国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (3): 232-234.doi: 10.3760/cma.j.issn.1673422X.2015.03.019

• 综述 • 上一篇    下一篇

宫颈癌体外自适应放疗

张宁,王凡   

  1. 230022 合肥,安徽医科大学第一附属医院放疗科
  • 出版日期:2015-03-08 发布日期:2015-01-29
  • 通讯作者: 王凡,Email: wangfan1965@126.com E-mail:wangfan1965@126.com

Adaptive external beam radiotherapy of cervical carcinoma

Zhang Ning, Wang Fan   

  1. Department of Radiation Oncology, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
  • Online:2015-03-08 Published:2015-01-29
  • Contact: Wang Fan E-mail:wangfan1965@126.com

摘要: 放疗已经成为宫颈癌的主要治疗手段之一,近年来在体外精确放疗技术治疗期间,器官运动、摆位误差、解剖学变化等因素可能导致实际接受剂量与初始计划不一致,从而造成靶区剂量不足及危及器官受照剂量过多。自适应放疗(ART)可根据治疗过程中所得到的位置、体积、剂量等参数的反馈信息,利用图像引导及个体化建模等方法对后续治疗计划进行相应的优化和调整,从而在提高局部控制率的同时降低放疗不良反应的发生率。

关键词: 宫颈肿瘤, 放射疗法, 调强适形

Abstract: Radiotherapy has become one of the most important treatments for cervical carcinoma. In recent years, because of the organ motion, anatomical changes and setup errors et cetera, the accurate external beam radiotherapy (EBRT) may regard to the difference between the actual dose delivery and the pretreatment plan, which not only causes target less, but also brings additional doses to the organs at risk (OAR). By using of image guidance and individual modelling, adaptive radiotherapy (ART) can analyze the parameters of target position, volume and dose and adjust optimized plans for the followup treatment based on aforesaid feedbacks and enable the enhancement of the local control rate while reducing the incidence of the side reaction.

Key words: Uterine cervical neoplasms, Radiotherapy, intensitymodulated