肺癌在线自适应放射治疗中国专家共识  

Chinese Expert Consensus on Online Adaptive Radiotherapy for Lung Cancer

作　　者：陈明[1] 王绿化[2] 傅小龙[3] 尹勇[4] 黄晓延[1] 毕楠[2] 朱正飞[5] 孙建国 薛建新[7] 陈大卫 张莉[8] 华南恶性肿瘤防治全国重点实验室 广东省鼻咽癌诊治研究重点实验室 广东省恶性肿瘤临床医学研究中心 中山大学肿瘤防治中心 中山大学-国科离子放射治疗前沿技术联合实验室 中华医学会放射肿瘤治疗学分会 中国临床肿瘤学会肿瘤放射治疗专家委员会 CHEN Ming;WANG Lvhua;FU Xiaolong;YIN Yong;HUANG Xiaoyan;BI Nan;ZHU Zhengfei;SUN Jianguo;XUE Jianxin;CHEN Dawei;ZHANG Li;State Key Laboratory of Oncology in South China;Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy;Guangdong Provincial ClinicalResearch Center for Cancer;Sun Yat-sen University Cancer Center;United Laboratoryof Frontier Radiotherapy Technology of Sun Yat-sen University&Chinese Academyof Sciences Ion Medical Technology Co.,Ltd;Radiation Oncology Branchof Chinese Medical Association;Radiation Oncology Expert Committee of ChineseSociety of Clinical Oncology(Sun Yat-sen University Cancer Center,Guangzhou 510060,China;Cancer Hospital Chinese Academy of Medical Sciences,Beijing 100021,China;Shanghai Chest Hospital,Shanghai 200030,China;Shandong Cancer Hospital,Jinan 250117,China;Fudan University Shanghai Cancer Center,Shanghai 200032,China;Xinqiao Hospital Army Medical University,Chongqin 400030,China;West China Hospital,Sichuan University,Chengdu 610041,China;Tongji Hospital,Tongji Medical College of Hust,Wuhan 430030,China;不详)

机构地区：[1]中山大学肿瘤防治中心,广东广州510060 [2]中国医学科学院肿瘤医院,北京100021 [3]上海交通大学附属胸科医院,上海200030 [4]山东省肿瘤医院,山东济南250117 [5]复旦大学附属肿瘤医院,上海200032 [6]重庆市新桥医院,重庆400030 [7]四川大学华西医院,四川成都610041 [8]华中科技大学附属同济医院,湖北武汉430030 [9]不详

出　　处：《中国肿瘤》2024年第4期255-261,共7页China Cancer

基　　金：国家重点研发计划(2023YFC2413900)。

摘　　要：肺癌是我国发病率和死亡率最高的恶性肿瘤。精准放疗显著提高了肿瘤控制率、降低了不良反应,其中在图像引导放疗基础上发展起来的在线自适应放射治疗可以根据实时影像反馈动态调整放疗区域和剂量,已逐步应用于肺癌治疗。为规范临床应用、推动技术发展与临床协作,特制定本专家共识。该共识结合理论与实践,阐述肺癌在线自适应放射治疗的物理技术要求、临床实施规范和常见临床问题,以期更好地为放疗同道了解和开展该技术提供参考,使更多肺癌患者能从放射治疗中获益。Lung cancer is the malignant tumor with the highest morbidity and mortality.Precision radiotherapy can significantly improve tumor control and reduce treatment-related toxicities,among which online adaptive radiotherapy based on image-guided radiotherapy can dynamically adjust the radiotherapy area and dose based on real-time image before each radiotherapy,and has been gradually applied to the treatment of lung cancer.In order to standardize clinical application,improve the cooperation of technology and scientific research of online adaptive radiotherapy for lung cancer,this expert consensus is established.This consensus combined theory and practice,and elaborated the physical and technical requirements,the clinical implementation standardization and common clinical problems of the online adaptive radiotherapy for lung cancer,so as to provide better reference for understanding and implementing this precision radiotherapy technology in hospitals of different levels,so that more patients with lung cancer can benefit from radiotherapy.

关 键 词：肺癌 放射治疗 在线自适应放射治疗 专家共识 

分 类 号：R734.2[医药卫生—肿瘤] R73-31[医药卫生—临床医学]