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Novel use of a hydrogel spacer permits reirradiation in otherwise incurable recurrent gynecologic cancers.水凝胶间隔物的新用途使得原本无法治愈的复发性妇科癌症能够再次接受放疗。
J Clin Oncol. 2013 Dec 1;31(34):e446-7. doi: 10.1200/JCO.2012.47.9931. Epub 2013 Oct 21.
2
CT-Guided Placement of a Polyethylene Glycol Hydrogel in Brachytherapy for Gynecologic Malignancy to Limit Nontarget Organ Toxicity.
J Vasc Interv Radiol. 2019 Mar;30(3):469-471. doi: 10.1016/j.jvir.2018.12.002.
3
Prophylactic pelvic irradiation as part of primary therapy in uterine sarcomas.预防性盆腔照射作为子宫肉瘤初始治疗的一部分。
Int J Oncol. 2008 May;32(5):1111-7.
4
[Postoperative radiotherapy of uterine sarcoma: a multicentric retrospective study].子宫肉瘤的术后放疗：一项多中心回顾性研究
Cancer Radiother. 2011 Apr;15(2):89-96. doi: 10.1016/j.canrad.2010.05.005. Epub 2010 Jul 31.
5
High-dose-rate interstitial brachytherapy for the treatment of high-volume locally recurrent endometrial carcinoma.高剂量率组织间近距离放射治疗用于治疗大体积局部复发性子宫内膜癌。
Brachytherapy. 2016 Sep-Oct;15(5):543-8. doi: 10.1016/j.brachy.2016.06.010. Epub 2016 Jul 27.
6
Long-term outcomes with intraoperative radiotherapy as a component of treatment for locally advanced or recurrent uterine sarcoma.术中放疗作为局部晚期或复发性子宫肉瘤治疗手段的长期疗效。
Int J Radiat Oncol Biol Phys. 2012 May 1;83(1):191-7. doi: 10.1016/j.ijrobp.2011.06.1960. Epub 2011 Oct 8.
7
Placement of an absorbable rectal hydrogel spacer in patients undergoing low-dose-rate brachytherapy with palladium-103.在接受钯-103低剂量率近距离放射治疗的患者中放置可吸收直肠水凝胶间隔物。
Brachytherapy. 2018 Mar-Apr;17(2):251-258. doi: 10.1016/j.brachy.2017.11.006. Epub 2017 Dec 11.
8
Low-dose adjuvant vaginal cylinder brachytherapy for early-stage non-endometrioid endometrial cancer: recurrence risk and survival outcomes.低剂量辅助阴道柱状施源器近距离放疗治疗早期非子宫内膜样型子宫内膜癌：复发风险和生存结局。
Int J Gynecol Cancer. 2020 Dec;30(12):1908-1914. doi: 10.1136/ijgc-2020-001623. Epub 2020 Jul 12.
9
[Historical overview and the current practice of intracavitary treatment of cervical and endometrial cancer in the Oncoradiology Center of Budapest].[布达佩斯肿瘤放射学中心宫颈癌和子宫内膜癌腔内治疗的历史回顾与当前实践]
Magy Onkol. 2015 Jun;59(2):140-7. Epub 2015 Mar 17.
10
Reirradiation using high-dose-rate brachytherapy in recurrent carcinoma of uterine cervix.高剂量率近距离放射治疗在复发性宫颈癌中的再照射
Brachytherapy. 2014 Nov-Dec;13(6):548-53. doi: 10.1016/j.brachy.2014.06.005. Epub 2014 Jul 29.

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1
Role of rectal spacers in gynecological cancer radiotherapy: reducing rectal dose and treatment-related toxicity.直肠间隔物在妇科癌症放疗中的作用：降低直肠剂量及治疗相关毒性。
Rep Pract Oncol Radiother. 2025 Jun 7;30(2):246-256. doi: 10.5603/rpor.105854. eCollection 2025.
2
Spanish Society for Radiation Oncology and Spanish Society of Medical Physicists recommendations on reirradiation in gynecological cancer: reirradiation techniques, survival outcomes, dose, and toxicity.西班牙放射肿瘤学会和西班牙医学物理学会关于妇科癌症再程放疗的建议：再程放疗技术、生存结果、剂量和毒性
Clin Transl Oncol. 2025 Jun 30. doi: 10.1007/s12094-025-03957-3.
3
Injectable bio-absorbable spacers in brachytherapy for gynecological cancers: A scoping review.妇科癌症近距离放射治疗中可注射生物可吸收间隔物的范围综述
J Contemp Brachytherapy. 2024 Dec;16(6):467-477. doi: 10.5114/jcb.2024.146834. Epub 2024 Dec 31.
4
Hydrogel spacer injection to the meso-sigmoid to protect the sigmoid colon in cervical cancer brachytherapy: A technical report.在宫颈癌近距离放射治疗中向乙状结肠系膜注射水凝胶间隔物以保护乙状结肠：技术报告
J Contemp Brachytherapy. 2023 Dec;15(6):465-469. doi: 10.5114/jcb.2023.134174. Epub 2023 Dec 29.
5
MucoUp® as a spacer in brachytherapy for uterine cervical cancer: A first-in-human experience.MucoUp®作为子宫颈癌近距离放射治疗中的间隔器：首例人体试验经验。
Clin Transl Radiat Oncol. 2023 Jul 17;42:100659. doi: 10.1016/j.ctro.2023.100659. eCollection 2023 Sep.
6
Radiation therapy for anorectal cancer in patients with a history of prostate radiation therapy.有前列腺放疗史的肛管直肠癌患者的放射治疗
Front Oncol. 2022 Sep 15;12:975519. doi: 10.3389/fonc.2022.975519. eCollection 2022.
7
Now is it time to implement spacers in cervical cancer brachytherapy?现在是否是在宫颈癌近距离放疗中应用间隔器的时候了？
J Radiat Res. 2022 Jul 19;63(4):696-698. doi: 10.1093/jrr/rrac031.
8
Effect of Hyaluronate Acid Injection on Dose-Volume Parameters in Brachytherapy for Cervical Cancer.透明质酸注射对宫颈癌近距离放疗中剂量-体积参数的影响。
Adv Radiat Oncol. 2022 Feb 6;7(3):100918. doi: 10.1016/j.adro.2022.100918. eCollection 2022 May-Jun.
9
An Asian multi-national multi-institutional retrospective study comparing intracavitary versus the hybrid of intracavitary and interstitial brachytherapy for locally advanced uterine cervical carcinoma.一项针对局部晚期子宫颈癌的亚洲多中心回顾性研究，比较了腔内与腔内联合间质近距离放疗的疗效。
J Radiat Res. 2022 May 18;63(3):412-427. doi: 10.1093/jrr/rrac014.
10
The Feasibility of Haar Feature-Based Endoscopic Ultrasound Probe Tracking for Implanting Hydrogel Spacer in Radiation Therapy for Pancreatic Cancer.基于哈尔特征的内镜超声探头跟踪在胰腺癌放射治疗中植入水凝胶间隔物的可行性
Front Oncol. 2021 Nov 4;11:759811. doi: 10.3389/fonc.2021.759811. eCollection 2021.

