肺癌立体定向放射治疗中的运动管理研究现状

曹楠楠; 倪昕晔

doi:10.11889/j.1000-3436.2022-0118

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肺癌立体定向放射治疗中的运动管理研究现状

辐射生物学与医学 | 更新时间：2023-06-21

- 肺癌立体定向放射治疗中的运动管理研究现状
- Research on motion management in stereotactic body radiotherapy for lung cancer
- 辐射研究与辐射工艺学报 2023年41卷第3期页码：30301
- 作者机构：
  
  1.南京医科大学附属常州第二人民医院放疗科常州 213003
  2.江苏省医学物理工程研究中心常州 213003
  3.南京医科大学医学物理研究中心常州 213003
  4.常州市医学物理重点实验室常州 213003
- 作者简介：
  
  曹楠楠，女，2000年3月出生，2022年于河北医科大学获得理学学士学位，目前为在读硕士研究生，研究方向为生物医学工程医学物理方向，E-mail: cnn15027922638@163.com
  倪昕晔，研究员，博士生导师，E-mail: nxy@njmu.edu.cn
- 基金信息：
  
  江苏省重点研发计划社会发展项目(BE2022720);江苏省卫健委面上项目(M2020006);常州市重点实验室项目(CM20193005)
- DOI：10.11889/j.1000-3436.2022-0118
  中图分类号：
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曹楠楠, 倪昕晔. 肺癌立体定向放射治疗中的运动管理研究现状[J]. 辐射研究与辐射工艺学报, 2023,41(3):030301.

CAO Nannan, NI Xinye. Research on motion management in stereotactic body radiotherapy for lung cancer[J]. Journal of Radiation Research and Radiation Processing, 2023,41(3):030301.
曹楠楠, 倪昕晔. 肺癌立体定向放射治疗中的运动管理研究现状[J]. 辐射研究与辐射工艺学报, 2023,41(3):030301. DOI： 10.11889/j.1000-3436.2022-0118.

CAO Nannan, NI Xinye. Research on motion management in stereotactic body radiotherapy for lung cancer[J]. Journal of Radiation Research and Radiation Processing, 2023,41(3):030301. DOI： 10.11889/j.1000-3436.2022-0118.

摘要

立体定向放射治疗作为治疗临床上不适合手术或拒绝手术的早期非小细胞肺癌患者的首选方式，是一种分割次数较少、单次放疗剂量大的大分割放射治疗方法。因此，对靶区位置的精度及重复性具有较高要求。针对此，临床上采用影像引导技术、合适的固定装置以及呼吸运动管理技术等辅助治疗来减小呼吸运动造成的影响。本文总结了这几种技术的研究现状，并基于各技术存在的问题对未来的研究方向进行了展望。

Abstract

Stereotactic body radiotherapy, a hypofractionated radiation therapy method with fewer fractions and a large single radiation dose, is the preferred method for treating patients with early-stage non-small cell lung cancer who are clinically unsuitable for or refuse surgery. Accuracy and repeatability requirements of the target position are, therefore, necessary. In view of this, adjuvant treatments such as image-guided and respiratory motion management technology and immobilization devices are used clinically to reduce the impact of respiratory motion. This paper summarizes the research status of these approaches and proposes future directions based on the problems existing in each technology.

关键词

非小细胞肺癌立体定向放射治疗影像引导放射治疗运动管理技术固定装置

Keywords

Non-small cell lung cancerStereotactic body radiotherapyImage-guidedRespiratory motion managementImmobilization device

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