Pop Daniel, Venissac Nicolas, Bondiau Pierre-Yves, Mouroux Jérôme
Department of Thoracic Surgery, Pasteur Hospital, Nice, France.
Interact Cardiovasc Thorac Surg. 2010 Jun;10(6):1034-6. doi: 10.1510/icvts.2009.227348. Epub 2010 Mar 2.
Radiotherapy is often the treatment used for inoperable early-stage lung cancer as well as pulmonary metastases. In the last decade, efforts were done to increase local control with high-dose radiation without excessive collateral damage. Initially used for cranial lesions, stereotactic radiosurgery enlarged extracranial indications; the Cyberknife radiosurgery system needs metal (gold) markers for image guidance. For lung tumours, fiducials are inserted computed tomography (CT)-guided or bronchoscopy-guided. We describe four patients where fiducial placement was done during surgery.
放射疗法通常用于无法手术的早期肺癌以及肺转移瘤的治疗。在过去十年中，人们致力于通过高剂量辐射提高局部控制效果，同时避免过多的附带损伤。立体定向放射外科最初用于颅脑病变，后来扩大了颅外适应症；射波刀放射外科系统需要金属（金）标记物进行图像引导。对于肺部肿瘤，基准标记通过计算机断层扫描（CT）引导或支气管镜引导插入。我们描述了4例在手术期间进行基准标记放置的患者。