本文引用的文献

1
A prospective trial of real-time magnetic resonance-guided catheter placement in interstitial gynecologic brachytherapy.一项关于实时磁共振引导下妇科间质近距离放射治疗中导管置入的前瞻性试验。
Brachytherapy. 2013 May-Jun;12(3):240-7. doi: 10.1016/j.brachy.2012.08.006. Epub 2013 Feb 12.
2
Impact of 3D image-based PDR brachytherapy on outcome of patients treated for cervix carcinoma in France: results of the French STIC prospective study.基于 3D 图像的 PDR 近距离放疗对法国宫颈癌患者治疗结果的影响：法国 STIC 前瞻性研究结果。
Radiother Oncol. 2012 Jun;103(3):305-13. doi: 10.1016/j.radonc.2012.04.007. Epub 2012 May 25.
3
High-dose-rate brachytherapy for prostate cancer in a previously radiated patient with polyethylene glycol hydrogel spacing to reduce rectal dose: case report and review of the literature.高剂量率近距离放射治疗用于先前接受过放疗且使用聚乙二醇水凝胶间隔以降低直肠剂量的前列腺癌患者：病例报告及文献综述
Brachytherapy. 2013 Jan-Feb;12(1):77-83. doi: 10.1016/j.brachy.2012.03.005. Epub 2012 Apr 28.
4
American Brachytherapy Society consensus guidelines for locally advanced carcinoma of the cervix. Part I: general principles.美国近距离放射治疗学会关于局部晚期宫颈癌的共识指南。第一部分：一般原则。
Brachytherapy. 2012 Jan-Feb;11(1):33-46. doi: 10.1016/j.brachy.2011.07.003.
5
Fifteen-year radiotherapy outcomes of the randomized PORTEC-1 trial for endometrial carcinoma.PORTEC-1 试验：子宫内膜癌放疗 15 年的随机结果
Int J Radiat Oncol Biol Phys. 2011 Nov 15;81(4):e631-8. doi: 10.1016/j.ijrobp.2011.04.013. Epub 2011 Jun 2.
6
Dose-volume histogram parameters and local tumor control in magnetic resonance image-guided cervical cancer brachytherapy.磁共振图像引导下宫颈癌近距离放疗中的剂量体积直方图参数与局部肿瘤控制
Int J Radiat Oncol Biol Phys. 2009 Sep 1;75(1):56-63. doi: 10.1016/j.ijrobp.2008.10.033. Epub 2009 Mar 14.
7
Safety and efficacy of a novel polyethylene glycol hydrogel sealant for watertight dural repair.一种新型聚乙二醇水凝胶密封剂用于硬膜水密修复的安全性和有效性。
J Neurosurg. 2007 Jan;106(1):52-8. doi: 10.3171/jns.2007.106.1.52.
8
Pelvic irradiation with concurrent chemotherapy versus pelvic and para-aortic irradiation for high-risk cervical cancer: an update of radiation therapy oncology group trial (RTOG) 90-01.同步化疗盆腔放疗与盆腔及腹主动脉旁放疗治疗高危宫颈癌的比较：放射肿瘤学组试验（RTOG）90-01的最新进展
J Clin Oncol. 2004 Mar 1;22(5):872-80. doi: 10.1200/JCO.2004.07.197.
9
A phase III trial of surgery with or without adjunctive external pelvic radiation therapy in intermediate risk endometrial adenocarcinoma: a Gynecologic Oncology Group study.一项针对中危子宫内膜腺癌进行手术联合或不联合盆腔外照射辅助放疗的Ⅲ期试验：一项妇科肿瘤学组研究。
Gynecol Oncol. 2004 Mar;92(3):744-51. doi: 10.1016/j.ygyno.2003.11.048.

Novel use of a hydrogel spacer permits reirradiation in otherwise incurable recurrent gynecologic cancers.

作者信息

Viswanathan Akila N, Damato Antonio L, Nguyen Paul L

机构信息

Brigham and Women's Hospital/Dana-Farber Cancer Institute; Harvard Medical School, Boston, MA.

出版信息

J Clin Oncol. 2013 Dec 1;31(34):e446-7. doi: 10.1200/JCO.2012.47.9931. Epub 2013 Oct 21.

DOI:10.1200/JCO.2012.47.9931
PMID:24145342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5795666/
Abstract
摘要