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64层灌注CT血容量图评价兔VX2脑瘤模型三维适形放疗解剖学靶区的实验研究

孙昌进 郎锦义 王光辉 罗云秀 李涛 于金明 吕海波 李超 张德康 黄建鸣

肿瘤预防与治疗2012,Vol.25Issue(4):215-219,5.
肿瘤预防与治疗2012,Vol.25Issue(4):215-219,5.DOI:10.3969/j.issn.1674-0904.2012.04.003

64层灌注CT血容量图评价兔VX2脑瘤模型三维适形放疗解剖学靶区的实验研究

An Experimental Study on Anatomical Target Volume of Rabbit VX2 Brain Tumor Model for Three-dimensional Conformal Radiotherapy Planning: Evaluation with Blood Volume from 64-slice Spiral Computed Tomography Perfusion Imaging

孙昌进 1郎锦义 1王光辉 1罗云秀 1李涛 1于金明 2吕海波 3李超 1张德康 1黄建鸣1

作者信息

  • 1. 四川省肿瘤医院,成都,610041
  • 2. 山东省肿瘤医院放疗科,济南,250000
  • 3. 成都市第一人民医院放射科,成都,610041
  • 折叠

摘要

Abstract

Objective: To investigate the role of blood volume from 64-slice spiral computed tomography perfusion imaging in the evaluation of tumor gross tumor volume( GTV ) and clinical target volume ( CTV ) in rabbit VX2 brain tumor model for three dimensional conformal radiotherapy planning. Methods: Perfusion CT was performed in 20 rabbit VX2 brain tumor model established successfully. The maximum long and minimum short diameter of the blood volume maps from the 20 rabbit VX2 brain tumor model were measured and compared to the GTV and CTV of the same section in the pathological specimens. Results: Among 20 rabbit VX2 brain tumor models, the mean differences of maximum long and minimum short diameter between tumor GTV with pathologic confirmation (7.98 mm±2. 11mm and 4. 40 mm ± 1. 19 mm )and BV maps( 11.98 mm ± 3. 29 mm and 7. 03 mm ± 1. 82mm ) ( P =0.000) were significant. The mean value of maximum long and minimum short diameter of tumor CTV with pathologic confirmation were 12. 87 mm ±3. 74mm and 7. 64 mm ±2. 05 mm respectively. There were no differences between tumor pathologic CTV and BV maps( P = 0. 052 and P =0.038 respectively). To estimate the CTV, a margin of 13% ±14% and 23% ±27% must be chosen for long and short diameter of tumor BV maps respectively. Conclusion: The BV map from 64-slice spiral CT perfusion imaging might to have the ability to delineate the volume target of brain tumor.

关键词

体层摄影术/X线计算机/灌流/脑肿瘤/放射疗法/放射疗法/适形

Key words

Tomography/ X-ray Computed/ Perfusion/Brain Neoplasms /Radiation Therapy/ Radiation Therapy/ Conformsl

分类

医药卫生

引用本文复制引用

孙昌进,郎锦义,王光辉,罗云秀,李涛,于金明,吕海波,李超,张德康,黄建鸣..64层灌注CT血容量图评价兔VX2脑瘤模型三维适形放疗解剖学靶区的实验研究[J].肿瘤预防与治疗,2012,25(4):215-219,5.

基金项目

国家自然科学基金项目(项目号:C03031802) (项目号:C03031802)

肿瘤预防与治疗

OACSTPCD

1674-0904

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