, boulevard Jacques-Monod, 44805 Saint-Herblain, France.
authors: S
authors: S
authors: Chiavassa
authors: Centre de recherche en cancérologie Nantes-Angers, UMR Inserm 892, quai Moncousu, 44007 Nantes cedex 1, France; CNRS 6299, quai Moncousu, 44007 Nantes cedex 1, France; Département de radiophysique, institut de cancérologie de l'Ouest Nantes-Angers, boulevard Jacques-Monod, 44805 Saint-Herblain, France.
authors: G
authors: G
authors: Delpon
mesh_terms: D006801:Humans; D009369:Neoplasms / Q000532:radiotherapy*; D000069473:Radiation Dose Hypofractionation / Q000592:standards*; D011878:Radiotherapy / Q000379:methods / Q000592:standards
keywords: Breast; Hypofractionation; Hypofractionnement; IGRT; IMRT; Palliatif; Palliative; Prostate; RCMI; Radiothérapie guidée par l’image; Radiothérapie stéréotaxique; SBRT; Sein