全身照射技术的临床应用(之一)——白血病等病症患者在造血干细胞移植前的全身放射治疗  

Clinical application of total body irradiation technique——Total body irradiation in patients with Leukemia and other diseases before hematopoietic stem cell transplantation

作　　者：张绍刚[1] 

机构地区：[1]北京医院放疗科,北京100730

出　　处：《医疗装备》2010年第1期1-13,共13页Medical Equipment

摘　　要：全身放疗(TBI)是白血病等病症患者在造血干细胞移植前的预处理,而造血干细胞移植又是治愈白血病等病症的首选方案。本文结合笔者26年来收治的近600例TBI患者,较为详尽地介绍了TBI治疗的设备与器材、适应症与并发症、照射方式与治疗方案、吸收剂量的测量与处方剂量的计算、剂量率对放射性肺炎与总处方剂量的影响、肺组织和眼晶体的剂量估算及治疗过程中的实时剂量监控等有关内容,希望对同道有所裨益。Total body irradiation （TBI） is a pre- treatment in patients with leukemia and other diseases before hematopoietic stem cell transplantation, which is widely accepted as preferred cure for leukemia and other diseases. In this paper, the author with nearly 26 years and about 600 cases of TBI patients treatment experience, introduced the TBI treatment indications and complications, equipment and apparatus, irradiation method and treatment planning, the absorbed dose measurement and calculation of prescribed dose. While the impact of dose rate on radiation pneumonia, total prescribed dose, dose estimates of lung tissue and eye lens, the real - time dose monitoring in treatment process and other relevant contents are also mentioned. The author wants these would be helpful to others.

关 键 词：医用电子加速器 全身放射治疗 白血病 放射性肺炎 实时剂量监控 

分 类 号：TH774[机械工程—仪器科学与技术]