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3d-igrt (three-dimensional image-guided radiation therapy) has the potential to improve accuracy by providing images of the patient’s anatomy in the treatment position. The planning process can use several different image sets from ct (computed tomography), mri (magnetic resonance imaging), pet (positron emission tomography) and spect (single photon emission computed tomography). The latest and greatest technology available is used to accomplish two distinct, related goals: improving accuracy of the treatment, and reducing collateral damage from exposing healthy tissue to radiation. Using this advanced technology with the recent advances in therapy, machines can provide extremely precise accuracy delivered through highly technical treatment plans that seek to destroy cancer cells while avoiding healthy surrounding tissue. Beams are targeted at the tumor, using smaller margins for the tumors. And this is where things can go wrong. Smaller margins are better for the patient and can reduce collateral damage. Igrt means more time for the patient on the treatment couch. But if the patient moves, or is placed in a different position every time they come in for treatment, margins can overlap each other and include vital tissue! While daily imaging and igrt can help compensate for movements, only customized devices that make an exact device of the patient’s body in the set-up position can duplicate the exact set-up position. Only the alpha cradleâ® advantagetm can give you the tools you need to.