Beruflich Dokumente
Kultur Dokumente
Strahlentherapie
kompakt
3., neu bearbeitete Auflage
Weitere Autoren: Dr. Markus Bohrer, Mannheim; Dr. Daniel Bürgy, Mannheim;
Dr. Sven Clausen, Mannheim; Dr. Katharina Fleckenstein, Mannheim;
Univ.-Prof. Dr. Christoffer Gebhardt, Hamburg; Mario Grimm, Mannheim;
PD Dr. Carsten Herskind, Mannheim; Prof. Dr. Katja Lindel, Karlsruhe;
Dr. Christian Neumaier, Mannheim; PD Dr. Nils Nicolay, Freiburg;
Univ.-Prof. Dr. Philipp Nuhn, Mannheim; Dr. Martine Ottstadt, Mannheim;
Dr. Anna Simeonova-Chergou, Mannheim; Dr. Elena Sperk, Mannheim;
Dipl.-Ing. Volker Steil, Mannheim
Vorwort
Liebe Leserinnen, liebe Leser, der Bestrahlungsplanung (von der 2-D- zur 3-D-Be-
strahlungsplanung, von der reellen zur virtuellen Si-
für die neue Auflage dieses Kompaktlehrbuches ha- mulation, von der 3-D-konformalen zur intensitäts-
ben wir uns zum Ziel gesetzt, die Kapitel nicht nur modulierten Bestrahlung), der grundlegende Ände-
umfassend zu aktualisieren, sondern sie – wo mög- rungen von Zielvolumenkonzepten zur Folge hatte,
lich und angebracht – auch mit persönlichen Noten galt es adäquat abzubilden.
und Einschätzungen zu versehen. Es war uns dabei Auch war es uns ein Anliegen Verknüpfungen zur
ein großes Anliegen, Ihnen nicht nur Fakten zu ver- jeweiligen Leitlinie herzustellen, wobei wir vor allem
mitteln, sondern Sie aktiv in aktuelle Gedanken und bei neuerer Datenlage auf Unterschiede zur jeweils
Diskussionen miteinzubeziehen. gültigen Fassung hinweisen.
Sicherlich bestand die große Herausforderung da-
rin, die wesentlichen Neuerungen der vergangenen Mannheim, im Herbst 2018
15 Jahre kompakt und dennoch verständlich zusam- Frank A. Giordano
menzufassen. Insbesondere den enormen Wandel Frederik Wenz
Danksagung
Unser Dank gilt allen beteiligten Co-Autoren, die zu Frau Uta Lux und Herrn Alexander Gattnarzik. Bei-
dieser Ausgabe maßgeblich beigetragen haben. Sie de haben uns sehr erfahren und geduldig bei der Er-
haben, oft in ihrer Freizeit neben der klinischen Tä- stellung dieser Auflage angeleitet.
tigkeit, in mühevoller Kleinstarbeit primäre und se-
kundäre Literatur recherchiert, Leitlinien interpre-
tiert und an vielen Stellen neue Denkanstöße gegeben. Mannheim, im Herbst 2018
Danken möchten wir auch den Mitarbeiterinnen Frank A. Giordano
und Mitarbeitern des Elsevier-Verlags, allen voran Frederik Wenz
Abbildungen
Autoren
Liebe Leserinnen, liebe Leser, der Bestrahlungsplanung (von der 2-D- zur 3-D-Be-
strahlungsplanung, von der reellen zur virtuellen Si-
für die neue Auflage dieses Kompaktlehrbuches ha- mulation, von der 3-D-konformalen zur intensitäts-
ben wir uns zum Ziel gesetzt, die Kapitel nicht nur modulierten Bestrahlung), der grundlegende Ände-
umfassend zu aktualisieren, sondern sie – wo mög- rungen von Zielvolumenkonzepten zur Folge hatte,
lich und angebracht – auch mit persönlichen Noten galt es adäquat abzubilden.
und Einschätzungen zu versehen. Es war uns dabei Auch war es uns ein Anliegen Verknüpfungen zur
ein großes Anliegen, Ihnen nicht nur Fakten zu ver- jeweiligen Leitlinie herzustellen, wobei wir vor allem
mitteln, sondern Sie aktiv in aktuelle Gedanken und bei neuerer Datenlage auf Unterschiede zur jeweils
Diskussionen miteinzubeziehen. gültigen Fassung hinweisen.
