Addenbrooke's Hospital
Research and Development
The Rosie Hospital
Box: 152
Cambridge University Hospitals NHS Foundation Trust
Hills Road,
Cambridge,
CB2 0QQ
Enquiries: 01223 216 472
Fax: 01223 257 137
Treatment equipment supported | Planning systems | Imaging systems | Areas of interest | Courses | Recent publications | PhD projects
Radiotherapy Physics provides a comprehensive Physics service to the Addenbrooke’s Radiotherapy Centre ensuring the safe and accurate use of high dose ionising radiation to treat patients with cancer, whilst maintaining a safe environment for other patients, visitors and staff.
Physicists, technicians and radiographers work closely with Oncology staff to provide a wide range of scientific and technical advice and support for all radiotherapy treatments. Routine clinical work includes radiotherapy treatment planning and related dosimetry the provision of brachytherapy, and the manufacture of immobilisation and shielding equipment for patients. Extensive support is provided to radiotherapy equipment. This incorporates the design of facilities; the management of computer systems, the design and management of software; and the commissioning, servicing and quality control of Linear Accelerators, Orthovoltage units, Brachytherapy units and CT scanners. All our work and related dosimetry are monitored and assured to nationally and internationally agreed specifications and legal requirements.
We are involved in research and development in radiotherapy physics, and have PhD students from the University of Cambridge based in our department.
We are also responsible for providing radiotherapy physics advice and support to another hospital (Peterborough) and to two University Departments (Veterinary Medicine and Pathology).
Treatment equipment supported
Linacs:
Other equipment:
Planning systems
Imaging systems
Areas of interest
Courses
Fundamentals of Radiotherapy Planning 2009
9th-11th November | Moller Centre | Cambridge
> Fundamentals of Radiotherapy Planning 2009
Recent publications
Published papers |
F Houghton, RJ Benson, GSJ Tudor, J Fairfoul, J Gemmill, JC Dean, DS Routsis, SJ Jefferies, NG Burnet “An Assessment of Action Levels in Imaging Strategies in Head and Neck Cancer using TomoTherapy. Are Our Margins Adequate in the Absence of Image Guidance?” Clin. Oncol 21 720-7(2009) |
David Eaton, Nicola Twyman, Simon Thomas “Commissioning a miniature multileaf collimator for small field radiotherapy” Medical Dosimetry. Available online 09 February 2009 DOI: 10.1016/j.meddos.2008.12.002 |
Catharine H. Clark, Vibeke Nordmark Hansen, Hannah Chantler, Craig Edwards, Hayley V. James, Gareth Webster, Elizabeth A. Miles, M. Teresa Guerrero Urbano, Shree A. Bhide, A. Margaret Bidmead, Christoper M. Nutting. on behalf of the PARSPORT Trial Management Group Dosimetry audit for a multi-centre IMRT head and neck trial. Radiother Oncol. 2009 Apr 26. [published online 14 July 2009] |
Barnett GC, Wilkinson J, Moody AM, Wilson CB, Sharma R, Klager S, Hoole AC, Twyman N, Burnet NG, Coles CE. A randomised controlled trial of forward-planned radiotherapy (IMRT) for early breast cancer: Baseline characteristics and dosimetry results Radiother Oncol. 2009 Apr 16. [Epub ahead of print] |
Nguyen TB, Hoole ACF, Burnet NG and Thomas SJ The optimization of intensity modulated radiotherapy in cases where the planning target volume extends into the build-up region Phys. Med. Biol. 54 (2009) 2511-2525 |
Nguyen TB, Hoole ACF, Burnet NG and Thomas SJ Dose–volume population histogram: a new tool for evaluating plans whilst considering geometrical uncertainties Phys. Med. Biol. 54 (2009) 935–947 |
