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螺旋断层放射治疗腹部肿瘤治疗误差分析
引用本文:周桂霞,徐寿平,解传滨,杨艳,杨东,陈新静. 螺旋断层放射治疗腹部肿瘤治疗误差分析[J]. 军医进修学院学报, 2009, 30(4): 474-475
作者姓名:周桂霞  徐寿平  解传滨  杨艳  杨东  陈新静
作者单位:解放军总医院放射治疗科,北京,100853
摘    要:目的探讨螺旋断层放射治疗腹部肿瘤的物理学选择参数和MVCT影像引导下的治疗误差。方法采用螺旋断层治疗20例上腹部肿瘤患者,照射野宽度(field width,FW)为2.5cm,螺距比(pitch)选择0.3,调制因子(modulation factor,MF)为2.5;每次治疗前实行靶区MVCT扫描并与治疗计划靶区进行自动配准后再实现剂量靶区的手动调节,获得治疗误差及分布规律。结果治疗误差最小值和最大值在x、y和z轴分别为:(1.205±0.207)mm和(6.496±2.165)mm;(2.600±0.671)mm和(9.0075±1.5017)mm;(0.880±0.188)mm和(5.151±1.821)mm。结论影像引导确实提高了肿瘤治疗精度和准确性,同时为正确设定上腹部肿瘤计划靶区提供了依据。

关 键 词:影像引导  体层摄影术,螺旋计算机  螺旋断层放疗  放射治疗剂量  腹部肿瘤

Analysis of errors occurred in helical tomotherapy for abdominal tumor
ZHOU Gui-xia,XU Shou-ping,XIE Chuan-bin,YANG Yan,YANG Dong,CHEN Xin-jing. Analysis of errors occurred in helical tomotherapy for abdominal tumor[J]. Academic Journal of Pla Postgraduate Medical School, 2009, 30(4): 474-475
Authors:ZHOU Gui-xia  XU Shou-ping  XIE Chuan-bin  YANG Yan  YANG Dong  CHEN Xin-jing
Affiliation:ZHOU Gui-xia,XU Shou-ping,XIE Chuan-bin,YANG Yan,YANG Dong,CHEN Xin-jing Department of Radiation Oncology,Chinese PLA General Hospital,Beijing 100853,China
Abstract:Objective To investigate the physical parameters of helical tomotherapy for abdominal tumor and errors occurred in image-guided MVCT treatment. MethodsTwenty patients with abdominal tumor received helical tomotherapy. Setting parameters including field width(2.5cm) ,pitch(0.3mm) and modulation factor(2.5mm) were selected. Before treatment,all patients underwent MVCT scanning. MVCT images were registered with automatic KVCT plan and used to readjust the registration according to the dose distribution. The se...
Keywords:image guided radiotherapy (IGRT)  tomography, spiral computed  helical tomotherapy  radiotherapy dosage  abdominal neoplasms
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