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影像引导的自适应放疗在鼻咽癌治疗中的剂量学研究

施林心 王凡

安徽医科大学学报Issue(10):1514-1516,1517,4.
安徽医科大学学报Issue(10):1514-1516,1517,4.

影像引导的自适应放疗在鼻咽癌治疗中的剂量学研究

Dosimetric study of adaptive radiotherapy for nasopharyngeal carcinoma

施林心 1王凡1

作者信息

  • 1. 安徽医科大学第一附属医院肿瘤放疗科,合肥 230022
  • 折叠

摘要

Abstract

Seven patients with nasopharyngeal carcinoma treated with ART were recruited . All patients were treated with SIB-IMRT regimen( named IMRT) . All patients had a second computed tomography scan after 10 fractions and a new plan based on this was initiated from fraction 11 ( ART1 ) . And a third CT scan after 21 fractions and a new plan based on this was initiated from fraction 22(ART2). When the treatment was finished,a fourth CT scan was made. Results revealed that the volumes of primary tumors and parotid glands regressed significantly after the teat-ment. The position of the parotid glands shifted medially an average of 4.5(1.6~9.2)mm during the plans. ART1 reduced mean dose to left parotid by 0. 42 Gy(1. 68%)(P=0.019) and right parotid by 0. 79 Gy (3.04%) (P=0. 013) over the IMRT alone. ART2 further reduced the mean left parotid dose by 0. 86 Gy or 3.5% ( P =0.001 ) and right parotid by 1 . 04 Gy or 4 . 13% ( P=0.035 ) .

关键词

鼻咽癌/自适应放疗/剂量学

Key words

nasopharyngeal carcinoma/adaptive radiotherapy/dosimetry

分类

医药卫生

引用本文复制引用

施林心,王凡..影像引导的自适应放疗在鼻咽癌治疗中的剂量学研究[J].安徽医科大学学报,2014,(10):1514-1516,1517,4.

基金项目

安徽省教育厅自然科学重点科研项目(编号:KJ2009A82) (编号:KJ2009A82)

安徽医科大学学报

OA北大核心CSTPCD

1000-1492

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