Sicherlich bestand die große Herausforderung da-
rin, die wesentlichen Neuerungen der vergangenen Mannheim, im Herbst 2018
15 Jahre kompakt und dennoch verständlich zusam- Frank A. Giordano
menzufassen. Insbesondere den enormen Wandel Frederik Wenz
Danksagung
Unser Dank gilt allen beteiligten Co-Autoren, die zu Frau Uta Lux und Herrn Alexander Gattnarzik. Bei-
dieser Ausgabe maßgeblich beigetragen haben. Sie de haben uns sehr erfahren und geduldig bei der Er-
haben, oft in ihrer Freizeit neben der klinischen Tä- stellung dieser Auflage angeleitet.
tigkeit, in mühevoller Kleinstarbeit primäre und se-
kundäre Literatur recherchiert, Leitlinien interpre-
tiert und an vielen Stellen neue Denkanstöße gegeben. Mannheim, im Herbst 2018
Danken möchten wir auch den Mitarbeiterinnen Frank A. Giordano
und Mitarbeitern des Elsevier-Verlags, allen voran Frederik Wenz
Abbildungen
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"We have reason to believe, Doctor, that this man is wanted by the
Interstellar Police. We have received a communication from I.P.
headquarters warning us that Dr. Allen H. Dale is actually a man
named Leland Hale."
"Who is Leland Hale?"
"A criminal, Doctor. He is wanted so badly that the I.P. is actually
sending a contingent of men here to apprehend him," said the
lieutenant-marshal.
"A criminal, yes—but what kind of a criminal?"
"I gather," said the lieutenant-marshal drily, "that he steals things. I
imagine he's after the Dachboden original."
"That's ridiculous! He couldn't possibly get into the Museum! It's
surrounded by—" His voice choked off as he realized that he, himself,
had already extended an invitation to "Dr. Dale" to come to the
Museum. "But—but—I spoke to Dr. Dale for over an hour! He can't be
a thief."
"Possibly not," agreed Lieutenant-Marshal Dilon. "The Interstellar
Police aren't always right, and I must say I don't care for their high-
handed manner at times. Nevertheless, we'll have to take proper
precautions. I'll see that the guard around the Museum is reinforced,
and send out a pickup order on Dr. Dale. If there's been any mistake
made, it will be the fault of the I.P. Meanwhile, I would appreciate it
Doctor, if you would come to my office. We've got to make better
arrangements for the protection of the time capsule."
And thus the call went out for Dr. Allen H. Dale.
He wasn't found, of course. By the time the police got to the hotel, he
had "mysteriously" vanished. By the simple expedient of shaving off
his beard and removing the gray from his hair had changed his
appearance enough so that a mere change of clothing was all that
was needed to completely dispose of Dr. Allen H. Dale. Leland Hale
was never one to be caught napping; he was never one to be caught
at all.
Naturally, a planet-wide alarm went out. Even Sudapfahl, warned that
the "arch-criminal" might attempt to steal the contents of their own
time capsule, sent out word to all local police forces to be on the alert.
Two days later, a fast, fully-armed Interstellar Police cruiser settled to
the landing pit of the spaceport in Grosstat, Nordapfahl, and
disgorged a squad of eighty I.P. troopers under the command of
Captain Bradney W. Whitter, a tough, shrewd law officer with twenty
years of experience behind him.
Whitter had been up against Leland Hale before; he still carried a
white, puckered scar on one leg, a reminder of Leland Hale's ability to
use a megadyne handgun. If Leland Hale was actually on Apfahl,
Captain Whitter intended to get him.
In the office of Dr. Mier, the captain called a conference. Present were
himself, Dr. Mier, Lieutenant-Marshal Dilon, and several others, high
officers of the I.P., the museum staff, and the Nordapfahlian State
Police.
"Gentlemen," Captain Whitter said determinedly, "we are going to get
Leland Hale this time. We've got him."
Lieutenant-Marshal Dilon lifted a heavy eyebrow. "I'm afraid I don't
quite see how, Captain." He made an all-inclusive gesture toward the
window. "He has a whole planet to hide from us in. A great part of it is
still wilderness, jungle, desert, and arid mountains."
The captain's granite face turned toward Dilon. "My dear Marshal, it is
obvious that you don't know Leland Hale. He is not the type of man to
hide out in the hills forever. I doubt that he even took off for the
hinterlands; I wouldn't be surprised if he were right here in Grosstat."
