首页|乳腺癌保乳术治疗后调强放疗影像引导技术的临床研究进展

乳腺癌保乳术治疗后调强放疗影像引导技术的临床研究进展

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乳腺癌是临床中十分常见的一种恶性肿瘤,在女性恶性肿瘤中排名第一。目前,针对该疾病的治疗方法多种多样,包括手术、放射治疗和化学治疗等。乳腺癌在实施保乳手术后仍存在复发和转移的风险。术后进行放射治疗对于减少局部复发具有显著的积极作用。然而,在乳腺癌保乳术后进行调强放射治疗时,可能会出现摆位误差,这有可能导致放射性损伤,包括放射性心脏病或放射性肺炎的风险,甚至可能影响肿瘤的控制效果。随着影像引导放疗技术(IGRT)不断进展,多种影像引导技术已广泛用于临床以对精确放疗摆位误差进行纠正,准确定位,有效治疗肿瘤局部,并最大程度抑制放射性肺炎及心脏损伤发生。本文总结分析了乳腺癌放疗方式并了解其摆位误差,对乳腺癌治疗后二维X线影像引导技术、光学体表引导技术等相关调强放疗影像引导技术进行讨论。希望此次研究能为有关研究提供参考,促使乳腺癌保乳术治疗后调强放疗影像引导技术不断完善和发展。
Clinical Research Progress of Intensity Modulated Radiotherapy Imaging Guidance Technology Breast Conserving Surgery for Breast Cancer
Breast cancer is a common female malignant tumor in clinical practice,ranking first among female malignant tumors. Currently,there are many treatment methods for the disease actually,including surgery,radiotherapy,and chemotherapy. At present,breast conserving surgery may have recurrence and metastasis for breast cancer,and postoperative radiotherapy plays an active role in reducing local recurrence. Intensity modulated radiotherapy can have positioning errors for breast cancer after breast conserving surgery,which can increase radiation damage,cause radiation heart disease or radiation pneumonia,and even tumor control failure. With continuous progress of image-guided radiotherapy (IGRT) technology,various image-guided techniques have been widely used in clinical practice to correct precise radiotherapy positioning errors,locate accurately and treat local tumors effectively,and prevent incidence of radiation pneumonitis and cardiac injury to the greatest extent. The paper summarizes and analyzes the radiotherapy methods of breast cancer and understands its positioning errors,and discusses two-dimensional X-ray image guidance technology,optical body surface guidance technology and other related intensity modulated radiotherapy image guidance technologies after treatment of breast cancer,to provide reference for relevant research,and promote the continuous improvement and development of image guided technology for intensity modulated radiotherapy in breast conserving surgery for breast cancer.

Breast conserving surgery for breast cancerMR imaging guidance technologyOptical surface guidance technologyPositioning errors

杨芳、苏宁

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海军第九〇五医院,上海 200000

乳腺癌保乳术 MR影像引导技术 光学体表引导技术 摆位误差

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)