Chekhonadskiĭ V N, Spasokukotskaia O N, Merkle K, Strel'nitskaia T A, Morozova S Iu
Med Radiol (Mosk). 1986 Nov;31(11):43-7.
The paper is concerned with the results of an analysis of reproducibility of conditions for intracavitary irradiation of 20 cervical cancer patients using metracolpostat, a combined therapeutic endostat consisting of 3 tubes: the central one to introduce radiation sources into the cervical canal and cavity of the uterus and 2 lateral ones with ovoids to deliver the sources to the vaults of the vagina. Topometric investigations for each patient were performed 4 times: before the first session of fractionated intracavitary irradiation with high activity 252Cf sources using the ANET-B unit and after each session of irradiation. It was shown that discordances between distances from the central endostat to the right and left lateral ovoids determined during roentgenotopometric preparation of each patient and taken as a basis of dosimetric design, and discordances between these distances determined as a result of roentgenotopometric control after each laying, are a random value distributed according to the normal law.
本文关注的是对20例宫颈癌患者使用美他可洛普斯塔(一种由3根管子组成的联合治疗内照射器)进行腔内照射条件的可重复性分析结果。这3根管子中,中间一根用于将放射源引入子宫颈管和子宫腔,另外2根外侧的带有卵形体,用于将放射源输送至阴道穹窿。对每位患者进行了4次拓扑测量:在使用ANET - B装置进行第一次高活性252Cf源分次腔内照射之前,以及每次照射之后。结果表明,在每位患者的X线拓扑测量准备过程中确定并作为剂量设计基础的中央内照射器到右侧和左侧外侧卵形体的距离差异,以及每次放置后X线拓扑测量控制所确定的这些距离之间的差异,是一个根据正态分布的随机值。