调强适形放射治疗鼻咽癌6例体会

    IMRT for treatment of nasopharyngeal carcinoma: A report of 6 cases

    • 摘要: 目的: 介绍调强适形放射治疗鼻咽癌的效果。方法: 2001年8月~2002年6月收治经病理证实的鼻咽癌6例,孔雀系统进行调强适形放射治疗。每周3~5次,每次3~3。5 Gy,总剂量(归一到常规分割)49~70 Gy。结果: 95%等剂量曲线包绕PTV,均匀度指数(最大剂量/处方剂量)平均1。158,重要器官的平均受量均低于其耐受剂量(TD5/5)的50%。结论: 调强适形放射治疗鼻咽癌能较好地保护周围敏感器官,放疗反应小。

       

      Abstract: Objective: To introduce the experience in treatment of nasopharyngeal carcinoma with intensity modulated radiation therapy(IMRT).Methods: From Aug.2001 to Jun.2002,6 cases of nasopharyngeal carcinoma were treated with IMRT by means of the MIMiC collimator and the peacock plan system.The irradiation dose was delivered at 3 to 3.5 Gy,3 to 5 times per week.The total prescribed dose to target volume was 49 to 70 Gy.Results: The planning target volume(PTV) was enclosed by 95% isodose line,median homogeneity index(HI) was 1.158.The average dose to the organs at risk(OAR) were underdosed 50% of TD5/5.Conclusions: IMRT can protect the critical organs with little radiotherapentic response.

       

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