Tan LT, Coles CE, Hart C, Tait E. Clinical Impact of Computed Tomography-based Image-guided Brachytherapy for Cervix Cancer using the Tandem-ring Applicator - the Addenbrooke's Experience. Clin Oncol (R Coll Radiol). 2009 Apr;21(3):175-82. |
Thomas SJ, Eaton DJ, Tudor GSJ and Twyman NI. Equivalent squares for small field dosimetry. . Br J Radiol.81 (2008) 897-901 |
Rimmer YL, Burnet NG, Routsis DS, Twyman N, Hoole ACF, Treeby J, Welford D, Fairfoul J, 'Aho T, Vowler SL, Benson RJ. Practical issues in the implementation of image-guided radiotherapy for the treatment of prostate cancer within a UK department. Clin Oncol (R Coll Radiol). 2008 Feb;20(1):22-30. |
Tudor GSJ “Comparison of rectal dose histograms under conditions of nonlinear isodoses” Physics in Medicine and Biology 2007; 52, 275-289 |
Coles CE, Cash CJC, Treece GM, Miller NAC, Hoole ACF, Gee AH, Prager RW, Sinnatamby R, Britton P, Wilkinson JD, Puroshotham AD and Burnet NG. High definition three dimensional ultrasound to localize the tumour bed: A breast radiotherapy planning study. Radiotherapy and Oncology 2007; 84, 233-241 |
Abstracts |
TB Nguyen, AFC Hoole, NG Burnet, and SJ Thomas Incorporating Geometric Uncertainties Into IMRT Optimisation for Prostate Cases Using a Multiple Isocenter CTV-Based (miCTV-Based) Objective Function Med. Phys. 36 2562 (2009) |
TB Nguyen, AFC Hoole, NG Burnet, and SJ Thomas A New Method to Calculate the Dose Distribution From An Isocenter Shift Without Recalculating Dose Distribution to Evaluate Plan with Geometric Uncertainties Med. Phys. 36 2663 (2009) |
Tudor GS, Lane J, Thomas SJ, Tait EE, Chantler HJ, Barachlough J, Carroll HE “Effect of respiratory motion on tomotherapy, step-and-shoot IMRT and conformal radiotherapy treatments” . Presented at IPEM national meeting “Managing Motion in Radiotherapy (2009) |
Coles CE, Barnett GC, Wilkinson J, Moody AM, Wilson CB, Twyman N, Hoole ACF, Burnet NG, Wishart GC. A randomised controlled trial of forward-planned Intensity Modulated Radiotherapy (IMRT) for early breast cancer: interim results at 2 years follow-up for Presentation at the 32nd Annual San Antonio Breast Cancer Symposium, December 9 - 13, 2009 in San Antonio, Texas. |
Thomas SJ, Vinall A, Poynter A and Routsis D, A multi-centre timing study of IMRT planning and delivery. IPEM MPEC, Liverpool September 2009, (abstract book ISBN 978-1-903613-37-5, pp70-71) |
Barraclough J, Whitney D and Hart C. The commissioning of 3D image guided brachytherapy for Iridium wire treatments. IPEM MPEC, Liverpool September 2009, (abstract book ISBN 978-1-903613-37-5, p45) |
Cowen MA, Williams MV, Horan G and Thomas SJ. Inclusion of predicted carcinogenic risks in treatment plan optimisation. IPEM MPEC, Liverpool September 2009, (abstract book ISBN 978-1-903613-37-5, p80) |
Thomas SJ, Nguyen TB, Cowen M, Lenane M, Rimmer Y and Burnet NG. The effect of geometric uncertainties on population TCP for multiple-phase prostate radiotherapy. ESTRO, Gotteberg, September 2008. |
Coles CE, Wilkinson JS, Wilson CB, Burnet NG, Twyman N, Hoole ACF, GC Wishart, Moody AM The Cambridge Breast Intensity Modulated Radiotherapy (IMRT) Trial: Dosimetry results. Poster. San Antonio, December 2007 and Presentation Breast cancer campaign conference. Spring 2008. |
Carroll HE and Twyman N. Audit of image quality and geometrical accuracy of digitally reconstructed radiographs from different treatment planning systems. IPEM Biennial Radiotherapy Meeting. Bath. September 2008 |
Adams EJ., Fairfoul J, Routsis D, Dean J, Thomas SJ and Burnet NG. Implementation and initial experience of Tomotherapy. IPEM Biennial Radiotherapy Meeting. Bath. September 2008 |
Set up accuracy measured with 6 degrees of freedom (dof) information for pelvic radiotherapy using tomotherapy on-line image registration D. Routsis, J. Dean, R. Kirby, L. Adams, J. Fairfoul, S. Thomas, S. Russell, H. Patterson, Y. Rimmer, N. Burnet. ESTRO, Gotteberg, September 2008 |
