原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
老人需求dvdPerception直播
   
   
   
     
   
 
項次 書目
1
題名:不同骨盆腔固定器在攝護腺癌三度空間立體順形放射治療技術之評估     (18點)
A COMPARISON OF DIFFERENT PELVIC IMMOBILIZATION DEVICES IN THE TREATMENT OF PROSTATE CANCER WITH THREE-DIMENSIONAL CONFORMAL RADIOTHERAPY
著者:賴朝宗(Chao-Tsung Lai) ;劉裕明(Yu-Ming Liu) ;吳曉萍(Shiau-Ping Wu) ;蕭正英(Cheng-Ying Shiau) ;李玉麟(Yuh-Lin Lee) ;季匡華(Kwan-Hwa Chi) ;顏上惠(Sang-Hue Yen)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:骨盆腔固定器 ; 三度空間立體順形放射治療技術 ; 擺設位置誤差 ; 驗證片 ; 模擬定位片 ; Pelvic immobilization devices ; Three-dimensional conformal radiotherapy (3D-CRT) ; Setup error ; Portal film ; Simulation film
刊名:放射治療與腫瘤學
頁碼:177-185
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

且的:評估在三度空間立體順形放身才治療技術(3- D co nform al ra diothe ra py , 3-D CRT) 治療攝護腺癌的病患,在病患位置固定上不使用骨盆腔固定器或是使用不同骨盆腔固定器間的差異性,並比較在使用各種固定技術上因病患體重及病患臀圍大小所造成病患的擺設位置誤差( setu p e rror)上所產生的效果作比較C 姐姐且志法:全部病患共48個人使用不同3- D CRT 固定技術, 病患以仰臥或俯臥姿勢治療, 選擇不用骨盆腔固定器或使用四種骨創空固定器中的一種的治療方式。病患分成五組固定情形作比較: ( A)病患仰臥不使用骨盆腔固定器治療; ( B) 病患俯臥及使用腹板( belly-board ) 但不使用骨盆腔固定器; (c)病患俯臥及使用腹板加熱塑塑膠( c εlS t )骨盆腔固定器; ( D) 病患仰臥使用發泡型固定器( a lp ha c r a dl e ) 從腰部固定到膝蓋以下; ( E) 病患仰臥並使用立體定位緊焦軀幹固定器( ste reotact ic 凶dy frame) 。於治療前一天內需先完成驗證片的照射, 並在治療期間每二週照射一;欠驗證片,再將驗證片與模擬定位片作比較分析,記錄下來。我們研究在使用各種骨盆腔固定器及不使用骨盆腔固定器下各個軸位站起轉角度之間的擺設位置誤差,加上分析病患體重及骨盆周界大小對擺設位置誤差的影響。絃J!:以Kr lβ k a ~ W a l li s方法試算分析: A中且在A P- X ( p= 0. 044 ) 有最小甜罷設位置誤差; B 組在AP -Z (p= 0. 065) 有最小自岱罷設位置誤差D 組在AP-Ang. ( p= 0. 067 ) 有最小自\Hi罷設位置誤差E組在La t- An g . (p= 0 . 07 8 ) 有最小的擺設位置誤差Q 以M anr干Wh i t ne y 方法 試算分析: 無論病患是否胖瘦,在各個方向角度的擺設位置誤差上並沒有出現特別的差異性。以P e ar s o nCor re lat ion 方法試算分析, 體重較重的病患在AP 一Z ( p= 0 . 0 1 1) 產生較小的擺設位置誤差o LatZ和AP-Z (p<0 .001 )的擺設位置誤差有正向的相互關係, AP-X 和La t-Ang. ( p=0 .0 37 和p=0 .05 ) 的擺設位置誤差有正向相互關係, 但在PC-AP , PC-Lat 上沒有任何關連。 益皇島: A 組病患在AP -X 和La t- Z 上有較小的擺設位置誤差, B 組病患在AP-Z 上有較小的擺設位置誤差' D組病患和E組病患在旋轉的角度上有較小的擺設位置誤差' C組病患在La t- Y上有較小的擺動位置誤差, 但對以上A 組的La t- Z 和C 組的La t- Y 而言並不具統計學上的差異O 一般而言,病患仰臥不使用骨盆腔固定技術在治療攝護腺癌上是適當且方便的方法o
Purpose : To determine the variability of patient setup errors during three-dimensional conformal radiotherapy (3D-CRT) for prostate cancer treatment without immobilization or with different immobilization devices. Materials and Methods : Forty-eight prostate cancer patients treated with 3D-CRT were prospective evaluated. They were treated by the same physician, technician and machine. Five groups of patients and technique were compared: (A) supine position without immobilization; (B) prone position without immobilization, but with belly-board; (C) prone position with belly-board and cast immobilization; (D) supine position with alpha cradle from waist to below knee immobilization; (E) supine position with stereotactic body frame immobilization. Serial portal films were recorded and compared with simulation films .The deviation in each axis and rotation angle were compared. Result : Group A has the least deviation in X-axis of anterior-posterior view (AP-X; p = 0.044); group B has the least deviation in Z-axis of anterior-posterior view (AP-Z; p = 0.065); group D has the least deviation in rotation angle of anterior-posterior view (AP-Ang.; p = 0.067); group E has the least deviation in rotation angle of lateral view (Lat-Ang. ; p = 0.078). There is no significant difference in deviation both in each directions and angles according to body habitus as normal or obese. Heavier weight has less AP-Z and Lat-Z deviation (p = 0.011 and p = 0.108); the deviation of Lat-Z has positive correlation with AP-Z (p < 0.001), deviation AP-X has positive correlation with deviation Lat-Z and Lat- Ang. (p = 0.037 and p = 0.05 ). For patients with thickness of pelvic circumference (PC-AP) < 19.0 cm have the least deviation in AP-Z (p = 0.034), Lat-Ang. (p = 0.034) in group B and the least AP-Ang. (p = 0.031) in group D; for patients with width of pelvic circumference (PC-Lat) < 35.0 cm have the least deviation in AP-X (p = 0.013) in group A, Lat-Z in group C; for patients with body weight < 67.5 kg have the least deviation in AP-X (p = 0.039) in group A. Conclusion : Group A has better setup error in AP-X and Lat-Z with statistics significant (p < 0.05), group B has better setup error in AP-Z; group D and E have better setup error in rotation angle; group C has less setup error in Lat-Y, but without statistical significance. We conclude supine position without immobilization fixation technique seems to be a suitable method for treating patients with localized prostate cancer either in accuracy or conveniency.


