Effect of edema on the post-implant dosimetry of permanent 125I seed brachytherapy in the parotid gl

来源 :2015北京首届国际近距离治疗肿瘤学术大会暨2015北京首届国际放射肿瘤学术论坛 | 被引量 : 0次 | 上传用户:formula_lj
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
  Purpose:To evaluated and analysis the magnitude and induration of edema after permanent 125I seed brachytherapy with the guidance of individual digital template in the parotid gland and to investigate the effect on the dosimetry delivered by the implant.Material and method:12 patients treated with 125I seed who had three postimplant CT scans were selected for the study.the post-implant CTs were taken on day 0 and 2months and 4months.the guidance technical of CT or/ and digital individual template were used to insure the accuracy of implantation with 125I prescribed to 100-120Gy.The magnitude and duration of edema were determined from the change of volume of the head and neck CT slices selected, which was calculated by the skull volume minus the throat volume.A dose-volume histogram was compiled for each postimplant CT scan.The V 100 ,V 90and D 100, D 90 from the first, second and third post-implant CT scans were compiled to determine the effect of edema on these parameters.the edema associated factors were also analysed with univariate Tests.Results: The magnitudeoftheedema,expressed astheratioofthepost-to pre-implantvolumeonthe day of the procedure,ranged from1.01 to 1.27(mean 1.08).The edema decreased to the pre-implant level 2 months later(1.009 ±0.077) and decline alittle in 4ms CT scans(0.979±0.076).as the edema resolved, the dosimetric parameters V100 and D90 increased in all patients with the range 4.3±3.0 % and 11.2±1.1% between the first and second post-implant CT.slight change were experienced between the second and third CT(0.78±1.8 and 1.8±4.5).The sum of needles effect the edema more significantly(p=0.007, observed power=0.865).The male patientsdeclined to have more sever edema(p=0.006, observed power=0.883).Conclusion:In the parotid gland cancer patients who received the 125I brachytherapy under with the digital individual template guidence, Post-implant edema increased from 1.01 to 1.27(mean 1.08).and resolved two months after implantion.Edema had a significant effect on the post-implant dosimetry of V 100 and D 90 which increase 4.3±3.0 % and 11.2±1.1% between the first and second post-implant CT..The dosemetric of first CT(2ms post-implant)could be used as a more reliable result to evaluate the quality of the implant ,as the V 100 and D 90 approaching the pre-implant plan and slight change between the second and third CT.a large number of cases are still needed to investigate the correlation between the edema resolve and dosemetric change.
其他文献
Lisfranc损伤-骨及韧带Jaques Lisfranc de Saint Martin (1790-1847)男∶女3∶160%交通意外创伤其余为高处坠落伤或挤压伤20%漏诊率跖附关节成功治疗中足损伤原发损伤1.发现(R
会议
是否需要翻修,取决于畸形的类型26岁,体力劳动者受伤后未行治疗后足严重塌陷是否需要翻修,取决于畸形的类型行切开复位内固定(ORIF),解剖复位可是否需要翻修,取决于畸形的类
会议
为什么踝关节融合后会发生不愈合?1.操作/技术问题2.缺血坏死3.患者因素(吸烟、神经病变)4.既往曾行同侧距下关节融合"Pretty"简单的踝关节炎易于处理,可行开放手术,或在关节
会议
导读老年慢性疼痛性疾病,是常见病、多发病,如何正确的诊断、治疗和康复,关系到老年人的生活质量问题,但由于临床上治疗效果差、收益少、缺少专科等各种因素,往往被忽视.内容
会议
内容一、发展老龄健康产业的意义二、老龄健康产业的作用三、结合高等医学院校在烟台发展健康产业的构想一、发展老龄健康产业的意义党的十八大报告指出:健康是促进人类全面
会议
Background· In the early days , endoscopy is often done at the patients bedside or in a side room next to the ward · Because of the complexity of modern equip
会议
概要 Contents1 Background 2 Purpose 3 Method 4 Result 5 Conclusion Background 1、发病上升,死亡率高
会议
  Purpose.The purpose of this study wasto discussthe safety and treatment effect of 125I seed brachytherapy for minor salivary gland carcinomas of the lip and
会议
  Objective:To review a single-institution experience with the management of recurrent or locally advanced parotid gland carcinoma treated by 125I brachythera
新规范新对策GB50333-2013《医院洁净手术部建筑技术规范》(以下简称新规范)已于2013年12月20日由中华人民共和国住房和城乡建设部正式发布,将于2014年6月1日正式实施.
会议