Evaluation of tumour bed localisation and image-guided radiotherapy for breast cancer: the import gold seed study C. Coles, G. Wishart, J. Wilkinson, S. Vowler, J. Vasconcelos, E.Donovan, J. Fairfoul, E. Harris, C. Mackenzie, D. Routsis, A. Poynter, C. Rawlings, N.Twyman, R. Wilks, J. R. Yarnold. ESTRO, Gotteberg, September 2008 |
Image-guided radiotherapy (IGRT) for prostate cancer: effect of residual set-up errors and intra-fractional motion on planning target volume (PTV) margins. R. Benson,Y. Rimmer, S. Tudor, J. Dean, N. Muskett, H. Patterson, S. Russell, C. Woodward, J. Fairfoul, A. Doble, N. Burnet ESTRO, Gotteberg, September 2008 |
The use of a dietary protocol - is there any benefit in prostate radiotherapy with or without image-guidance? Y. Rimmer, R. Benson, A. Lynch, J. Treeby, D. Routsis, J. Fairfoul, A.Hoole, A. Doble, N. Burnet ESTRO, Gotteberg, September 2008 |
The import high planning study: defining dose constraints and treatment planning methods for complex breast radiotherapy H. James, L. Ciurlionis, C. Coles, E. Donovan, H. Mayles, Y. Tsang, N. Twyman, J. R. Yarnold. ESTRO, Gotteberg, September 2008 |
IMRT plan optimisation for skullbase lesions: planning class solutions. V. J. Estall, N. Burnet, R. Jena, D. Eaton. ESTRO, Gotteberg, September 2008 |
D. Routsis, J. Fairfoul, Y. Rimmer, J. Dean, N. Muskett, M. Akhtar, N.Burnet, R. Benson Identification of implanted fiducial markers- Does increased portal imaging (PI ) dose improve inter-observer variability? 9th biennial ESTRO meeting on physics and radiation technology for clinical radiotherapy September, 2007 Barcelona, SPAIN |
TB Nguyen, SJ Thomas, ACF Hoole, and NG Burnet IMRT Optimization Using a Shifted CTV-Based Objective Function Med. Phys. 34 2460 (2007) |
C.E. Coles, G.C. Wishart, J. Fairfoul, E. Donovan, E. Harris, A. Poynter, J.S. Wilkinson, S. Tudor, J. Yarnold : on behalf of the IMPORT Trial Management Group. “Implanted gold seeds for tumour bed localisation and image-guided radiotherapy” European Journal of Cancer Supplements 5(3) O-17 (Sep 2007)
|
Invited Presentations |
Thomas SJ. Impact of New Technologies on Bunker Design. IPEM Meeting on “Current developments in the design of radiotherapoy treatment room facilities” London 18th March 2009. |
Thomas SJ. Teaching lecture on “Radiotherapy Treatment Planning Algorithms”. IPEM Biennial Radiotherapy Meeting. Bath. September 2008 |
Adams E. Implementation of TomoTherapy within an NHS department BIR meeting on Tomographic Image Guided Radiotherapy. London November 2007 |
PhD projects
Ian Cowley. “New approaches to improving the accuracy and outcome of Intensity Modulated Radiotherapy.” PhD awarded by the Open University 2006. Supervisors: Simon Thomas, Philip Dendy, Sarah Brooke.
Thai-Binh Nguyen. “Method of IMRT optimization of shallow tumour cases where the PTV extends into the build-up region”. PhD awarded by the University of Cambridge 2009. Supervisors: Neil Burnet, Simon Thomas, Andrew Hoole
Mark Cowen. “Image Guided Radiotherapy Using Tomotherapy”. Due to complete 2011. Funded by MRC studentship.
Sam Tudor. “Ensuring dosimetric coverage of radiotherapy treatment volumes”. Part time PhD, supported by East of England SHA. Commenced October 2009.
(both with University of Cambridge, Department of Oncology. Supervisor: Simon Thomas)
Contact us:
Enquiries: 01223 216 472
Fax: 01223 257 137
For NHS staff:
> Medical Devices (NHS computers only)
On other sites:
> NHS Trainee Clinical Scientist Recruitment
Information for Part I Clinical Scientist Training in Medical Physics & Clinical Engineering at Addenbrooke’s.