Image-Guided IMRT

This book provides comprehensive coverage of the subject of intensity modulated radiotherapy and the associated imaging. Most of the names associated with advanced radiotherapy can be found among the 80 authors and the book is therefore an authoritative reference text. The early chapters deal with the basic principles and include an interesting comparison between views of quality assurance for IMRT from Europe and North America. It is refreshing to see that the advice given has moved on from the concept of individual patient based quality control to more generic testing of the delivery system. However, the point is made that the whole process including the data transfer needs to be quality assured and the need for thorough commissioning of the process is emphasised. The `tricks' needed to achieve a dose based IMRT plan are well covered by the group at Ghent and there is an interesting summary of biological aspects of treatment planning for IMRT by Andrzej Niemierko. The middle section of the book deals with advanced imaging aspects of both treatment planning and delivery. The contributions of PET and MR imaging are well covered and there is a rather rambling section on molecular imaging. Image guidance in radiotherapy treatment is addressed including the concept of adaptive radiotherapy. The treatment aspects could perhaps have merited some more coverage, but there is a very thorough discussion of 4D techniques. The final section of the book considers each site of the body in turn. This will be found useful by those wishing to embark on IMRT in a new area, although some of the sections are more comprehensive than others. The book contains a wealth of interesting and thought provoking articles giving details as well as broad principles, and would be a useful addition to every departmental library. The editors have done a good job of ensuring that the different chapters are complementary, and of encouraging a systematic approach to the descriptions of IMRT in different anatomical sites, each of which ends with a look ahead to the future. It is something of a challenge to keep a book devoted to a rapidly developing technique up to date. Inspection of the references suggests that most of the text was completed in 2004, but the choice of world renowned authors means that the text very much represents the state of the art. The book is well presented with many colour images and justifies its ?110 price tag. However, there are some signs of it having been produced within a short time scale, such as an inadequate index which cannot be relied on to lead the reader to all, or even the most relevant, discussion on a particular topic. This book should make a significant contribution to widening the use of this important advance in radiation therapy techniques.