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质子束疗法

Proton beam therapy.

作者信息

Levin W P, Kooy H, Loeffler J S, DeLaney T F

机构信息

Massachusetts General Hospital Northeast Proton Therapy Center, Boston, MA 02114, USA.

出版信息

Br J Cancer. 2005 Oct 17;93(8):849-54. doi: 10.1038/sj.bjc.6602754.

DOI:10.1038/sj.bjc.6602754
PMID:16189526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2361650/
Abstract

Conventional radiation therapy directs photons (X-rays) and electrons at tumours with the intent of eradicating the neoplastic tissue while preserving adjacent normal tissue. Radiation-induced damage to healthy tissue and second malignancies are always a concern, however, when administering radiation. Proton beam radiotherapy, one form of charged particle therapy, allows for excellent dose distributions, with the added benefit of no exit dose. These characteristics make this form of radiotherapy an excellent choice for the treatment of tumours located next to critical structures such as the spinal cord, eyes, and brain, as well as for paediatric malignancies.

摘要

传统放射治疗通过向肿瘤发射光子(X射线)和电子,旨在根除肿瘤组织,同时保护相邻的正常组织。然而,在进行放射治疗时,辐射对健康组织造成的损伤和继发性恶性肿瘤始终是令人担忧的问题。质子束放射治疗作为带电粒子治疗的一种形式,能够实现出色的剂量分布,并且没有出射剂量这一额外优势。这些特性使这种放射治疗形式成为治疗位于脊髓、眼睛和大脑等关键结构附近的肿瘤以及儿童恶性肿瘤的理想选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0765/2361650/da0a5fd30eb2/93-6602754f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0765/2361650/7d2a156fe764/93-6602754f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0765/2361650/da0a5fd30eb2/93-6602754f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0765/2361650/7d2a156fe764/93-6602754f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0765/2361650/da0a5fd30eb2/93-6602754f2.jpg

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本文引用的文献

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Overview of clinical experiences on carbon ion radiotherapy at NIRS.日本国立放射医学综合研究所碳离子放疗临床经验概述。
Radiother Oncol. 2004 Dec;73 Suppl 2:S41-9. doi: 10.1016/s0167-8140(04)80012-4.
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Proton beam therapy for hepatocellular carcinoma: a retrospective review of 162 patients.肝细胞癌的质子束治疗:162例患者的回顾性研究
使用碳纤维植入物提高脊柱肿瘤患者放射治疗的安全性和有效性。
Brain Sci. 2025 Feb 14;15(2):199. doi: 10.3390/brainsci15020199.
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Feasibility of Proton Beam Therapy for Para-Aortic Lymph Node Recurrence in Patients With Gynecologic Cancer After Pelvic Irradiation: A Case Series.盆腔放疗后妇科癌症患者腹主动脉旁淋巴结复发的质子束治疗可行性:病例系列
Cureus. 2025 Feb 23;17(2):e79514. doi: 10.7759/cureus.79514. eCollection 2025 Feb.
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J Neurooncol. 2025 Jan;171(2):351-363. doi: 10.1007/s11060-024-04850-9. Epub 2024 Oct 14.
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Evaluating the Effectiveness of Proton Beam Therapy Compared to Conventional Radiotherapy in Non-Metastatic Rectal Cancer: A Systematic Review of Clinical Outcomes.评价质子束疗法对比常规放疗在局部非转移性直肠癌中的有效性:临床结局的系统评价。
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