全身照射技术实践指南  

Practical guideline for total body irradiation

作　　者：国家癌症中心/国家肿瘤质控中心 傅深 李左峰 余奇 张风娇 高正心 National Cancer Center/National Cancer Quality Control Center;Fu Shen;Li Zuofeng(不详;Concord Medical,Beijing 100020,China;Shanghai Concord Cancer Center,Shanghai 200240,China)

机构地区：[1]不详 [2]泰和诚医疗集团,北京100020 [3]上海泰和诚肿瘤医院,上海200240 [4]上海美中嘉和肿瘤门诊部

出　　处：《中华放射肿瘤学杂志》2024年第6期485-498,共14页Chinese Journal of Radiation Oncology

基　　金：国家肿瘤质控中心放疗质控指南项目(201905);上海市黄浦区卫生健康系统科研项目(HLZ202218)提供的支持。

摘　　要：全身照射(TBI)是一类特殊的放射治疗技术,是指利用钴-60γ射线或高能X线对全身进行放射治疗,常用于造血干细胞移植(HSCT)前预处理。本指南以国际[国际淋巴瘤放射治疗协作组(ILROG)、美国放射学会(ACR)-美国放射肿瘤学会(ASTRO)、美国医学物理师协会(AAPM)等]TBI技术相关的指南共识作为参考,以国内外TBI技术临床应用发表的文献资料为支撑,结合指南各申请单位已有的知识积累及丰富的临床实践经验编写而成。本指南内容涵盖了开展TBI放疗技术的设备要求、医务人员资质要求和职责范围、临床应用的适应证、TBI技术应用流程及其相关的质量保证和质量控制标准等,旨在为国内各医疗机构开展TBI技术提供参考。Total body irradiation(TBI)is a special radiotherapy technique,which refers to the use of cobalt-60 gamma rays or high-energy X-rays for whole-body radiotherapy.It is often used for pre-treatment of hematopoietic cell transplantation(HSCT).This practical guideline was formulated based on international guidelines[International Lymphoma Radiation Oncology Group(ILROG),American College of Radiology(ACR)-American Society for Radiation Oncology(ASTRO),American Association of Physicists in Medicine(AAPM),etc.]related to TBI technology,domestic and international published literature on the clinical application of TBI technology,combined with the existing knowledge accumulation and clinical practice experience of each applicant.This guideline covers equipment requirements for TBI radiotherapy technology,medical personnel qualification requirements and scope of responsibility,indications for clinical application,TBI technology application process and related quality assurance and quality control standards,aiming to provide references for domestic medical institutions to carry out TBI.

关 键 词：全身照射 放射疗法 造血干细胞移植 实践指南 

分 类 号：R730.55[医药卫生—肿瘤]