The marshal shrugged heavy shoulders. "I'll admit it's possible. This
is a city of three-quarters of a million people. He might be difficult to
find."
"The galaxy is a damned sight bigger than that," Whitter pointed out.
"Hale could have hidden out long ago if that were the way he
operated. But he doesn't. He hits and runs and then comes back to
hit again. A louse he may be, but I never underestimate an opponent;
he's smart and he's got guts. And he's got pride. And that's what will
catch him."
"I'm afraid I don't understand you," said Dr. Mier.
Whitter glanced down at the director. "Your time capsule seems to
have aroused quite a bit of interest in certain parts of the galaxy, Dr.
Mier. That Dachboden carving, especially, has made news on the
older worlds—even on Earth, I understand. And now that it is known
that Leland Hale has practically announced that he wants that
Dachboden, the news services will be watching to see if he gets it."
He grinned sourly. "And believe me, Leland Hale won't turn down a
challenge like that."
Marshal Dilon looked more than mildly skeptical. "Do you mean that
you think he will attempt it in spite of the precautions we have taken?"
"I do." He looked at the quiet group around him. "We'll have to lay a
trap—one that will get Leland Hale when he tries to steal that statue.
And he'll try, believe me. I know Leland Hale."
The captain was right, as far as he went. Pity he didn't know Leland
Hale a little better.
For all of half a day, there was great rejoicing in Sudapfahl when it
was discovered that the time capsule in Grunfelt had opened and had
disclosed a marvelous collection of two-century-old artifacts, including
a Dachboden original. His Excellency, the Portfolio of State, was the
man of the day.
But it didn't last more than half a day. When the art experts
pronounced the Dachboden a phony, the popularity of Hinrik dropped;
when it was proved that the whole time capsule, with contents, was
actually the one that belonged in Grosstat, Hinrik's popularity
collapsed completely. He was held by the I.P. for questioning and
confessed all.
By that time, Leland Hale was a good many parsecs away in his own
private ship.
An excerpt from the report filed by Captain Whitter contains some
enlightening information.
"What happened became obvious after the fact," the captain wrote.
"The whole buildup was a phony from beginning to end. Hale had
heard of the time capsule in Grosstat, so he went to Apfahl with a
duplicate time capsule, which contained his note. He tunneled
underneath the Museum and switched capsules. It was not until after
he had made the switch that he planted the forged Dachboden note
for Dr. Mier to find.
"There never had been a Dachboden carving in the capsule; that was
all a figment of Leland Hale's imagination.
"Dr. Rudolf Mier couldn't understand why Hale had done it. 'Why did
he make me think there was a statue in there?' he kept asking me.
'Why did he do this to me?'
"I think the answer is simple. The records show that Hale was on
Kessin IV three years ago, during the war there. I believe that he
actually was swindled himself; someone sold him a bogus
Dachboden. Remember, the art-swindler Fenslaw was killed at that
time.
"Hale, therefore, had a phony Dachboden on his hands that he had to
unload to save his pride. More, he had to make a very big profit on it.
"He knew that he couldn't just try to sell it anywhere. Even if he found
a sucker who would accept it as real, there wouldn't be enough
money in it to make it worth Hale's time.
"He couldn't have sold it to Fonshliezen without the big buildup. If
he'd just produced the carving from nowhere, Fonshliezen would
have been suspicious. A few simple tests would have shown that the
dynak wood was less than ten years old.
"Obviously, Hale had to get Fonshliezen into a position where he
would accept the carving without testing it.
"Hale, therefore, planted an empty time capsule, with his note inside,
under the Museum and took the real capsule with him. By
bombarding the time lock with neutrons, he managed to increase the
radioactivity enough to keep the lock closed for an additional twenty-
four hours, so that he could palm the real capsule off on Fonshliezen
as a phony which he had presumably set himself.
"Then he arranged for Dr. Mier to discover the forged note which
Dachboden presumably wrote two centuries ago. He had no reason
to suspect a forgery, since there was no obvious way for anyone to
profit by such a thing.
"What followed from then on was as automatic as the clockwork in
the time capsules."
If the Captain was a little bitter, he had a right to be; he'd been made
a fool of, just like the others. But he was luckier or hardier than they.
He didn't blow his brain to bits with a handgun, as Fonshliezen did; he
didn't die, broken and disgraced, as Mier did.
On the other hand, he didn't get off scot-free with a half million
stellors to spend, as Leland Hale did.
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