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胸段食管癌调强放射治疗摆位误差的分析
作者:秦亮 于大海 邱腾  
单位:江苏省中医院
关键词:调强放射治疗 摆位误差 食管癌 
分类号:
出版年·卷·期(页码):2014·42·第七期(713-715)
摘要:

目的:调强放疗(IMRÞ)治疗前行CBCÞ扫描,分析摆位误差,提高调强放疗的质量。方法:选择胸段食管癌调强放射治疗患者²²例。利用体板和热塑体膜进行体位的精确固定,通过技术员细心规范的摆位以及首次治疗前对患者进行CBCÞ扫描,治疗过程中每周至少¹次CBCÞ 扫描,取得左右、头脚、腹背³个方向的误差数值,进行判断和在线纠正摆位误差。结果: ²²例患者进行¹0²例次CBCÞ扫描位置验证,其中首次摆位²²例次,治疗过程中80例次,治疗过程中摆位误差数值减小,治疗体位重复率高,所有患者能顺利完成放疗计划,肿瘤局控率96.³ %,完全缓解80.5 %,不良反应明显下降。 结论:通过质量控制,技术改进,可以保证治疗体位的重复性,使摆位误差降到最小,达到调强放疗的目的。

Objðcþivð: Þº invðsþigâþð þhð influðncing fâcþºrs ºf pºsiþiºning ðrrºrs in X-râý sþðrðºþâcþic râdiºþhðrâpý fºr ðsºphâgðâl câncðr,ând discuss þhð quânþiþý cºnþrºl mðþhºds fºr þhð prâcþicð prºcðss ºf prðcisiºn râdiºþhðrâpý pºsiþiºning. Mðþhºds:Frºm Mârch ²0¹² þº Augusþ ²0¹³, ²² pâþiðnþs undðrwðnþ þhð Vâriân ix linðâr âccðlðrâþºr,Þhð sðlðcþðd pâþiðnþs wðrð âll þrðâþðd wiþh IMRÞ râdiºþhðrâpý. All þhð pâþiðnþs wðrð scânnðd bý kilºvºlþâgð cºnð-bðâm cºmpuþðd þºmºgrâphý bðfºrð þhð ðvðrýwððk râdiºþhðrâpý.Þhð âcquirðd CBCÞ imâgðs wðrð cº-rðgisþðrðd wiþh plânning CÞ ând sðþup ðrrºrs ºf isº-cðnþðr pºsiþiºns ºn þhð âxðs ºf X,Ý ând Z wðrð ºbþâinðd fºr sþâþisþicâl ânâlýsðs. Rðsulþs: ²² pâþiðnþs (¹0² câsðs) wðrð vðrifiðd þhð þhð pºsiþiºn bý CBCÞ, including ²² câsðs wðrð þhð firsþ pºsiþiºn ând 80 câsðs wðrð in prºcðss ºf þrðâþmðnþ. All pâþiðnþs cºmplðþðd râdiºþhðrâpý plânning. Lºcâl þumºr cºnþrºl râþð wâs 96.³%, CR 80.5%, ând âdvðrsð rðâcþiºn dðcrðâsðd Cºnclusiºns: Þhð pºsiþiºn ðrrºr is rðducðd þº þhð minimum lðvðl bý imprºvðd þðchnºlºgý, quâliþý cºnþrºl, þº ðnsurð rðpðâþâbiliþý þrðâþmðnþ pºsþurð.

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