现在不都已经有IGART了吗？

什么是IGART？

不了解！

以前是IGRT（图像引导下的调强）
现在是IGART（图像引导下的自适应调强）

IGRT: 图像引导放射治疗
IGIMRT：图像引导调强放疗

It should be: Dynamic Adaptive Radiotherapy (DART)

Adapt treatment three ways
DART can occur daily in the treatment room (online), during treatment (real time), or it can occur between fractions (offline), depending on the nature and timing of new patient information. Adaptive therapy can take three forms:

Offline adaptation takes place between treatment fractions with current information to adapt treatments for gradual changes in patient anatomy, physiology or adjuvant therapy. Offline adaptation allows clinicians to easily generate a new, more accurate and efficacious plan when these gradual changes have occurred.

Real-time adaptation involves RPM™ respiratory gating to gate the beam during treatment to account for organ motion. Treatment parameters are adapted in real time to conform to the patient anatomy in real-time. The system combines continuous patient monitoring during treatment with pre-plotted target trajectories to ensure the maximum dose is delivered to the target while avoiding critical organs.

Online adaptation is adapting the treatment based on new information on that day to account for variations in patient anatomy or physiology for which repositioning the patient alone (IGRT) cannot correct. Online adaptation ensures that the treatment objectives are continuously met despite these changes in the patient.

感谢 又长知识了

这种高端设备 301以外的医院估计是没有的,~~~~~