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射波刀与四维计算机断层扫描引导的立体定向体部放射治疗在肺癌治疗中的应用:病例报告

CyberKnife Versus Four-Dimensional Computed Tomography-Guided Stereotactic Body Radiation Therapy in the Treatment of Lung Cancer: A Case Report.

作者信息

Tang Lingrong, Yao Lei, Li Guang

机构信息

Department of Radiotherapy, The First Hospital of China Medical University, Shenyang, CHN.

出版信息

Cureus. 2025 Apr 12;17(4):e82138. doi: 10.7759/cureus.82138. eCollection 2025 Apr.

Abstract

Stereotactic body radiation therapy (SBRT) has emerged as a critical therapeutic option for treating lung and other solid tumors. Two prominent high-precision SBRT techniques currently in use are four-dimensional computed tomography-guided linear accelerator-based SBRT (4DCT-SBRT) and CyberKnife. This case presents a patient diagnosed with two distinct pulmonary lesions, each treated separately using 4DCT-SBRT and CyberKnife. By comparing target delineation, dose distribution, lesion response, and the capability to spare normal tissues, we evaluate the specific advantages of CyberKnife for particular clinical scenarios.

摘要

立体定向体部放射治疗(SBRT)已成为治疗肺癌和其他实体瘤的关键治疗选择。目前使用的两种突出的高精度SBRT技术是基于四维计算机断层扫描引导的直线加速器的SBRT(4DCT-SBRT)和射波刀。本病例介绍了一名被诊断患有两个不同肺部病变的患者,每个病变分别使用4DCT-SBRT和射波刀进行治疗。通过比较靶区勾画、剂量分布、病变反应以及保护正常组织的能力,我们评估了射波刀在特定临床场景中的具体优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1f/12068358/93395a11602a/cureus-0017-00000082138-i01.jpg

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