ABSTRACT

VII. Administration of the IORT..........................................................................................117

VIII. Monitoring the Patient.................................................................................................. 118

IX. Experience with IORT at the Medical College of O hio .......................................... 118

Intraoperative radiation therapy (IORT) offers the surgeon a logical extension to the effectiveness of operative procedures. Whether the surgery is complete or partial excision, or mere exposure of the tumor, the ability to irradiate the tumor has potentially significant advantages. As with external beam radiation therapy, IORT would seem to be most effective in treating microscopic residual disease. However, even in instances where the tumor cannot be completely excised, the ability to precisely define intraoperatively the limits of the gross tumor and the areas of potential spread is important in allowing direct treatment of these areas.