Eble M J, Leetz H K, Licht N
Abteilung für Röntgen- und Strahlentherapie, Universitätsklinikum Freiburg i. Br.
Strahlenther Onkol. 1987 Oct;163(10):664-72.
A mantle field is localized according to the patient's data in an inhomogenous Alderson phantom. After having established the irradiation scheme, the dose distributions measured in the Alderson phantom are compared with those measured and calculated in an homogenous water phantom. The possible side effects of this irradiation technique can be assessed on the basis of the radiation exposure of heart, lung and spinal marrow. The dose differences found on the central ray are within the margin of error amounting to 5 to 10% which is indicated in the calculation program. In case of a total reference dose of 40 Gy, the radiation exposures of heart and lung do not reach the tolerance limit. A spinal marrow dose of 50 Gy is found in the upper neck marrow. In case of an exact therapy planning, a sufficient dose can be directed to the Waldeyer's tonsillar ring.
根据患者数据,在非均匀的奥尔德森体模中确定斗篷野。确定照射方案后,将在奥尔德森体模中测量的剂量分布与在均匀水体模中测量和计算的剂量分布进行比较。可以根据心脏、肺部和脊髓的辐射暴露情况评估这种照射技术可能产生的副作用。在中心射线上发现的剂量差异在计算程序中显示的5%至10%的误差范围内。在总参考剂量为40 Gy的情况下,心脏和肺部的辐射暴露未达到耐受极限。在上颈部骨髓中发现脊髓剂量为50 Gy。在精确的治疗计划中,可以将足够的剂量导向瓦尔代尔扁桃体环。