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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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275518 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
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
. i5 w' l2 M5 A1 B. [8 u: ]TomoTherapy--螺旋断层放射放疗$ b- @$ o) O3 @5 _' ^4 b
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 ...

$ v* p2 i2 i7 @" |+ |/ ^8 Z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   n* B" C5 ?0 \  v- S* ~

' `  ]) \1 c8 A% H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!) Q/ M- x( |. p  A; `# }
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+ G* d3 d! s! XCancer 2011 Jan 15;117(2):414-20. doi: 10.1002/cncr.25423. Epub 2010 Sep 9.1 Q; Q) o% ~; _( i4 ^  P
Gamma knife radiosurgery for brain metastasis of nonsmall cell lung cancer: is there a difference in outcome between morning and afternoon treatment?8 X: ]7 b) ?0 L. n6 r1 C
Rahn DA 3rd, Ray DK, Schlesinger DJ, Steiner L, Sheehan JP, O'Quigley JM, Rich T.
, z9 e+ @* X+ u3 MSourceDepartment of Radiation Oncology, University of Virginia Health Sciences Center, Charlottesville, Virginia 22908, USA.$ C; R, v- C# a9 J* ~
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Abstract( h' O1 f8 _, U2 Y/ ^
BACKGROUND: 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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5 {% n6 j) Z  D7 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.; E4 P4 R/ J7 ?( K
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RESULTS: 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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CONCLUSIONS: 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.9 }# t2 l+ w: `

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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 4 R2 R+ ]: D- _( Y4 D
我们打算做伽马刀

+ k: o% C3 j  q& B+ E! [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 7 A+ A* B, c5 d: d. m. [9 V
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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