Name of the Procedure:

Therapeutic Radiology Port Image(s)

• Commonly known as Port Films, Port Images, or Radiotherapy Verification Films.

Summary

Therapeutic radiology port images are specialized X-ray images taken to confirm the accurate positioning of the patient's body and the radiation therapy equipment before delivering treatment. These images ensure that the radiation is precisely targeted to the treatment area, resulting in effective therapy while minimizing exposure to surrounding healthy tissues.

Purpose

Therapeutic radiology port images are used to:

• Verify and adjust the positioning of the patient and radiation beams.
• Ensure the accuracy and effectiveness of radiation therapy.
• Minimize radiation exposure to healthy tissues surrounding the treatment area.

Indications

• Patients undergoing radiation therapy for cancer or other conditions that require precise targeting.
• Conditions such as tumors, where accurate radiation delivery is crucial to avoid damage to surrounding tissues.

Preparation

• Generally, no special preparation is needed for port images.
• Patients may be asked to wear specific clothing or positional aids to facilitate accurate imaging.
• Any internal markers or tattoos should be appropriately reviewed.

Procedure Description

1. Positioning: The patient is positioned on the treatment table according to the radiation therapy plan.
2. Imaging Device Setup: X-ray equipment or specialized imaging devices are positioned around the treatment area.
3. Image Acquisition: High-resolution images are taken to visualize the exact positioning of the radiation ports.
4. Verification: Radiologists or radiation therapists review the images to verify alignment with the treatment plan.
5. Adjustment: If necessary, adjustments are made to the patient’s position or the radiation beams before proceeding with treatment.

• Tools: X-ray machines, digital radiography systems.
• Typically, no anesthesia or sedation is required.

Duration

• The procedure typically takes about 10 to 30 minutes, depending on the complexity of the setup and the number of images needed.

Setting

• Conducted in a radiation therapy department, either in a hospital or an outpatient clinic specialized in oncology.

Personnel

• Radiologists, Radiation Therapists, and Radiation Oncologists.
• Medical Physicists may also be involved for technical assistance.

Risks and Complications

• Common Risks: Minimal, as port images use low doses of radiation.
• Rare Risks: Accumulation of additional radiation exposure if repeated excessively.
• Complications are uncommon, but any technical issues are managed by the medical team on-site.

Benefits

• Ensures precise and effective radiation delivery.
• Reduces risks of radiation exposure to non-targeted tissues.
• Significantly improves treatment outcomes for patients undergoing radiation therapy.

Recovery

• No specific recovery time is needed as this is a non-invasive imaging procedure.
• Patients can typically resume their normal activities immediately after the procedure.
• Follow-up consistency in subsequent sessions for treatment accuracy is essential.

Alternatives

• Alternative Imaging: Use of more advanced imaging techniques like CT scans or MRI for planning and verification, though these may not be as rapidly accessible.
• Pros and Cons: These alternatives might offer higher resolution but can be more time-consuming or require additional resources.

Patient Experience

• During the procedure, patients may feel the coldness of the treatment table and may need to stay still for accurate imaging.
• Comfort measures like pillows or supports are used to ease any discomfort.
• Usually, there is no pain associated with taking port images.