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IMAGE GUIDED RADIATION THERAPY CODING AND …

IMAGE GUIDED RADIATION THERAPY (IGRT) involves the use of imaging technology to localize the intended target volume immediately prior to the administration of RADIATION THERAPY . In IGRT, the external beam RADIATION treatment setup is facilitated via an ultrasound, X-ray, or other IMAGE of the target volume, implanted fiducial markers and/or adjacent anatomical structure(s). These guidance images are compared to the images expected to be seen based on the planning scans obtained at the time of initial simulation . An adjustment in table position and/or patient orientation may then be required to deliver the RADIATION dose accurately within the target volume inside the patient.

time of initial simulation. An adjustment in table position and/or ... • The clinical target volume is expected to vary in its location within the patient beyond what would be appropri-ately covered with a standard planning target volume. Health Policy Coding Guidance

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