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多导管组织间加速部分乳腺照射——良好置管的技巧与窍门

Multi-catheter interstitial accelerated partial breast irradiation - tips and tricks for a good insertion.

作者信息

Tang Johann I, Tan Poh Wee, Koh Vicky Yanling, Buhari Shaik Ahmad

机构信息

Department of Radiation Oncology, National University Cancer Institute, Singapore.

出版信息

J Contemp Brachytherapy. 2014 Mar;6(1):85-90. doi: 10.5114/jcb.2014.40767. Epub 2014 Feb 19.

DOI:10.5114/jcb.2014.40767
PMID:24790626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4003423/
Abstract

Adjuvant radiotherapy is recommended post breast conserving surgery. Accelerated Partial Breast Irradiation (APBI) offers a more attractive shorter course of treatment over 5 days compared to standard conventional external beam radiotherapy, which is often protracted. Multi-catheter interstitial APBI offers excellent dosimetric coverage. This article describes two insertion techniques for multi-catheter interstitial APBI, the operator dependent freehand technique, and the easier to learn template technique. The indications, benefits, and drawbacks of these two techniques are discussed.

摘要

保乳手术后推荐进行辅助放疗。与通常疗程较长的标准传统外照射放疗相比，加速部分乳腺照射（APBI）提供了一个更具吸引力的为期5天的较短疗程。多导管组织间APBI能提供出色的剂量覆盖。本文描述了多导管组织间APBI的两种植入技术，即依赖操作者的徒手技术和更容易学习的模板技术。讨论了这两种技术的适应症、优点和缺点。

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Accelerated partial breast irradiation in an Asian population: dosimetric findings and preliminary results of a multicatheter interstitial program.亚洲人群中的加速部分乳腺照射：多导管组织间插植方案的剂量学研究结果及初步结果
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本文引用的文献

1
Comparing a volume based template approach and ultrasound guided freehand approach in multicatheter interstitial accelerated partial breast irradiation.在多导管组织间加速局部乳腺放疗中比较基于容积的模板法和超声引导徒手操作法。
J Contemp Brachytherapy. 2014 Jun;6(2):173-7. doi: 10.5114/jcb.2014.43329. Epub 2014 Jun 9.
2
Breast-conserving therapy with partial or whole breast irradiation: ten-year results of the Budapest randomized trial.保乳治疗联合部分或全乳照射：布达佩斯随机试验的十年结果。
Radiother Oncol. 2013 Aug;108(2):197-202. doi: 10.1016/j.radonc.2013.05.008. Epub 2013 Jun 3.
3
The American Brachytherapy Society consensus statement for accelerated partial breast irradiation.
多导管组织间近距离放射疗法用于部分乳腺照射：基于剂量学评估对术中与术后放置进行比较的植入质量审核。
J Contemp Brachytherapy. 2016 Apr;8(2):116-21. doi: 10.5114/jcb.2016.59195. Epub 2016 Apr 14.
4
Transition from Paris dosimetry system to 3D image-guided planning in interstitial breast brachytherapy.乳腺组织间近距离放疗中从巴黎剂量测定系统向三维图像引导计划的转变。
J Contemp Brachytherapy. 2015 Dec;7(6):479-84. doi: 10.5114/jcb.2015.56492. Epub 2015 Dec 16.
美国近距离放射治疗学会关于加速部分乳腺照射的共识声明。
Brachytherapy. 2013 Jul-Aug;12(4):267-77. doi: 10.1016/j.brachy.2013.02.001. Epub 2013 Apr 23.
4
Brachytherapy in accelerated partial breast irradiation (APBI) - review of treatment methods.加速部分乳腺照射（APBI）中的近距离放射治疗——治疗方法综述
J Contemp Brachytherapy. 2012 Sep;4(3):152-64. doi: 10.5114/jcb.2012.30682. Epub 2012 Sep 29.
5
On the feasibility of treating to a 1.5 cm PTV with a commercial single-entry hybrid applicator in APBI breast brachytherapy.关于在全乳加速部分乳腺照射近距离治疗中使用商用单入口混合施源器将计划靶体积治疗至1.5厘米的可行性。
J Contemp Brachytherapy. 2012 Mar;4(1):29-33. doi: 10.5114/jcb.2012.27949. Epub 2012 Mar 30.
6
Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death: meta-analysis of individual patient data for 10,801 women in 17 randomised trials.保乳手术后放疗对 10 年复发和 15 年乳腺癌死亡的影响：17 项随机试验中 10801 名女性患者个体数据的荟萃分析。
Lancet. 2011 Nov 12;378(9804):1707-16. doi: 10.1016/S0140-6736(11)61629-2. Epub 2011 Oct 19.
7
Geographic proximity to treatment for early stage breast cancer and likelihood of mastectomy.早期乳腺癌治疗的地理接近程度与乳房切除术的可能性。
Breast. 2011 Aug;20(4):324-8. doi: 10.1016/j.breast.2011.02.020. Epub 2011 Mar 25.
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Breast-conserving surgery and radiotherapy in early-stage breast cancer: the importance of local control.早期乳腺癌的保乳手术和放疗：局部控制的重要性。
Semin Radiat Oncol. 2011 Jan;21(1):3-9. doi: 10.1016/j.semradonc.2010.08.001.
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Patient selection for accelerated partial-breast irradiation (APBI) after breast-conserving surgery: recommendations of the Groupe Européen de Curiethérapie-European Society for Therapeutic Radiology and Oncology (GEC-ESTRO) breast cancer working group based on clinical evidence (2009).保乳手术后加速部分乳腺照射（APBI）的患者选择：基于临床证据的欧洲癌症治疗研究组织-欧洲放射肿瘤学会（GEC-ESTRO）乳腺癌工作组的建议（2009 年）。
Radiother Oncol. 2010 Mar;94(3):264-73. doi: 10.1016/j.radonc.2010.01.014. Epub 2010 Feb 22.
10
Accelerated partial breast irradiation consensus statement from the American Society for Radiation Oncology (ASTRO).美国放射肿瘤学会（ASTRO）关于加速部分乳腺照射的共识声明。
Int J Radiat Oncol Biol Phys. 2009 Jul 15;74(4):987-1001. doi: 10.1016/j.ijrobp.2009.02.031.