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临床肿瘤学中的生物成像:基于功能成像的放射治疗

Biological imaging in clinical oncology: radiation therapy based on functional imaging.

作者信息

Lai Yo-Liang, Wu Chun-Yi, Chao K S Clifford

机构信息

Department of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.

Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan.

出版信息

Int J Clin Oncol. 2016 Aug;21(4):626-632. doi: 10.1007/s10147-016-1000-2. Epub 2016 Jul 6.

DOI:10.1007/s10147-016-1000-2
PMID:27384183
Abstract

Radiation therapy is one of the most effective tools for cancer treatment. In recent years, intensity-modulated radiation therapy has become increasingly popular in that target dose-escalation can be done while sparing adjacent normal tissues. For this reason, the development of measures to pave the way for accurate target delineation is of great interest. With the integration of functional information obtained by biological imaging with radiotherapy, strategies using advanced biological imaging to visualize metabolic pathways and to improve therapeutic index and predict treatment response are discussed in this article.

摘要

放射治疗是癌症治疗最有效的工具之一。近年来,调强放射治疗越来越受欢迎,因为在保护相邻正常组织的同时可以提高靶区剂量。因此,开发为精确靶区勾画铺平道路的措施备受关注。本文讨论了将生物成像获得的功能信息与放射治疗相结合,利用先进生物成像可视化代谢途径、提高治疗指数和预测治疗反应的策略。

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Biological imaging in clinical oncology: radiation therapy based on functional imaging.临床肿瘤学中的生物成像:基于功能成像的放射治疗
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本文引用的文献

1
Dual energy CT in radiotherapy: Current applications and future outlook.放疗中的双能 CT:当前应用与未来展望。
Radiother Oncol. 2016 Apr;119(1):137-44. doi: 10.1016/j.radonc.2016.02.026. Epub 2016 Mar 11.
2
Weekly response assessment of involved lymph nodes to radiotherapy using diffusion-weighted MRI in oropharynx squamous cell carcinoma.使用扩散加权磁共振成像对口咽鳞状细胞癌受累淋巴结放疗的每周反应评估
Med Phys. 2016 Jan;43(1):137. doi: 10.1118/1.4937791.
3
Inter-observer agreement of MRI-based tumor delineation for preoperative radiotherapy boost in locally advanced rectal cancer.
基于 MRI 的局部晚期直肠癌术前放疗增敏的肿瘤勾画的观察者间一致性。
Radiother Oncol. 2016 Feb;118(2):399-407. doi: 10.1016/j.radonc.2015.10.030. Epub 2015 Dec 14.
4
Results of a trial of PET-directed therapy for early-stage Hodgkin's lymphoma.早期霍奇金淋巴瘤的 PET 导向治疗试验结果。
N Engl J Med. 2015 Apr 23;372(17):1598-607. doi: 10.1056/NEJMoa1408648.
5
PET/CT imaging for target volume delineation in curative intent radiotherapy of non-small cell lung cancer: IAEA consensus report 2014.用于非小细胞肺癌根治性放疗中靶区勾画的PET/CT成像:国际原子能机构2014年共识报告
Radiother Oncol. 2015 Jul;116(1):27-34. doi: 10.1016/j.radonc.2015.03.014. Epub 2015 Apr 10.
6
Molecular imaging biomarkers of resistance to radiation therapy for spontaneous nasal tumors in canines.犬自发性鼻腔肿瘤放射治疗抗性的分子成像生物标志物
Int J Radiat Oncol Biol Phys. 2015 Mar 15;91(4):787-95. doi: 10.1016/j.ijrobp.2014.12.011.
7
(18)F-Fluorothymidine PET-CT for resected malignant gliomas before radiotherapy: tumor extent according to proliferative activity compared with MRI.放疗前用于切除的恶性胶质瘤的(18)F-氟胸苷PET-CT:根据增殖活性确定的肿瘤范围与MRI的比较
PLoS One. 2015 Mar 4;10(3):e0118769. doi: 10.1371/journal.pone.0118769. eCollection 2015.
8
Phase 1 trial of bevacizumab with concurrent chemoradiation therapy for squamous cell carcinoma of the head and neck with exploratory functional imaging of tumor hypoxia, proliferation, and perfusion.贝伐单抗联合同步放化疗治疗头颈部鳞状细胞癌的1期试验及肿瘤缺氧、增殖和灌注的探索性功能成像
Int J Radiat Oncol Biol Phys. 2015 Apr 1;91(5):942-51. doi: 10.1016/j.ijrobp.2014.11.029. Epub 2015 Feb 3.
9
Imaging tumour hypoxia with positron emission tomography.利用正电子发射断层扫描成像技术检测肿瘤缺氧情况。
Br J Cancer. 2015 Jan 20;112(2):238-50. doi: 10.1038/bjc.2014.610. Epub 2014 Dec 16.
10
The role of diffusion-weighted MRI and (18)F-FDG PET/CT in the prediction of pathologic complete response after radiochemotherapy for rectal cancer: a systematic review.弥散加权 MRI 和(18)F-FDG PET/CT 在预测直肠癌放化疗后病理完全缓解中的作用:系统评价。
Radiother Oncol. 2014 Nov;113(2):158-65. doi: 10.1016/j.radonc.2014.11.026.