宫颈癌患者接受调强放疗与三维放疗剂量学参数的比较评价:回顾性分析。

Q3 Medicine
The gulf journal of oncology Pub Date : 2025-01-01
Vishwadeep Mishra, Sudeep Bisht, Shwetima Chaudhary, Laxman Pandey, Archana Pandey, Rachita Chatterjee
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引用次数: 0

摘要

目的:宫颈癌影响全球许多妇女,通常需要放射治疗。本研究旨在比较调强放射治疗(IMRT)和三维适形放射治疗(3D-CRT)治疗局部晚期宫颈癌的剂量学结果。方法:我们对30例接受每周一次以顺铂为基础的IMRT治疗的患者进行了回顾性分析。生成相应的3DCRT方案进行比较。评估了计划靶体积(PTV)和危险器官(OARs)的剂量学参数。根据常规方案,将患者固定在仰卧位进行模拟。结果:IMRT组与3D-CRT组PTV覆盖率相近。然而,IMRT显示OARs的剂量学结果显著改善,包括膀胱、直肠、肠和骨髓。IMRT减少了对关键器官的剂量,同时保持了相当的PTV覆盖。结论:与3DCRT相比,接受IMRT的患者对关键器官的剂量减少。需要更长的随访期的大规模试验来证实这些发现,并确认IMRT在宫颈癌治疗中的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Evaluation of Dosimetric Parameters in Carcinoma Cervix Patients Undergoing Intensity-Modulated Radiotherapy versus Three-Dimensional Radiotherapy: A Retrospective Analysis.

Objective: Cervical cancer affects many women across the globe and often requires radiation for treatment. This study aimed to compare the dosimetric outcomes of Intensity-Modulated Radiation Therapy (IMRT) and Three- Dimensional Conformal Radiation Therapy (3D-CRT) in managing locally advanced cervical carcinoma.

Methods: We performed a retrospective analysis of 30 patients who received IMRT with weekly cisplatin-based medication. Corresponding 3DCRT plans were generated for comparison. Dosimetric parameters for Planning Target Volume (PTV) and Organs at Risk (OARs) were evaluated. Patients were immobilized in a supine position for simulation, according to conventional protocols.

Results: PTV coverage was similar between IMRT and 3D-CRT groups. However, IMRT showed significantly improved dosimetric outcomes for OARs, including the bladder, rectum, bowel, and bone marrow. IMRT reduced doses to critical organs while maintaining comparable PTV coverage.

Conclusion: Patients undergoing IMRT experienced reduced doses to critical organs compared to 3DCRT. Larger-scale trials with longer follow-up periods are needed to corroborate these findings and confirm IMRT's efficacy in cervical cancer treatments.

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来源期刊
The gulf journal of oncology
The gulf journal of oncology Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
37
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