Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Germany.
Radiother Oncol. 2013 Dec;109(3):505-9. doi: 10.1016/j.radonc.2013.09.014. Epub 2013 Oct 12.
Hypofractionated image-guided stereotactic ablative radiotherapy (igSABR) is effective in small lung/liver lesions. Computer-assisted breath-hold reduces intrafraction motion but, as every gating/triggering strategy, reduces the duty cycle, resulting in long fraction times if combined with intensity-modulated radiotherapy (IMRT). 10 MV flattening-filter-free IMRT reduces daily fraction duration to <10 min for single doses of 5-20 Gy.
适形调强分割立体定向消融放疗(igSABR)对小的肺/肝病变有效。计算机辅助的屏气可减少分次内运动,但与每个门控/触发策略一样,会降低占空比,如果与调强放疗(IMRT)结合使用,则会导致分次时间延长。10MV 非均整滤过强射野调强放疗可将单次 5-20Gy 剂量的每日分次时间缩短至<10 分钟。