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磁共振直线加速器放疗计划中肝脏经动脉化疗栓塞术的成像特征

Transcatheter Arterial Chemoembolization Imaging Features in MR-Linac Radiation Therapy Planning for the Liver.

作者信息

Crosby Jennie, Bassetti Michael F, Hurst Newton J, Kruser Tera, Glide-Hurst Carri K

机构信息

Department of Human Oncology, University of Wisconsin - Madison, Madison, USA.

Department of Radiation Oncology, University of Wisconsin Hospitals and Clinics, Madison, USA.

出版信息

Cureus. 2023 Dec 13;15(12):e50459. doi: 10.7759/cureus.50459. eCollection 2023 Dec.

DOI:10.7759/cureus.50459
PMID:38222202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10784766/
Abstract

For MR-guided radiation therapy treatment planning, an MRI and CT of the intended treatment site are typically acquired. Patients' prior treatments or procedures can cause image artifacts in one or both scans, which may impact treatment planning or the radiation dose calculation. In this case report, a patient with several previous transcatheter arterial chemoembolization (TACE) procedures was planned for radiation therapy on a low-field MR-linac, and the impact of residual iodinated oil on the radiation dose calculation and MR-guided adaptive workflow was evaluated.

摘要

对于磁共振引导放射治疗的治疗计划,通常会获取预期治疗部位的磁共振成像(MRI)和计算机断层扫描(CT)。患者先前的治疗或操作可能会在一次或两次扫描中导致图像伪影,这可能会影响治疗计划或辐射剂量计算。在本病例报告中,一名曾接受过多次经动脉化疗栓塞术(TACE)的患者计划在低场磁共振直线加速器上进行放射治疗,并评估了残留碘化油对辐射剂量计算和磁共振引导的自适应工作流程的影响。

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本文引用的文献

1
Clinical outcomes of patients with unresectable primary liver cancer treated with MR-guided stereotactic body radiation Therapy: A Six-Year experience.磁共振引导下立体定向体部放射治疗不可切除原发性肝癌患者的临床疗效:六年经验
Clin Transl Radiat Oncol. 2023 Apr 19;41:100627. doi: 10.1016/j.ctro.2023.100627. eCollection 2023 Jul.
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Is MRI-Linac helpful in SABR treatments for liver cancer?磁共振成像直线加速器对肝癌立体定向体部放疗有帮助吗?
Front Oncol. 2023 Mar 16;13:1130490. doi: 10.3389/fonc.2023.1130490. eCollection 2023.
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MRI-guided adaptive radiotherapy for liver tumours: visualising the future.
MRI 引导自适应放疗治疗肝脏肿瘤:展望未来。
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Phase I trial of stereotactic MR-guided online adaptive radiation therapy (SMART) for the treatment of oligometastatic or unresectable primary malignancies of the abdomen.立体定向磁共振引导在线自适应放疗(SMART)治疗腹部寡转移或不可切除的原发性恶性肿瘤的 I 期临床试验。
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Med Phys. 2017 Jan;44(1):342-348. doi: 10.1002/mp.12028.
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Gadoxetate for direct tumor therapy and tracking with real-time MRI-guided stereotactic body radiation therapy of the liver.钆塞酸直接肿瘤治疗及实时 MRI 引导下立体定向体部放射治疗肝脏的实时追踪。
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The management of respiratory motion in radiation oncology report of AAPM Task Group 76.美国物理医学与康复学会任务组76关于放射肿瘤学中呼吸运动管理的报告
Med Phys. 2006 Oct;33(10):3874-900. doi: 10.1118/1.2349696.
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Imaging features of hepatocellular carcinoma after transcatheter arterial chemoembolization and radiofrequency ablation.经导管动脉化疗栓塞术和射频消融术后肝细胞癌的影像学特征
AJR Am J Roentgenol. 2006 Oct;187(4):W341-9. doi: 10.2214/AJR.04.1932.
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Ultrasound quantitation of respiratory organ motion in the upper abdomen.上腹部呼吸器官运动的超声定量分析
Br J Radiol. 1994 Nov;67(803):1096-102. doi: 10.1259/0007-1285-67-803-1096.