Radiation therapy has come a long way in the last few decades from treatment planning based on orthogonal radiographs with large margins around tumours. Developments in imaging and radiation planning software have led to improved radiotherapy treatment techniques such as intensity modulated radiotherapy, rotational intensity modulated radiotherapy and stereotactic body radiotherapy. These radiotherapy treatment advances enable sculpted dose distributions, with the ability to monitor and adapt to changes in patient and tumour position during radiotherapy. The purpose of this paper is to review the recent advances in radiotherapy treatment delivery with reference to how this may improve outcomes for cancer patients treated with radiotherapy.
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