陈英, 覃俭, 王颖, 张涛. 立体定向放疗在肝转移癌中的应用进展[J]. 中国肿瘤临床, 2018, 45(2): 103-106. DOI: 10.3969/j.issn.1000-8179.2018.02.007
引用本文: 陈英, 覃俭, 王颖, 张涛. 立体定向放疗在肝转移癌中的应用进展[J]. 中国肿瘤临床, 2018, 45(2): 103-106. DOI: 10.3969/j.issn.1000-8179.2018.02.007
Chen Ying, Qin Jian, Wang Ying, Zhang Tao. Progress on stereotactic body radiation therapy for liver metastases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(2): 103-106. DOI: 10.3969/j.issn.1000-8179.2018.02.007
Citation: Chen Ying, Qin Jian, Wang Ying, Zhang Tao. Progress on stereotactic body radiation therapy for liver metastases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(2): 103-106. DOI: 10.3969/j.issn.1000-8179.2018.02.007

立体定向放疗在肝转移癌中的应用进展

Progress on stereotactic body radiation therapy for liver metastases

  • 摘要: 肝脏是恶性肿瘤常见的转移部位,手术是肝转移癌的首选局部治疗手段,但临床中约80%患者因各种原因不能手术。非手术方式包括化疗、射频消融、放射治疗等。传统二维放疗因肝脏自身对放疗耐受剂量较低而使其应用受到限制。而近年来伴随着4D-CT、呼吸门控技术等放疗辅助技术的不断完善和发展,将立体定向放疗应用于肝转移癌患者的报道逐渐增多,其在肝转移癌患者综合治疗中也越来越重要,探索其最佳的适应人群、剂量和分割方式、安全性成为了当前的研究热点。

     

    Abstract: The liver is a common site of metastasis for a variety of malignant tumors. Although surgery is the first choice among many local treatments, about 80% patients in clinical practice are not suitable for surgical resection due to various reasons. There are also many noninvasive methods, such as chemotherapy, radiofrequency ablation, radiotherapy. Due to poor radiation dose tolerance in the liver, the application of traditional two-dimensional radiotherapy is limited. Recently, with the development of assistive technologies, the use of stereotactic body radiation therapy (SBRT) in cases of liver metastases has gradually increased. Consequently, exploring the optimal patient population, dosage, fraction and safety have become hot topics in this field of research.

     

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