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Better Tumor Targeting

Radiation Therapy Can Now Target Tumors Even with Patient Not Perfectly Still

April 1, 2004

A new "4D CT scan" helps doctors more accurately target lung and abdomen tumors by producing a moving image -- without forcing patients to hold their breath. Radiation oncologists can then aim radiation therapy directly at the tumor as it moves, and avoid exposing any surrounding healthy tissues to radiation.

How Do CT Scans Work?

Science behind the news is funded by a generous grant from the NSF

Computerized axial tomography, or CAT, scan machines are a more sophisticated version of X-ray machines.

Instead of imaging the outlines of bones, CAT scans form a 3-D model of a patient's insides using X-rays. A regular X-ray image is basically a silhouette of the bones, and is useful for many things, but it does not provide a complete picture of an object's shape.

With a CAT scan, doctors can examine the body one narrow "slice" at a time, to focus on specific areas.

A CAT scan machine uses an X-ray beam that moves around the patient, scanning from many different angles. It then combines this information into a 3-D image of the body.

How does this process work? The patient lies down on a platform, which moves through a large donut-like hole in the machine. There is a tube mounted on a moveable ring around the edges of the hole, with a tube that produces X-rays, and several X-ray detectors.

The ring turns so that the tube and detectors revolve around the body. Each turn of the ring scans a narrow "slice" of the body, and each time the platform moves the patient's body a little farther into the hold so the detectors can scan the next section. A computer connected to the system can vary the intensity of the X-rays, since different types of body tissue require different kinds of X-rays.


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Did you know?...

The CAT scan machine was invented by a British engineer named Godfrey Hounsfield, who later won the Nobel Peace Prize for his contributions to medicine. His first machine was very slow; it took several hours to get enough data to image a single "slice." Today's fastest machines can produce a 3-D image of an entire human chest in just 5 to 10 seconds.

The first CAT scan machines were installed in 1974. Today there are over 6,000 machines in the U.S. and more than 30,000 worldwide.

On the Web

A page on CAT scans at the University of Colorado
A brief history of CT scans
The Visible Human Project

More information on this story

Martha J. Heil
mheil@aip.org
American Institute of Physics
Tel: 301-209-3088