Reft Chester, Alecu Rodica, Das Indra J, Gerbi Bruce J, Keall Paul, Lief Eugene, Mijnheer Ben J, Papanikolaou Nikos, Sibata Claudio, Van Dyk Jake
University of Chicago, Chicago, Illinois 60637, USA.
Med Phys. 2003 Jun;30(6):1162-82. doi: 10.1118/1.1565113.
This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report is to make the radiation oncology community aware of the problems arising from the presence of these devices in the radiation beam, to quantify the dose perturbations they cause, and, finally, to provide recommendations for treatment planning and delivery. Some of the data and recommendations are also applicable to patients having implanted high-Z prosthetic devices such as pins, humeral head replacements. The scientific understanding and methodology of clinical dosimetry for these situations is still incomplete. This report is intended to reflect the current state of scientific understanding and technical methodology in clinical dosimetry for radiation oncology patients with high-Z hip prostheses.
本文件是美国医学物理师协会（AAPM）放射治疗委员会一个任务组的报告，主要是为参与盆腔恶性肿瘤患者外照射治疗且体内有高原子序数（Z）髋关节假体的医院物理师提供建议。本报告的目的是让放射肿瘤学界了解这些装置存在于辐射束中所产生的问题，量化它们所引起的剂量扰动，并最终为治疗计划和实施提供建议。部分数据和建议也适用于植入了高Z值假体装置（如钢钉、肱骨头置换物）的患者。对于这些情况的临床剂量学的科学理解和方法仍不完整。本报告旨在反映针对有高Z值髋关节假体的放射肿瘤患者临床剂量学的当前科学理解状态和技术方法。
