头部伽玛刀治疗肺腺癌脑转移瘤专家共识  

Expert consensus of Gamma Knife treatment for brain metastases of lung adenocarcinoma

作　　者：汤可 孙君昭 潘力 潘绵顺 世界华人神经外科协会放射外科专业委员会 Tang Ke;Sun Junzhao;Pan Li;Pan Mianshun;Radiosurgery Committee of International Chinese Federation of Neurosurgical Sciences(Department of Neurosurgery,PLA General Hospital,Beijing 100853,China;Department of Neurosurgery,Shanghai Gamma Hospital,Shanghai 200235,China;Department of Radiotherapy,Shanghai Armed Police Corps Hospital,Shanghai 201103,China;不详)

机构地区：[1]中国人民解放军总医院神经外科医学部,北京100853 [2]上海伽玛医院神经外科,上海200235 [3]武警上海市总队医院放疗科,上海201103 [4]不详

出　　处：《中华转移性肿瘤杂志》2023年第4期341-346,共6页Chinese Journal of Metastatic Cancer

摘　　要：肺腺癌脑转移瘤具有中等程度的放射敏感性,加上患者的病程和对系统治疗的反应具有自身特点。如何规范地采用头部伽玛刀治疗肺腺癌脑转移瘤,进而获得最优的肿瘤控制效果和最大限度的神经功能保护意义重大。为了采用伽玛刀有效、安全地治疗肺腺癌脑转移瘤,由世界华人神经外科协会放射外科专业委员会牵头,携手头部伽玛刀和相关学科的专家共同讨论,基于专家经验和循证医学证据,归纳出伽玛刀治疗肺腺癌脑转移瘤的临床适应证以及多学科合作等方面的专家共识,旨在为伽玛刀规范治疗肺腺癌脑转移瘤提供参考。Since the brain metastases of lung adenocarcinoma have moderate levels of radiosensitivity,and has distinctive features of clinical course and systemic treatment response.It is of great significant to obtain the optimal tumor control and the best conservation of neural function by standardizing implementation of Gamma Knife treatment for the brain metastases of lung adenocarcinoma.For the purpose of using Gamma Knife to treat the brain metastases of lung adenocarcinoma effectively and safely,the Radiosurgery Committee of International Chinese Federation of Neurosurgical Sciences led a joint discussion with the specialists of head Gamma Knife and relevant disciplines,and summarized the expert consensus about the indications and multidisciplinary team works of Gamma Knife treating the brain metastases of lung adenocarcinoma,based on the expert experience and evidence from evidence-based medicine.The consensus will provide reference for standard implementation of Gamma Knife treating the brain metastases of lung adenocarcinoma.

关 键 词：伽玛刀 肺腺癌 脑转移瘤 生物等效剂量 多学科合作 

分 类 号：R734.2[医药卫生—肿瘤]