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肺癌。肺癌的放射治疗:当前方法与未来趋势。

Lung cancer. Radiotherapy in lung cancer: Actual methods and future trends.

作者信息

Maciejczyk Adam, Skrzypczyńska Iga, Janiszewska Marzena

机构信息

Radiotherapy Department, Lower Silesian Centre of Oncology, Wrocław, Poland.

Medical Physics Department, Lower Silesian Centre of Oncology, Wrocław, Poland.

出版信息

Rep Pract Oncol Radiother. 2014 Jul 17;19(6):353-60. doi: 10.1016/j.rpor.2014.04.012. eCollection 2014 Nov.

Abstract

This survey is performed to update knowledge about methods and trends in lung cancer radiotherapy. A significant development has been noticed in radiotherapeutic techniques, but also in the identification of clinical prognostic factors. The improvement in the therapeutic line includes: application of the four-dimensional computer tomography (4DCT), taking advantage of positron emission tomography (PET-CT), designing of new computational algorithms, allowing more precise irradiation planning, development of treatment precision verification systems and introducing IMRT techniques in chest radiotherapy. The treatment outcomes have improved with high dose radiotherapy, but other fractionation alternations have been investigated as well.

摘要

本次调查旨在更新有关肺癌放射治疗方法和趋势的知识。放射治疗技术以及临床预后因素的识别都有了显著发展。治疗方法的改进包括:应用四维计算机断层扫描(4DCT)、利用正电子发射断层扫描(PET-CT)、设计新的计算算法以实现更精确的照射计划、开发治疗精度验证系统以及在胸部放疗中引入调强放疗(IMRT)技术。高剂量放疗改善了治疗效果,但也对其他分割方式进行了研究。

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