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The physicsl basis and future of radiation therapy
Bortfeld, Thomas ; Jeraj, Robert
The remarkable progress in radiation therapy over the last century has been largely due to our ability to more effectively focus and deliver radiation to the tumour target volume. Physics discoveries ...and technology inventions have been an important driving force behind this progress. However, there is still plenty of room left for future improvements through physics, for example imageguidance and four-dimensional motion management and particle therapy, as well as increased efficiency of more compact and cheaper technologies. Bigger challenges lie ahead of physicists in radiation therapy beyond the dose localisation problem, for example in the areas of biological target definition, improved modelling for normal tissues and tumours, advanced multicriteria and robust optimisation, and continuous incorporation of advanced technologies such as molecular imaging. The success of physics in radiation therapy has been based on the continued ĆfuellingĆ of the field withnew discoveries and inventions from physics research. A key to the successhas been the application of the rigorous scientific method. In spite ofthe importance of physics research for radiation therapy, too few physicistsare currently involved in cutting-edge research. The increased emphasis on more ĆprofessionalismĆ in medical physics will tip the situation even more off balance. To prevent this from happening, we argue that medical physics needs more research positions, and more and better academic programmes. Only with more emphasis on medical physics research will the future of radiation therapy and other physics-related medical specialties lookas bright as the past, and medical physics will maintain a status as one of the most exciting fields of applied physics.
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