中华放射肿瘤学杂志2025,Vol.34Issue(1) :29-35.DOI:10.3760/cma.j.cn113030-20240430-00170

磁共振引导自适应放疗在直肠癌中的应用前景

Application prospects of adaptive magnetic resonance-guided radiotherapy for rectal cancer

肖娟 李睿 刘敏 彭倩
中华放射肿瘤学杂志2025,Vol.34Issue(1) :29-35.DOI:10.3760/cma.j.cn113030-20240430-00170

磁共振引导自适应放疗在直肠癌中的应用前景

Application prospects of adaptive magnetic resonance-guided radiotherapy for rectal cancer

肖娟 1李睿 1刘敏 1彭倩1
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作者信息

  • 1. 四川省肿瘤医院放疗科电子科技大学附属肿瘤医院放射肿瘤学四川省重点实验室,成都 610041
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摘要

新辅助放化疗是局部晚期直肠癌患者的标准治疗方法,可以提高患者肿瘤治疗反应性和器官保留率,部分患者最终可豁免手术.使用磁共振加速器进行的磁共振引导放射治疗是近年的新型放疗技术,可实现患者的自适应放疗,且磁共振成像具有较好的软组织对比分辨率,有助于更好地区分肿瘤和周围正常器官.通过磁共振成像,放疗医生可于患者治疗过程中观察肿瘤及危及器官,并根据其解剖形态变化进行在线调整日常治疗计划.本文旨在探讨直肠癌新辅助放疗中采用磁共振加速器的潜在前景.

Abstract

Neoadjuvant chemoradiotherapy is the standard treatment for patients with locally advanced rectal cancer,which can improve patients'tumor treatment responsiveness and organ preservation rate,and some patients can eventually achieve surgical exemption.Magnetic resonance-guided radiation therapy is a new radiotherapy technique developed in recent years,which can realize adaptive radiotherapy for patients.Moreover,magnetic resonance imaging has better soft-tissue contrast resolution,which helps to better distinguish the tumor from surrounding normal organs.Through magnetic resonance imaging,radiotherapists can observe the tumor and organs at risk during the treatment and make online adjustments to the daily treatment plan according to their anatomical changes.The aim of this article is to explore the potential prospects of application of magnetic resonance guidance in neoadjuvant radiotherapy for rectal cancer.

关键词

直肠肿瘤/磁共振引导放射疗法/自适应放疗

Key words

Rectal neoplasms/Magnetic resonance-guided radiotherapy/Adaptive radiotherapy

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出版年

2025
中华放射肿瘤学杂志
中华医学会

中华放射肿瘤学杂志

CSCD北大核心
影响因子:1.308
ISSN:1004-4221
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