Metzger H, Hübener K
Strahlentherapie. 1980 Sep;156(9):637-41.
Moving-field irradiation of malignant tumors in the region of the facial bones makes possible the application of high focal doses along with optimal sparing of radiosensitive organs and is yielding very good cosmetic results. An indispensable condition, however, is a correctly scaled, exact representation of bone structures in the medium plane of pendulum irradiation. Standardized transversal sections of the skull or radiometric techniques mostly do not satisfy, being deficient in precision and demanding too much time. Every pendulum plane desired can be represented in the picture obtained by addition from the series of transversal sections with the help of appropriate programming of the computer for tomography. By means of an objective representation of the osseous skeleton, of cavities, soft tissues, and of the tumor contours, individually optimized irradiation planning is possible.
对面部骨骼区域的恶性肿瘤进行移动野照射,能够在对放射敏感器官进行最佳保护的同时施加高焦点剂量,并且能产生非常好的美容效果。然而,一个必不可少的条件是在摆式照射的中间平面上正确缩放、精确呈现骨骼结构。颅骨的标准化横断面或放射测量技术大多无法满足要求,它们精度不足且耗时过多。通过计算机断层扫描的适当编程,从一系列横断面图像相加得到的图像中,可以呈现出所需的每个摆式平面。借助骨骼结构、腔隙、软组织以及肿瘤轮廓的客观呈现,就可以进行个体化的优化照射计划。