首页|11C-MET-PET/CT联合MRI在脑胶质瘤放疗靶区勾画中的应用价值

11C-MET-PET/CT联合MRI在脑胶质瘤放疗靶区勾画中的应用价值

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目的 探究11C-蛋氨酸-正电子发射计算机断层显像(11C-MET-PET/CT)联合磁共振(MRI)在脑胶质瘤放疗靶区勾画中的应用价值.方法 将2021年3月至2024年3月陕西延安大学咸阳医院收治的80例脑胶质瘤患者纳入研究.使用信封法将患者分为联合组和MRI组,两组各40例.MRI组患者根据MRI检查结果进行靶区勾画.联合组在此基础上增加 11C-MET-PET/CT检查,采用 11C-MET-PET/CT联合MRI靶区勾画.对比两种靶区勾画方式下肿瘤靶区体积[大体肿瘤体积(GTV)、临床靶区体积(CTV)、计划靶区体积(PTV)]、结果误差[验证片误差、等中心平均误差、GTV靶区重合度(TCGTV)、CTV靶区重合度(TCCTV)]、靶区计划放射剂量(最大剂量、最小剂量、平均剂量)、放疗危及器官(OAR)的最大和最小受照射剂量.结果 联合组的GTV、CTV、PTV均小于MRI组(P<0.05);联合组的TCGTV、TCCTV均高于MRI组,验证片误差、等中心平均误差低于MRI组(P<0.05);联合组的靶区计划最大放射剂量、最小放射剂量、平均放射剂量均低于MRI组(P<0.05);联合组的OAR最大受照射剂量和最小受照射剂量均低于MRI组(P<0.05).结论 11C-MET-PET/CT联合MRI靶区勾画能够有效缩小靶区范围,精准把控放射剂量,降低放疗对靶区周围器官的损伤.
Application Value of 11C-MET-PET/CT Combined with MRI in Target Volume Delineation after Brain Glioma Radiotherapy
Objective To explore the application value of 11C-methionine-positron emission tomography/computed tomography(11C-MET-PET/CT)combined with magnetic resonance imaging(MRI)in target volume delineation after brain glioma radiotherapy.Methods A total of 80 patients with brain glioma admitted to Xianyang Hospital of Yan'an University were enrolled between March 2021 and March 2024.According to envelope method,they were divided into combination group and MRI group,40 cases in each group.MRI group underwent MRI examination,while combination group underwent MRI examination combined with 11C-MET-PET/CT for target volume delineation.The tumor target volume[gross tumor volume(GTV),clinical target volume(CTV),planned target volume(PTV)],result errors[validation film error,isocentric mean error,target coincidence of GTV(TCGTV),target coincidence of CTV(TCCTV)],planned radiation dose of target volume(maximum dose,minimum dose,mean dose),maximum and minimum radiation doses of organs at risk(OAR)in the two groups were compared.Results GTV,CTV and PTV in combination group were lower than those in MRI group(P<0.05).TCGTV and TCCTV in combination group were higher than those in MRI group,while validation film error and isocentric mean error were lower than those in MRI group(P<0.05).The maximum,minimum and mean radiation dose of target volume in combination group were lower than those in MRI group(P<0.05).The maximum and minimum radiation doses of OAR in combination group were lower than those in MRI group(P<0.05).Conclusion 11C-MET-PET/CT combined MRI for target volume delineation can effectively narrow the scope of target area,accurately control radiation dose and reduce radiation damage to organs around the target area.

Brain GliomaRadiotherapyTarget Volume Delineation11C-Methionine-PET/CTMagnetic Resonance Imaging

游文良、郑婷婷

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延安大学咸阳医院神经外科

延安大学咸阳医院放疗核医学科(陕西咸阳 712000)

脑胶质瘤 放疗 靶区勾画 11C-蛋氨酸-PET/CT 磁共振

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(12)