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粒子治疗在颅底肿瘤和中枢神经系统(CNS)肿瘤治疗中的作用。

The Role of Particle Therapy for the Treatment of Skull Base Tumors and Tumors of the Central Nervous System (CNS).

作者信息

Diehl Christian D, Halasz Lia M, Wilkens Jan J, Grosu Anca-Ligia, Combs Stephanie E

机构信息

Technichal University of Munich (TUM), Klinikum rechts der Isar, Department of Radiation Oncology, München, Germany.

Helmholtz Zentrum München (HMGU), Institute of Innovative Radiotherapy (iRT), Department of Radiation Sciences (DRS), Neuherberg Germany.

出版信息

Top Magn Reson Imaging. 2019 Apr;28(2):49-61. doi: 10.1097/RMR.0000000000000197.

DOI:10.1097/RMR.0000000000000197
PMID:31022048
Abstract

Radiation therapy (RT) is a mainstay in the interdisciplinary treatment of brain tumors of the skull base and brain. Technical innovations during the past 2 decades have allowed for increasingly precise treatment with better sparing of adjacent healthy tissues to prevent treatment-related side effects that influence patients' quality of life. Particle therapy with protons and charged ions offer favorable kinetics with sharp dose deposition in a well-defined depth (Bragg-Peak) and a steep radiation fall-off beyond that maximum. This review highlights the role of particle therapy in the management of primary brain tumors and tumors of the skull base.

摘要

放射治疗(RT)是颅底和脑部脑肿瘤多学科治疗的主要手段。过去20年中的技术创新使治疗越来越精确,能更好地保护相邻健康组织,以预防影响患者生活质量的治疗相关副作用。质子和带电离子粒子疗法具有良好的剂量学特性,在明确的深度(布拉格峰)有尖锐的剂量沉积,且在该最大值之外辐射剂量急剧下降。本综述重点介绍了粒子疗法在原发性脑肿瘤和颅底肿瘤治疗中的作用。

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Curr Treat Options Oncol. 2023 Nov;24(11):1524-1549. doi: 10.1007/s11864-023-01131-x. Epub 2023 Sep 20.