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TOMO、射波刀、伽玛刀等放疗技术比较及实际使用交流贴

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280832 158 老马 发表于 2012-2-25 09:14:05 |
黑月追风  初中一年级 发表于 2012-8-21 17:40:32 | 显示全部楼层 来自: 河南新乡
我父亲肺癌脑转移 吃易瑞沙6个月,现在做伽玛刀好还是放疗好
常弓  小学五年级 发表于 2012-8-21 20:18:59 | 显示全部楼层 来自: 广东深圳
祈福心愿  小学六年级 发表于 2012-8-26 00:21:21 | 显示全部楼层 来自: 广东潮州
老马 发表于 2012-2-26 02:24
1 `- q3 D2 @; |2 a0 F* \+ QTomoTherapy--螺旋断层放射放疗4 B6 J) S1 W# X0 E. E# r
螺旋断层放疗系统(TOMO)集IMRT(调强放射治疗)和IGRT(图像引导放射治疗 ...

) A$ R! B9 B* G" I+ I' A2 m弱弱的问老马,有适合巨型的放疗么
lostm  高中二年级 发表于 2012-9-17 21:34:26 | 显示全部楼层 来自: 上海
乏血供HCC,gamma刀后二月复查MRI提示肿瘤进展,此期二月未采用其它治疗手段(只吃保肝药)。
鬼城军人  初中一年级 发表于 2012-10-7 15:55:09 | 显示全部楼层 来自: 吉林长春
沈阳军区总医院也有一台TOMO啦,我就是做的这个,效果还是不错的
wurong_zju  小学六年级 发表于 2012-10-19 15:09:41 | 显示全部楼层 来自: 上海
本帖最后由 wurong_zju 于 2012-10-22 09:52 编辑
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3 z6 e- u8 K, [+ h9 C, n$ i请问各位,恶性间皮瘤可不可以作放疗?Tomo, 射波,伽玛那种合适些?
平安!  退休老干部 发表于 2012-11-8 00:38:30 | 显示全部楼层 来自: 湖南长沙
脑部放疗,上午比下午敏感许多!7 ^. k! _7 J) r0 O* v6 |* Y( g2 `% ~

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/ e2 S, \5 R1 M8 D5 HCancer 2011 Jan 15;117(2):414-20. doi: 10.1002/cncr.25423. Epub 2010 Sep 9.
, s8 w( Z0 N3 M3 B+ T( LGamma knife radiosurgery for brain metastasis of nonsmall cell lung cancer: is there a difference in outcome between morning and afternoon treatment?
7 i8 ~; A$ W# P7 P6 F3 X0 A4 {0 uRahn DA 3rd, Ray DK, Schlesinger DJ, Steiner L, Sheehan JP, O'Quigley JM, Rich T.& C. C  I5 ]( t1 x$ i
SourceDepartment of Radiation Oncology, University of Virginia Health Sciences Center, Charlottesville, Virginia 22908, USA.6 O& e. U* j+ C

; y  y6 f$ ~( ]6 \Abstract
1 x9 a6 e. Q3 _4 X) h' L3 RBACKGROUND: Circadian cell-cycle progression causes fluctuating radiosensitivity in many tissues, which could affect clinical outcomes. The purpose of this study was to determine whether outcomes of single-session gamma knife radiosurgery (GKRS) for metastatic nonsmall cell lung cancer (NSCLC) differ based on treatment time.
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  S5 R- H4 O2 j& e, L) s* C- J! QMETHODS: Fifty-eight patients received GKRS between 10:00 am and 12:30 pm and 39 patients received GKRS between 12:30 pm and 3:00 pm. The mean peripheral dose was 18.6 Gy. The mean tumor size was 7.3 cm³. Magnetic resonance imaging was used to score local control at 3 months. Cause of death (COD) was categorized as central nervous system (CNS)-related or systemic.
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' y5 l* O0 `0 D, {3 ?( IRESULTS: Demographic and disease characteristics of the 2 groups were similar. Local control at 3 months was achieved in 97% (35/36) of patients who underwent GKRS early in the day versus 67% (8/12) of patients who underwent GKRS later in the day (chi-square, P = .014). Early GKRS was associated with better survival (median 9.5 months) than late GKRS (median 5 months) (Kaplan-Meier log-rank test, P = .025). Factors contributing to better survival in a Cox regression model included early treatment time (P = .004) and recursive partition analysis class (P < .001). Cause of death in the early treatment group was CNS-related in 6% (3/47) of patients versus 24% (8/34) of patients in the late treatment group (chi-square test, P = .026).
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7 P! t: ^6 Z3 A! y4 cCONCLUSIONS: GKRS for metastatic NSCLC had better local control, better survival, and a lower rate of CNS-related cause of death when given earlier in the day versus later in the day. These retrospective data should encourage future study in brain radiosurgery and non-CNS stereotactic body radiotherapy series." l5 }! M( ]4 G) f

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KIRA  小学六年级 发表于 2012-11-22 01:35:32 | 显示全部楼层 来自: 江苏南京
常弓 发表于 2012-8-21 20:18
  p0 k5 |; ?( g) f我们打算做伽马刀
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千万不要做伽马刀,这已经是几乎被淘汰的技术,我父亲治病时候两个病友,肺转移,都是做完伽马刀以后病情恶化很快就走了,一定要做放疗,建议做射波刀和TOMO,虽然价格相对伽马刀高昂很多,但无论从疗效精确度还是病人的副反应来说,都远胜伽马刀
前世今生  高中三年级 发表于 2012-11-25 17:40:15 | 显示全部楼层 来自: 新疆乌鲁木齐
我本人于2011年6月,因为头部核磁观察,原有疑似单发病灶有水肿,医生建议做头部X刀治疗,做一个头部面部磨具,当时是两天做一次,我一共照射了五次,没有任何不适感觉,治疗后至今稳定,我本人考虑头部或许不是转移病灶。
学无止境 积极治疗QQ1711938319 患者群48752655
jkzx703  初中二年级 发表于 2012-12-6 09:39:45 | 显示全部楼层 来自: 江苏南京
前世今生 发表于 2012-11-25 17:40
' o( m- v! \9 x- w* B% T  }  Y; E我本人于2011年6月,因为头部核磁观察,原有疑似单发病灶有水肿,医生建议做头部X刀治疗,做一个头部面部磨 ...
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照肿瘤病人的治疗规律,不管怎样,稳定就好,也不去管是否误诊了,这也是我们的悲哀
相信自己、相信老公!

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