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[高千伏条件下的半深部放射治疗]

[Semi-deep radiotherapy under high-kilovoltage conditions].

作者信息

Rademacher H P, Nägele E

出版信息

Strahlentherapie. 1975 Feb;149(2):141-6.

PMID:49094
Abstract

The semi-deep radiotherapy, performed by high-kilovoltage technique, fills a gap between superficial and megavolttherapy, as it renders possible an irradiation in focal depth of 2--4 cm, while largely preserving the deep underlying tissue. Besides which, every form of radiotherapy can be used, as under conventinal conditions. A further advantage exists in the markedly greater skin tolerance and in the low bone absorption of high-kilovoltage radiation, so that much higher focal doses can be achieved. This means that--in superficial processes--the high-voltage technique can replace the much more expensive therapy with accelerated electrons. The RT 305 equipment for high-voltage technique can be especially recommended for the following indications: 1. Skin and limph node metastases as well as tumors and metastases which are not situated deeper than 5 cm below the skin surface. Hereby, thean be exposed up to 8000 R, by small or medium cone. At the same time, in comparison to conventional X-ray therapy, the deep tissue is largely preserved. 2. Postoperative radiotherapy of tumors situated right under the skin. 3. Radiotherapy of inoperable breast cancer. 4. Irradiation of relapses on pre-exposed skin. 5. We assume that the high-voltage technique is also suitable for primary radiotherapy of larynx carcinomas, although we have no personal experience of this. 6. The palliative irradiation of deep tumors with the RT 305, due to its preservation of the skin and the relatively low bone absorption, can be performed more easily than with conventional X-ray therapy. The method of choice, however, is the megavolt-therapy. 7. Degenerative diseases and arthroses.

摘要

采用高千伏技术进行的半深部放射治疗填补了浅表放疗和兆伏放疗之间的空白,因为它能够在2至4厘米的焦点深度进行照射,同时在很大程度上保护深层组织。此外,与传统情况一样,可以使用各种形式的放射治疗。高千伏辐射还有一个明显的优势,即皮肤耐受性明显更高,骨吸收低,因此可以实现更高的焦点剂量。这意味着,在浅表病变中,高压技术可以取代成本高得多的加速电子治疗。对于以下适应症,特别推荐使用用于高压技术的RT 305设备:1. 皮肤和淋巴结转移瘤以及位于皮肤表面以下不超过5厘米的肿瘤和转移瘤。通过小或中锥体照射,此处可接受高达8000伦琴的照射。同时,与传统X射线治疗相比,深层组织在很大程度上得到了保留。2. 皮肤下肿瘤的术后放疗。3. 不可手术乳腺癌的放疗。4. 先前照射过的皮肤上复发灶的照射。5. 我们认为高压技术也适用于喉癌的原发性放疗,尽管我们个人没有这方面的经验。6. 使用RT 305对深部肿瘤进行姑息性照射,由于其对皮肤的保护作用和相对较低的骨吸收,比传统X射线治疗更容易进行。然而,首选方法是兆伏放疗。7. 退行性疾病和关节炎。

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