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红外热成像技术在评估保乳手术后接受放射治疗患者的热反应中的应用。

The Use of Infrared Thermography in the Assessment of Thermal Reaction of Patients Treated with Radiotherapy after Breast-Conserving Procedures.

机构信息

Radiotherapy Planning Department, Maria Skłodowska-Curie National Research Institute of Oncology Gliwice Branch, Wybrzeze Armii Krajowej Street 15, 44-102 Gliwice, Poland.

Faculty of Science and Technology, University of Silesia, 75 Pułku Piechoty 1A, 41-500 Chorzów, Poland.

出版信息

Int J Environ Res Public Health. 2022 Oct 30;19(21):14187. doi: 10.3390/ijerph192114187.

Abstract

The aim of the study was to assess the usefulness of the infrared thermography method in the assessment of the body's thermal reaction in patients during radiotherapy. Studies have shown how the temperature distribution changes with the dose of radiation used in each treatment week. Fifty-four patients participated in the study. The control group consisted of healthy patients, among whom the difference in mean temperatures between the breasts was checked. The study group included patients after conserving procedures qualified for radiotherapy. Measurements were taken and analyzed for each patient during each week of treatment. The target area (marked by a doctor) and the 30 Gy, 20 Gy and 10 Gy isodoses (generated from the treatment plan) were transferred on thermograms and then analyzed. This way of defining the observed areas is the most accurate and individually adjusted to each treated patient. The analysis showed an increase in temperature in the tested body surface areas, whereas the highest average temperature value was achieved during the third week of treatment. The observations may be used to evaluate the skin reaction from radiation; however, they require further studies and new quantitative parameters.

摘要

本研究旨在评估红外热成像方法在评估放疗患者身体热反应中的有用性。研究表明,随着每个治疗周中使用的辐射剂量的增加,温度分布如何变化。54 名患者参与了这项研究。对照组由健康患者组成,在这些患者中,检查了乳房之间的平均温度差异。研究组包括有资格接受放疗的保留手术后的患者。在治疗的每一周都对每位患者进行了测量和分析。将目标区域(由医生标记)和 30Gy、20Gy 和 10Gy 等剂量线(根据治疗计划生成)转移到热图像上,然后进行分析。这种定义观察区域的方法是最准确的,并且可以针对每个接受治疗的患者进行单独调整。分析显示,在测试的体表区域中温度升高,而在治疗的第三周达到了最高的平均温度值。这些观察结果可用于评估皮肤对辐射的反应,但需要进一步的研究和新的定量参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58b9/9657152/f5299b68ce45/ijerph-19-14187-g001.jpg

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