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评估现代放疗后第二恶性肿瘤的风险。

Assessing the risk of second malignancies after modern radiotherapy.

机构信息

MD Anderson Cancer Center Radiation Oncology, 1515 Holcombe Boulevard Houston, Texas 77030-4009, USA.

出版信息

Nat Rev Cancer. 2011 Jun;11(6):438-48. doi: 10.1038/nrc3069. Epub 2011 May 19.

DOI:10.1038/nrc3069
PMID:21593785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4101897/
Abstract

Recent advances in radiotherapy have enabled the use of different types of particles, such as protons and heavy ions, as well as refinements to the treatment of tumours with standard sources (photons). However, the risk of second cancers arising in long-term survivors continues to be a problem. The long-term risks from treatments such as particle therapy have not yet been determined and are unlikely to become apparent for many years. Therefore, there is a need to develop risk assessments based on our current knowledge of radiation-induced carcinogenesis.

摘要

近年来,放射治疗技术取得了进展,使得人们能够使用不同类型的粒子,如质子和重离子,以及对标准源(光子)治疗肿瘤进行改进。然而,长期幸存者中第二癌症的风险仍然是一个问题。粒子治疗等治疗方法的长期风险尚未确定,并且可能在多年后才会显现。因此,需要根据我们目前对放射诱导致癌的认识来制定风险评估。

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本文引用的文献

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Kilovoltage imaging doses in the radiotherapy of pediatric cancer patients.儿童癌症患者放射治疗中的千伏级成像剂量。
Int J Radiat Oncol Biol Phys. 2012 Apr 1;82(5):1680-8. doi: 10.1016/j.ijrobp.2011.01.062. Epub 2011 Apr 7.
2
The risks to healthy tissues from the use of existing and emerging techniques for radiation therapy.使用现有和新兴放射治疗技术对健康组织造成的风险。
Radiat Prot Dosimetry. 2011 Feb;143(2-4):533-5. doi: 10.1093/rpd/ncq524. Epub 2011 Jan 2.
3
Long-term effects of radiation exposure among adult survivors of childhood cancer: results from the childhood cancer survivor study.儿童癌症幸存者中成年幸存者辐射暴露的长期影响:来自儿童癌症幸存者研究的结果。
Radiat Res. 2010 Dec;174(6):840-50. doi: 10.1667/RR1903.1. Epub 2010 Sep 17.
4
Complexity of advanced radiation therapy necessitates multidisciplinary inquiry into dose reconstruction and risk assessment.先进放射治疗的复杂性使得有必要对剂量重建和风险评估进行多学科探究。
Phys Med Biol. 2010 Dec 7;55(23). doi: 10.1088/0031-9155/55/23/E01.
5
Risk of second malignant neoplasm following proton versus intensity-modulated photon radiotherapies for hepatocellular carcinoma.质子与强度调制光子放射治疗肝癌后第二恶性肿瘤的风险。
Phys Med Biol. 2010 Dec 7;55(23):7055-65. doi: 10.1088/0031-9155/55/23/S07. Epub 2010 Nov 12.
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Methodology for determining doses to in-field, out-of-field and partially in-field organs for late effects studies in photon radiotherapy.用于确定光子放射治疗晚期效应研究中场内、场外和部分场内器官剂量的方法学。
Phys Med Biol. 2010 Dec 7;55(23):7009-23. doi: 10.1088/0031-9155/55/23/S04. Epub 2010 Nov 12.
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Predicted risks of second malignant neoplasm incidence and mortality due to secondary neutrons in a girl and boy receiving proton craniospinal irradiation.因接受质子颅脊放疗,女童和男童的次级中子所致第二恶性肿瘤发病和死亡的预估风险。
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