中华放射医学与防护杂志2024,Vol.44Issue(9) :809-818.DOI:10.3760/cma.j.cn112271-20240418-00142

90 Y微球放射性栓塞治疗的剂量估算方法进展

The progress in dosimetric evaluation methods for 90 Y microspheres radioembolization

刘洪铭 邱睿 李君利
中华放射医学与防护杂志2024,Vol.44Issue(9) :809-818.DOI:10.3760/cma.j.cn112271-20240418-00142

90 Y微球放射性栓塞治疗的剂量估算方法进展

The progress in dosimetric evaluation methods for 90 Y microspheres radioembolization

刘洪铭 1邱睿 1李君利1
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作者信息

  • 1. 清华大学工程物理系粒子技术与辐射成像教育部重点实验室,北京 100084
  • 折叠

摘要

90Y微球放射性栓塞治疗是新兴发展的用于中晚期肝癌治疗和姑息治疗的介入技术,2022年获国家药品监督管理局进口药品注册.为提高肿瘤应答率并降低不良反应,肝肿瘤与健康组织的剂量评价贯穿治疗全程,剂量估算方法的效率和准确度是提升治疗效果的关键.本文调研并梳理6种估算方法及其最新研究进展,从中总结出各类方法独特的优势与适用场景,并探讨新兴方法在临床应用中可能面临的挑战,为90Y微球放射性栓塞治疗中剂量预测与评价环节的发展和规范化提供参考.

Abstract

90Y microspheres radioembolization therapy is an emerging interventional technique used for the treatment and palliative care of intermediate and advanced liver cancer,which was registered by National Medical Products Administration for imported drugs in 2022.In order to improve the tumor response rate and reduce toxic effects,the dose assessment for the tumor and healthy tissues is implemented throughout treatment.The efficiency and accuracy of estimation method are the keys to improving the therapeutic effect.This article investigated and summarized six evaluation method and their latest progress,discussed the unique advantages and applicable scenarios of each methods,and explored the possible challenges faced in clinical applications.This study would support the development and standardization of dose prediction and evaluation in radioembolization with 90Y microspheres.

关键词

90Y微球/剂量估算方法/放射性栓塞治疗

Key words

90Y microsphere/Dosimetry evaluation methods/Radioembolization

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基金项目

国家自然科学基金(12375312)

国家重点研发计划(2021YFF0603600)

出版年

2024
中华放射医学与防护杂志
中华医学会

中华放射医学与防护杂志

CSTPCDCSCD北大核心
影响因子:0.706
ISSN:0254-5098
参考文献量9
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