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[与I-125前列腺近距离放射治疗相关的水肿变化]

[Changes of edema associated with I-125 prostate brachytherapy].

作者信息

Aoki Manabu, Miki Kenta, Takahashi Hiroyuki, Takagi Sayako, Fukuda Ichirou, Honda Chikara, Kobayashi Masao, Egawa Shin, Kanehira Chihiro

机构信息

Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine.

出版信息

Nihon Igaku Hoshasen Gakkai Zasshi. 2005 Oct;65(4):411-8.

Abstract

We have been performing TRUS-guided transperineal prostate brachytherapy with I-125 for prostate-confined adenocarcinoma since October 2003. We examined prostate volume using CT scanning on Day 1, Day 15, and Day 30 in the initial 15 patients, and investigated time-dependent changes of edema associated with I-125 prostate brachytherapy. Prostate volume had increased to 173% of the average on the first day after implantation. Improvements in the swelling of the prostate showed decreases in 30% in the first 2 weeks (Days 1-15) and 12% in the second 2 weeks (Days 15-30). V100 and D 90% showed statistically significant increases of 5.5% and 8.4% in the first 2 weeks after implantation and 2.3% and 5.2% in the second 2 weeks (Days 15-30). We considered one month a suitable time at which to calculate post-planning because V100 and D 90% changed little statistically.

摘要

自2003年10月起,我们一直采用I-125进行经直肠超声引导下经会阴前列腺近距离放射治疗,用于局限于前列腺的腺癌。我们对最初的15例患者在第1天、第15天和第30天使用CT扫描检查前列腺体积,并研究与I-125前列腺近距离放射治疗相关的水肿的时间依赖性变化。植入后第一天前列腺体积增加到平均体积的173%。前列腺肿胀在最初2周(第1 - 15天)改善了30%,在接下来的2周(第15 - 30天)改善了12%。V100和D90%在植入后的前2周分别有统计学意义的显著增加,增加了5.5%和8.4%,在接下来的2周(第15 - 30天)分别增加了2.3%和5.2%。我们认为1个月是计算植入后计划的合适时间,因为V100和D90%在统计学上变化很小。

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