乳腺癌保乳术后调强放疗影像引导技术的研究进展  

Research progress on image-guided radiotherapy after breast-conserving surgery for breast cancer

作　　者：梁广立 杜武(审校) 蒋胜鹏 徐利明 LIANG Guangli;DU Wu;JIANG Shengpeng;XU Liming(Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin,Tianjin’s Clinical Research Center for Cancer,Key Laboratory of Breast Cancer Prevention and Therapy,Tianjin Medical University,Ministry of Education,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院,国家恶性肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市恶性肿瘤临床医学研究中心,乳腺癌防治教育部重点实验室,天津300060

出　　处：《国际医学放射学杂志》2023年第4期462-467,共6页International Journal of Medical Radiology

基　　金：中华国际医学交流基金会肿瘤精准放疗星火计划(2019-N-11-05)。

摘　　要：乳腺癌保乳术后调强放疗可出现摆位误差,由此可增加放射性损伤,引起放射性心脏病或放射性肺炎,甚至导致肿瘤控制失败。随着影像引导放疗技术(IGRT)的发展,多种影像引导技术已广泛用于临床以解决放疗过程中各种摆位误差,包括二维X线影像引导、三维X线影像引导、MR影像引导、光学体表引导等技术。就多种影像引导技术在乳腺癌保乳术后调强放疗中的应用进展及优缺点作一综述。Intensity-modulated radiotherapy(IMRT)following breast-conserving surgery can be associated with positional errors that may increase the risk of radiation-induced complications such as radiation heart disease,radiation pneumonia,and compromised tumor control.To address these challenges,image-guided radiotherapy technology(IGRT)has been developed and various image guidance techniques have been implemented in clinical practice.These techniques include 2D X-ray image guidance,3D X-ray image guidance,MR image guidance,optical body guidance,and other approaches.We reviews the progress,advantages,and limitations of these image-guided techniques in the application of IMRT after breast-conserving surgery for breast cancer.

关 键 词：乳腺癌保乳术 影像引导放疗技术 调强放疗 摆位误差 

分 类 号：R737.9[医药卫生—肿瘤] R815.6[医药卫生—临床医学]