{"id":64318450,"date":"2025-03-07T10:39:09","date_gmt":"2025-03-07T09:39:09","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=64318450"},"modified":"2025-03-10T11:06:53","modified_gmt":"2025-03-10T10:06:53","slug":"radiotherapie-un-systeme-pour-des-traitements-precis-et-securises","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\/","title":{"rendered":"Radioth\u00e9rapie\u00a0: un syst\u00e8me pour des traitements pr\u00e9cis et s\u00e9curis\u00e9s"},"content":{"rendered":"\n<p>En 2024, le service de radioth\u00e9rapie a \u00e9quip\u00e9 deux de ses acc\u00e9l\u00e9rateurs de particules du syst\u00e8me de Surface Guided Radiation Therapy (SGRT) AlignRT de la soci\u00e9t\u00e9 VisionRT. Le syst\u00e8me est compos\u00e9 de trois cam\u00e9ras fix\u00e9es au-dessus de l\u2019acc\u00e9l\u00e9rateur de particules. Elles sont dirig\u00e9es vers la table de traitement et projettent une lumi\u00e8re \u00e0 infra-rouges qui d\u00e9tecte le contour externe du patient. Le surfacique offre deux grands int\u00e9r\u00eats. Il permet, en premier lieu, d\u2019effectuer des s\u00e9ances de radioth\u00e9rapie avec une pr\u00e9cision de positionnement accrue gr\u00e2ce aux cam\u00e9ras contr\u00f4lant la position du patient en temps r\u00e9el. Technologie non invasive et sans contact, AlignRT utilise des cam\u00e9ras st\u00e9r\u00e9o 3D pour suivre la surface de la peau et la comparer au contour externe du scanner de simulation avec une pr\u00e9cision submillim\u00e9trique. \u00ab <em>Lorsque l\u2019on traite une patiente pour un cancer du sein, par exemple, le positionnement du bras peut avoir une incidence. Sans le syst\u00e8me, nous nous basions sur des points de tatouage pour repositionner la patiente. Les cam\u00e9ras du syst\u00e8me permettent de voir tr\u00e8s largement le patient et les diff\u00e9rentes zones. Il offre une plus grande pr\u00e9cision pour un repositionnement optimis\u00e9 et plus rapide pour les manipulateurs<\/em>\u00a0\u00bb. L\u2019autre int\u00e9r\u00eat du syst\u00e8me est qu\u2019il contr\u00f4le le patient pendant toute la s\u00e9ance. Tout mouvement du patient pendant la s\u00e9ance entra\u00eenera alors une coupure automatique du faisceau d\u2019irradiation. \u00ab\u00a0<em>Le prochain lancement du service de radioth\u00e9rapie sera la technique de traitements du sein G en blocage respiratoire avec la technologie SGRT<\/em>.<em> L\u2019acquisition du surfacique s\u2019int\u00e8gre dans l\u2019\u00e9volution m\u00eame de notre pratique qui tend vers la radioth\u00e9rapie st\u00e9r\u00e9otaxique, qui consiste \u00e0 utiliser peu de s\u00e9ance mais \u00e0 d\u00e9livrer de grosses doses \u00e0 chacune de ces s\u00e9ances, une technique de haute pr\u00e9cision qui impose un bon repositionnement et une surveillance particuli\u00e8re pendant le traitement<\/em>\u00bb. Laurent Bonvalet, responsable de la physique m\u00e9dicale, et Marion Boulanger, physicienne, ont port\u00e9 le projet en \u00e9troite collaboration avec les radioth\u00e9rapeutes et les manipulateurs du service de radioth\u00e9rapie. Tous deux ont une expertise sur le syst\u00e8me. Laurent Bonvalet a travaill\u00e9 pendant dix ans dans un centre priv\u00e9 qui en faisait l\u2019utilisation, avant de revenir au CHU il y a deux ans. Quant \u00e0 Marion Boulanger, qui a int\u00e9gr\u00e9 le CHU de Poitiers depuis un an, elle a fait son stage de fin d\u2019\u00e9tude sur ce syst\u00e8me pr\u00e9cis\u00e9ment au Centre de lutte contre le cancer (CLCC) de Nantes. Ils ont rencontr\u00e9 diff\u00e9rents constructeurs. Ils se sont rendus en Pologne avec deux manipulateurs du service pour se former \u00e0 l\u2019utilisation du syst\u00e8me. Ils sont en charge de former l\u2019ensemble des manipulateurs du service de radioth\u00e9rapie\u00a0: \u00ab\u00a0<em>C\u2019est important que les manipulateurs forment leurs coll\u00e8gues. Ce sont eux qui vont utiliser le syst\u00e8me et ils n\u2019en ont pas la m\u00eame vision que nous. Mais nous restons disponibles au quotidien pour r\u00e9pondre \u00e0 leurs questions, \u00e0 leurs difficult\u00e9s ou pour r\u00e9soudre une panne. Nous sommes \u00e9galement pr\u00e9sents lorsque sont test\u00e9es de nouvelles localisations<\/em>\u00a0\u00bb.