1. 华南国家肿瘤实验室//中山大学肿瘤防治中心 放疗科,广东,广州,510060
2. 中山大学附属第一医院放射治疗科,广东,广州,510080
网络首发:2017-11-10,
纸质出版:2017
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姚文燕, 黄剑文, 陈炫光, 等. 螺旋断层放疗图像引导策略的优化探讨[J]. 中山大学学报(医学科学版), 2017,38(6).
YAO Wen-yan, HUANG Jian-wen, CHEN Xuan-guang, et al. Optimization of Strategy for Image Guided Radiotherapy in Tomotherapy[J]. Journal of Sun Yat-sen University (Medical Sciences), 2017, 38(6).
【目的】探讨螺旋断层放疗(TOMO)时行不同频次图像引导之间的差异,探寻合适的图像引导策略。【方法】 选取我中心2015年1月1日~2016年5月15日收治的头颈部肿瘤患者88例、胸腹部肿瘤患者63例、盆腔肿瘤患者19例,均 接受TOMO治疗,每次治疗前均行兆伏级CT(MVCT)扫描进行,收集前五次和每周第一次的摆位误差,分别和整个疗程的摆 位误差进行比较研究。【结果】胸腹组和盆腔组不同频次扫描之间的摆位误差比较无统计学差异,头颈组前五次扫描和整 个疗程的比较中前后方向的摆位误差有统计学意义(P<0.05),其他对比的差异无统计学意义。【结论】胸腹部肿瘤和盆腔 肿瘤放射治疗时,可考虑前五次扫描或每周一次扫描的方式来代替每天一次扫描,减少患者受到的额外辐射剂量。头颈部 肿瘤放射治疗时,前五次的扫描的前后方向误差跟整个疗程误差比较存在明显差异,不能以此为据来指导后续的日常摆 位,可以考虑采用每周扫描一次MVCT的方案来代替每天扫描一次的方案。
【Objective】To explore the different scanning frequency for the MVCT scanning in the tomotherapy
and seek the best strategy of the scanning.【Methods】Patients were treated by tomotherapy in SYSUCC from January 1
2015 to May 15
2016
includ? ing 88 head & neck patients
63 chest & abdomen patients and 19 pelvis patients. All patients have had a daily MVCT scanning for po? sition verification before the treatment. The data retrieved from“the first five times of the very first week”and“the every first time of each week”
were compared with“the whole course”data
respectively.【Results】There are no significant difference between“the whole course”and“the first five times of the very first week”or“the every first time of each week”for pelvis patients and chest and abdomen patients. There are significant differences between Z axis of“the whole course”and“the first five times of the very first week”only for head & neck patients.【Conclusion】It is a good scanning choice of“the first five times of the very first week”and“the every first time of each week”for the those patients with thoracic & abdominal or pelvic tumors to reduce the extra radiation dose from the MVCT. There are significant differences between Z axis of“the whole course”and“the first five times of the very first week”in the head & neck patients. Therefore
“the first five times of the very first week”cannot be used as a solid position information for daily verification. And“the every first time of each week”may be a good compromise solution.
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