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正常组织对治疗性放射的耐受性。

Tolerance of normal tissue to therapeutic irradiation.

作者信息

Emami B, Lyman J, Brown A, Coia L, Goitein M, Munzenrider J E, Shank B, Solin L J, Wesson M

机构信息

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.

出版信息

Int J Radiat Oncol Biol Phys. 1991 May 15;21(1):109-22. doi: 10.1016/0360-3016(91)90171-y.

DOI:10.1016/0360-3016(91)90171-y
PMID:2032882
Abstract

The importance of knowledge on tolerance of normal tissue organs to irradiation by radiation oncologists cannot be overemphasized. Unfortunately, current knowledge is less than adequate. With the increasing use of 3-D treatment planning and dose delivery, this issue, particularly volumetric information, will become even more critical. As a part of the NCI contract N01 CM-47316, a task force, chaired by the primary author, was formed and an extensive literature search was carried out to address this issue. In this issue. In this manuscript we present the updated information on tolerance of normal tissues of concern in the protocols of this contract, based on available data, with a special emphasis on partial volume effects. Due to a lack of precise and comprehensive data base, opinions and experience of the clinicians from four universities involved in the contract have also been contributory. Obviously, this is not and cannot be a comprehensive work, which is beyond the scope of this contract.

摘要

放射肿瘤学家了解正常组织器官对辐射的耐受性这一知识的重要性,无论如何强调都不为过。不幸的是,目前的知识还不够充分。随着三维治疗计划和剂量输送的日益广泛应用,这个问题,尤其是容积信息,将变得更加关键。作为美国国立癌症研究所(NCI)合同N01 CM - 47316的一部分,由第一作者担任主席的一个特别工作组成立了,并进行了广泛的文献检索以解决这个问题。在本论文中,我们根据现有数据,介绍了该合同方案中所关注的正常组织耐受性的最新信息,特别强调了部分容积效应。由于缺乏精确和全面的数据库,参与该合同的四所大学的临床医生的意见和经验也起到了一定作用。显然,这不是也不可能是一项全面的工作,这超出了本合同的范围。

相似文献

1
Tolerance of normal tissue to therapeutic irradiation.正常组织对治疗性放射的耐受性。
Int J Radiat Oncol Biol Phys. 1991 May 15;21(1):109-22. doi: 10.1016/0360-3016(91)90171-y.
2
[Radiobiological analysis of the development of early and late radiation injuries].[早期和晚期放射性损伤发生发展的放射生物学分析]
Med Radiol (Mosk). 1984 Mar;29(3):54-64.
3
Correlation of radiation tolerance dose of normal human organs with organ weight, blood, and water content.
Am J Clin Oncol. 2000 Aug;23(4):345-8. doi: 10.1097/00000421-200008000-00006.
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Treatment of CNS tumours with conventional radiotherapy: the importance of dose & volume factors in tumour control & CNS radiation tolerance.
Australas Radiol. 1989 Feb;33(1):15-22. doi: 10.1111/j.1440-1673.1989.tb03228.x.
5
Dosimetry of very low energy photons.
Health Phys. 1979 Feb;36(2):175-82. doi: 10.1097/00004032-197902000-00009.
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[Tolerance of the brain and spinal cord to fractionated irradiation].
Med Radiol (Mosk). 1986 Aug;31(8):72-5.
7
[Interactive determination of the parameters of mathematical models in planning radiotherapy of malignant tumors. 3. Method of local adjustment of the parameters of mathematical models (examples of application)].[恶性肿瘤放射治疗计划中数学模型参数的交互式确定。3. 数学模型参数的局部调整方法(应用示例)]
Med Tekh. 2001 Jan-Feb(1):27-33.
8
[Possibilities and limitations of isoeffective models in the assessment of the equivalence of courses of fractionated irradiation].
Med Radiol (Mosk). 1991;36(9):14-9.
9
Can intensity-modulated radiation therapy of the paraaortic region overcome the problems of critical organ tolerance?腹主动脉旁区域的调强放射治疗能否克服危及器官耐受性的问题?
Strahlenther Onkol. 2005 Mar;181(3):185-90. doi: 10.1007/s00066-005-1324-8.
10
Fitting of normal tissue tolerance data to an analytic function.
Int J Radiat Oncol Biol Phys. 1991 May 15;21(1):123-35. doi: 10.1016/0360-3016(91)90172-z.

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