<\/p>\n<p>Marie Pelcot est manipulatrice en \u00e9lectroradiologie depuis six ans et demi en radioth\u00e9rapie. C\u2019est elle-m\u00eame qui a choisi d\u2019int\u00e9grer ce service \u00e0 sa sortie d\u2019\u00e9cole\u00a0: \u00ab\u00a0<em>J\u2019\u00e9tais tr\u00e8s int\u00e9ress\u00e9e par la radioth\u00e9rapie en raison du contact r\u00e9gulier avec les patients<\/em>\u00a0\u00bb. Marie Pelcot est l\u2019une des deux manipulatrices parties en Pologne pour se former \u00e0 l\u2019utilisation du dispositif. \u00ab\u00a0<em>Je voulais faire partie de ce projet d\u2019innovation parce que j\u2019aime l\u2019\u00e9volution dans notre m\u00e9tier. Je me suis renseign\u00e9e aupr\u00e8s de coll\u00e8gues d\u2019autres centres qui l\u2019utilisaient. J\u2019ai rapidement constat\u00e9 qu\u2019il s\u2019agissait d\u2019un outil tr\u00e8s int\u00e9ressant qui nous permet de faire \u00e9voluer et d\u2019am\u00e9liorer nos pratiques. Il nous permet d\u2019\u00eatre plus pr\u00e9cis dans le positionnement des patients <\/em>\u00bb.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/03\/RADIO-3.jpg\"><img decoding=\"async\" width=\"900\" height=\"589\" data-id=\"64319500\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/03\/RADIO-3.jpg\" alt=\"\" class=\"wp-image-64319500\"\/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/03\/Surfacique-photo-de-groupe.jpg\"><img decoding=\"async\" width=\"900\" height=\"528\" data-id=\"64319506\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/03\/Surfacique-photo-de-groupe.jpg\" alt=\"\" class=\"wp-image-64319506\"\/><\/a><\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Le service de radioth\u00e9rapie utilise, depuis octobre 2024, le syst\u00e8me de Surface Guided Radiation Therapy (SGRT) qui permet d\u2019effectuer des s\u00e9ances\u2026","protected":false},"author":12,"featured_media":64319446,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-64318450","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Radioth\u00e9rapie\u00a0: un syst\u00e8me pour des traitements pr\u00e9cis et s\u00e9curis\u00e9s - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Radioth\u00e9rapie\u00a0: un syst\u00e8me pour des traitements pr\u00e9cis et s\u00e9curis\u00e9s - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Le service de radioth\u00e9rapie utilise, depuis octobre 2024, le syst\u00e8me de Surface Guided Radiation Therapy (SGRT) qui permet d\u2019effectuer des s\u00e9ances de radioth\u00e9rapie avec plus de pr\u00e9cision et de s\u00e9curit\u00e9. Laurent Bonvalet et Marion Boulanger, physiciens m\u00e9dicaux au CHU de Poitiers, nous exposent tout l\u2019int\u00e9r\u00eat de cette technique.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2025-03-07T09:39:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-10T10:06:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/03\/RADIO-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Morgane Pr\u00e9maud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Morgane Pr\u00e9maud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\\\/\"},\"author\":{\"name\":\"Morgane Pr\u00e9maud\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\"},\"headline\":\"Radioth\u00e9rapie\u00a0: un syst\u00e8me pour des traitements pr\u00e9cis et s\u00e9curis\u00e9s\",\"datePublished\":\"2025-03-07T09:39:09+00:00\",\"dateModified\":\"2025-03-10T10:06:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\\\/\"},\"wordCount\":715,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/RADIO-1.jpg\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/radiotherapie-un-systeme-pour-des-traitements-precis-et-securises\\\/\",\"name\":\"Radioth\u00e9rapie\u00a0: un syst\u00e8me pour des traitements pr\u00e9cis et s\u00e9curis\u00e9s - 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