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粒子放射治疗的进展

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随着医学技术的不断进步,粒子放射治疗已成为肿瘤治疗领域的一个重要分支。该文综述了粒子放射治疗的最新进展,包括质子、碳离子、中子及其他重离子放射治疗的研究和应用,探讨了这些技术的发展历史、技术优势、临床应用及面临的挑战和未来发展方向。粒子放射治疗利用高能粒子束精准照射肿瘤组织,以其独特的物理和生物学特性,在提高治疗效果的同时减少对周围健康组织的损伤。该文从技术发展和临床应用的角度出发,重点叙述了质子放射治疗的布拉格峰特性、碳离子放射治疗的高传能线密度优势、中子放射治疗特别是硼中子俘获疗法的新兴应用,以及其他重离子治疗的潜力和挑战。尽管粒子放射治疗技术取得了长足的进步,但仍面临成本高、技术复杂、剂量计算不确定性等挑战。未来的研究需要聚焦于加强治疗的精准性、降低成本、优化治疗方案,并探索粒子治疗与其他治疗手段如免疫疗法、靶向疗法的联合应用,以期实现更好的治疗效果和改善患者生存质量。随着技术的不断进步和临床试验的深入,粒子放射治疗有望在未来肿瘤治疗中扮演更加重要的角色。
Advances in particle radiotherapy
With the continuous advancement of medical technology,particle radiotherapy has become a sig-nificant branch in the field of oncological treatment.This article reviews the latest progress in particle radio-therapy,including proton radiotherapy,carbon ion radiotherapy,neutron radiotherapy and other heavy ion therapies.It explores the historical development,technological advantages,clinical applications and challenges of these modalities,as well as their future development directions.Particle radiotherapy utilizes high-energy particle beams to precisely target tumor tissues,and with its unique physical and biological characteristics,it can enhance treatment efficacy while minimizing damage to surrounding healthy tissues.The article focuses on the technological development and clinical application,highlighting the Bragg peak characteristic of proton therapy,the high linear energy transfer advantage of carbon ion therapy,the emerging application of neutron radiotherapy especially boron neutron capture therapy,and the potential and challenges of other heavy ion therapies.Despite significant progress in particle radiotherapy technology,it still faces challenges such as high costs,technical complexity and uncertainties in dose calculation.Future research should concentrate on impro-ving treatment precision,reducing costs,optimizing treatment plans and exploring the combination of particle therapy with other treatment methods like immunotherapy and targeted therapy to achieve better therapeutic outcomes and to improve patient survival quality.As technology progresses and clinical trials deepen,particle radiotherapy is expected to play a more critical role in future cancer treatments.

particle radiotherapyproton therapycarbon ion radiotherapyneutron radiotherapytumor

龙斌、王颖、于金明

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重庆大学附属肿瘤医院肿瘤放射治疗中心,重庆 400030

重庆大学附属肿瘤医院,重庆 400030

山东第一医科大学附属肿瘤医院,山东济南 250117

粒子放射治疗 质子放射治疗 碳离子放射治疗 中子放射治疗 肿瘤

2025

检验医学与临床
重庆市卫生信息中心 重庆市临床检验中心

检验医学与临床

影响因子:1.096
ISSN:1672-9455
年,卷(期):2025.22(1)