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The management of motion loss of the knee is challenging.
These findings also indicate need for scientific understanding of ViV in the management of motion sickness and restrictive pulmonary disorders like bronchitis and bronchial asthma.
It is in this situation that strategies for the management of motion need to be in place.
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The management of respiratory motion has been an active area of research over the last decade.
Tumour localisation using optimal imaging, management of organ motion and image guidance on a daily basis are promising areas of research which will need to be incorporated into future IMRT treatments.
An issue that potentially affects imaging with any PET tracer is the clinical significance and management of lesion motion due to respiration during PET/CT scanning, which was reviewed by Callahan et al. (Melbourne, Australia).
Arrow indicates direction of motion.
Due to the high degree of heterogeneity in the lung cancer patient population, including variations in respiratory-induced tumor motion, personalized motion management of PET/CT-guided radiotherapy begins with intelligent patient classification.
Figure 5 Examples of motion management strategies for two patients receiving PET/CT-guided radiotherapy.
An overview of motion management strategies is given here; for further details, please refer to the American Association of Physicists in Medicine Task Group 76 report[41].
Such variation dictates a comprehensive and patient-specific incorporation of motion management strategies into PET/CT-guided radiotherapy rather than a one-size-fits-all tactic.
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