肺癌三维适形调强放射治疗正常肺组织定义的探讨
刘鹏a ，崔鹏a ，荆凡静a ，王孔迪b
青岛市海慈医疗集团 a.放疗科；
b.医疗装备科，山东 青岛 266033
Discussion on the Definition of Normal Lung Tissue in Three-Dimensional Conformal Intensity-Modulated Radiation Therapy of Lung Cancer
LIU Penga , CUI Penga , JING Fan-jinga , WANG Kong-dib
a.Department of Radiotherapy;
b.Department of Medical Equipment,
Haici Medical Group of Qingdao,
Qingdao Shandong 266033, China
摘要 肺脏是放射敏感器官，行胸部局部放射治疗时需要严格控制正常肺组织的受量。本文通过分析肺内大体肿瘤体积不同的两组肺癌患者三维适形调强放射治疗计划中肺组织的4种轮廓勾画方式的相关数据，探讨正常肺组织的勾画方法，以期能够更加准确地预测放射性肺损伤。
关键词 ：
[关键词] 肺癌 ,
三维适形调强放射治疗计划 ,
正常肺组织
引用本文:
刘鹏，崔鹏，荆凡静，王孔迪. 肺癌三维适形调强放射治疗正常肺组织定义的探讨[J]. 中国医疗设备, 2014, 29(12): 127-129.
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性肺炎影像学表现及病因分析[J].中国中西医结合影像学杂
Oncol,2010,20(3):201-207.
[6]
Graham MV,Purdy JA,Emami B,et al.Clinical dose volume
differences in lung radiosensitivity after radiotherapy for
关因素分析[J].中华肿瘤防治杂志,2008,15(16):1264-1267.
small cell lung cancer (NSCLC)[J].Int J Radiat Oncol Biol
Phys,2006,66(5):1399-1407.
combined-modality therapy[J].Int J Radiat Oncol Biol
志,2012,10(3):227-233.
版社,2008:600-648.
in patients with non-small-cell lung cancer (NSCLC) treated
[3]
张英杰,李建彬,田世禹,等.肺癌放疗所致放射性肺损伤的相
histogram analysis for pneumonitis after 3D treatment for non
V20 and V30 to conventional dosimetric constraints predicts
[1]
彭莹莹,张书旭,余辉,等.PET/CT图像分割技术在肺癌放疗计
[5]
Bradley JD,Hope A,EI Napa I,et al.A nomogram to predict
[8]
Hope AJ,Lindsay PE,El Naqa I,et al.Modeling radiation
with concurrent chemotherapy and three-dimensional
[4]
郝润松,韩庆森,亓进友,等.胸部肿瘤三维适形放疗所致放射
Phys,1999,45(2):323-329.
[10]
Wang S,Liao Z,Wei X,et al.Analysis of clinical and dosimetric
Phys,2010,76(1):110-115.
[2]
Graves PR,Siddiqui F,Anscher MS,et al.Radiation pulmonary
RTOG 9311 and institutional data[J].Int J Radiat Oncol Biol
parameters[J].Int J Radiat Oncol Biol Phys,2006,65(1):112-124.
Phys,2004,60(3):748-758.
toxicity: from mechanisms to management[J].Semin Radiat
Phys,2007,69(4):985-992.
[7]
殷蔚伯.肿瘤放射治疗学[M].4版.北京:中国协和医科大学出
[9]
Seppenwoolde Y,De Jaeger K,Boersma LJ,et al.Regional
factors assoc iated with treatment-related pneumonitis (TRP)
[11]
Ramella S,Trodella L,Mineo TC,et al.Adding ipsilateral
划中的应用[J].中国医疗设备,2014,29(6):160-163.
radiation pneumonitis,derived from a combined analysis of
pneumonitis risk with clinical, dosimetric, and spatial
non-small-cell lung cancer[J].Int J Radiat Oncol Biol
conformal radiotherapy (3D-CRT)[J].Int J Radiat Oncol Biol
radiation pneumonitis in stage IIIA-B NSCLC treated with
