在墨西哥一家私立放疗机构中实施前列腺癌调强放射治疗。
Implementation of intensity modulated radiotherapy for prostate cancer in a private radiotherapy service in Mexico.
作者信息
Poitevin-Chacón María Adela, Reséndiz González Gabriel, Alvarado Zermeño Adriana, Flores Castro Jesús Manuel, Flores Balcázar Christian Haydée, Rosales Pérez Samuel, Pérez Pastenes Miguel Angel, Rodríguez Laguna Alejandro, Vázquez Fernández Patricio, Calvo Fernández Alejandro, Bastida Ventura Jorge
机构信息
Departamento de Radioterapia, Médica Sur Hospital, Puente de Piedra 150, Col. Toriello Guerra, 14050 Tlalpan, México, DF, Mexico.
出版信息
Rep Pract Oncol Radiother. 2014 Dec 12;20(1):66-71. doi: 10.1016/j.rpor.2014.06.002. eCollection 2015 Jan.
Intensity modulated radiation therapy (IMRT) allows physicians to deliver higher conformal doses to the tumour, while avoiding adjacent structures. As a result the probability of tumour control is higher and toxicity may be reduced. However, implementation of IMRT is highly complex and requires a rigorous quality assurance (QA) program both before and during treatment. The present article describes the process of implementing IMRT for localized prostate cancer in a radiation therapy department. In our experience, IMRT implementation requires careful planning due to the need to simultaneously implement specialized software, multifaceted QA programs, and training of the multidisciplinary team. Establishing standardized protocols and ensuring close collaboration between a multidisciplinary team is challenging but essential.
调强放射治疗（IMRT）使医生能够向肿瘤提供更高的适形剂量，同时避开相邻组织。因此，肿瘤控制的概率更高，毒性可能降低。然而，IMRT的实施非常复杂，在治疗前和治疗期间都需要严格的质量保证（QA）程序。本文描述了在放射治疗科为局限性前列腺癌实施IMRT的过程。根据我们的经验，由于需要同时实施专门的软件、多方面的QA程序以及对多学科团队进行培训，IMRT的实施需要仔细规划。制定标准化方案并确保多学科团队之间的密切合作具有挑战性，但至关重要。
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