Banerjee Robyn, Kamrava Mitchell
Department of Radiation Oncology, Tom Baker Cancer Centre, Calgary, Alberta, Canada.
Department of Radiation Oncology, University of California Los Angeles, Los Angeles, CA, USA.
Int J Womens Health. 2014 May 28;6:555-64. doi: 10.2147/IJWH.S46247. eCollection 2014.
Dramatic advances have been made in brachytherapy for cervical cancer. Radiation treatment planning has evolved from two-dimensional to three-dimensional, incorporating magnetic resonance imaging and/or computed tomography into the treatment paradigm. This allows for better delineation and coverage of the tumor, as well as improved avoidance of surrounding organs. Consequently, advanced brachytherapy can achieve very high rates of local control with a reduction in morbidity, compared with historic approaches. This review provides an overview of state-of-the-art gynecologic brachytherapy, with a focus on recent advances and their implications for women with cervical cancer.
宫颈癌近距离放射治疗取得了显著进展。放射治疗计划已从二维发展到三维，将磁共振成像和/或计算机断层扫描纳入治疗模式。这有助于更好地描绘和覆盖肿瘤，同时更好地避免对周围器官的照射。因此，与传统方法相比，先进的近距离放射治疗能够在降低发病率的情况下实现非常高的局部控制率。本综述概述了妇科近距离放射治疗的最新进展，重点关注近期进展及其对宫颈癌女性患者的意义。
