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食管癌术后三种放疗方案的对比研究 被引量:7

Controlled study of three postoperative radiotherapies for patients with esophageal carcinoma
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摘要 目的:对比研究调强适形放疗(IMRT)、三维适形放疗(3DCRT)和常规模拟机定位放疗等3种不同方法在食管癌术后预防照射中的优缺点.方法:15例食管癌术后患者采用IMRT方法进行治疗,应用同一治疗计划系统,制订模拟适形放疗和常规模拟机定位放疗方案,3种方案照射剂量均为1.8~2.0Gy/次,5次/周,50Gy/5~6周.结果:与3DCRT和常规模拟机定位放疗相比,食管癌术后照射中IMRT有最好的剂量分布,既可明显提高靶区的剂量,同时能较好地保护正常组织. 结论:食管癌术后采用IMRT优于3DCRT和常规模拟机放疗,是目前最佳的一种放疗方法. Objective:To assess and compare the advantages and disadvantages of postoperative intensity modulated-radiation therapy ( IMRT), 3-Dimensional conformal radiation therapy ( 3 DCRT) and the simulator-guided radiation therapy for patients with esophageal carcinoma. Methods:Fifteen patients with postoperative esophageal carcinoma were treated by intensity modulated-radiation therapy, at the same TPS, 3-Dimensional conformal radiation therapy target and normal tissue of three radiotherapies were simulated. The treatment planning was five days per week with 1.8 - 2.0 Gy/fraction, 5 fractions/week, 50 Gy/5 -6 weeks. Results:Compared with simulator-guided radiation therapy and 3DCRT. IMRT planning has better dose distribution and protection of normal tissue. Conclusion:IMRT was better than 3DCRT and simulator-guided radiation therapy.
出处 《医学研究生学报》 CAS 2007年第8期838-840,共3页 Journal of Medical Postgraduates
基金 南京军区南京总医院科研基金资助项目(批准号:2004027)
关键词 调强适形放疗 三维适形放疗 常规模拟机定位放疗 Intensity modulated-radiation therapy 3-Dimensional conformal radiation therapy Simulator-guided radiation therapy
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