    

本卷期目次
放射治療與腫瘤學
Primary Central Nervous system Lymphoma - 3 Cases Report/ Chi-Fu HungJyh-Der LeuChien-Ru Liu
放射治療機加值型網路劑量品質保證系統/ 劉雪君張淑瓊趙良曉李玉麟顏上惠
Radiotherapy of Conjunctival Lymphoma with A Specially Designed Lens Block/ Wei-Chung HsuLai-Lei TingShiu-Chen JengPo-Ming WangLouis Lui TakSzu-Jong ChenNa-Na ChungGau-De Lin
電腦輔助設計三度空間真實表面數學模式於放射治療定位影像之應用/ 吳錦榕孫述平許文林阮昭銘
Fractiona Stereotactic Radiotherapy for Malignant Glioma/ Tao-Sang ChungJeng-Fong ChiouChung-Yu KaoJo-Ting TsaiChi-Yuan YehChi-Ching LoPing-Ling ChenWen-Ta Chiou
Radiotherapy is Effective in the Treatment of Hepatocellular Carcinoma with Right Atrium Invasion - Report of A Case/ Chih-Ping ChenYee ChaoChung-Pin LiMing-Yu LaiKwan-Hwa ChiSang-Hue YenFull-Young ChangShou-Dong Lee
An Effective, Efficient and Safe Method to Deliver A Modified 3-D Radiotherapy in Locally Advanced Nasopharyngeal Carcinoma/ Yih-Lin ChungSkye Hon-Giun ChengStella Y.C. TsaiJason C. ChengShu-Li KangJames Jer-Min Jian
Alveolar Soft Part Sarcoma: Clinical Outcome of Two Patients and Review of the Literature/ Helen H.W. ChenFen-Fen ChenWen-Tsung HuangLi-Li ChengHenry W.C. Leung
不同骨盆腔固定器在攝護腺癌三度空間立體順形放射治療技術之評估/ 賴朝宗劉裕明吳曉萍蕭正英李玉麟季匡華顏上惠
利用氣泡偵檢器量測醫用直線加速器光中子研究/ 林招膨林松彥朱鐵吉劉幕台張東浩黃昭源
AN EFFECTIVE, EFFICIENT AND SAFE METHOD TO DELIVER A MODIFIED 3-D RADIOTHERAPY IN LOCALLY ADVANCED NASOPHARYNGEAL CARCINOMA/ Yih-Lin ChungSkye Hon-Giun ChengStella Y. C. TsaiJason C. ChengShu-Li KangJames Jer-Min Jian
FRACTIONATED STEREOTACTIC RADIOTHERAPY FOR MALIGNANT GLIOMA/ Tao-Sang ChungJeng-Fong ChiouChung-Yu KaoJo-Ting TsaiChi-Yuan YehChi-Ching LoPing-Ling ChenWen-Ta Chiou
RADIOTHERAPY OF CONJUNCTIVAL LYMPHOMA WITH A SPECIALLY DESIGNED LENS BLOCK/ Wei-Chung HsuLai-Lei TingShiu-Chen JengPo-Ming WangLui Louis TakSzu-Jong ChenNa-Na ChungGau-De Lin
電腦輔助設計三度空間真實表面數學模式於放射治療定位影像之應用/ 吳錦榕孫述平許文林阮昭銘
不同骨盆腔固定器在攝護腺癌三度空間立體順形放射治療技術之評估/ 賴朝宗劉裕明吳曉萍蕭正英李玉麟季匡華顏上惠
利用氣泡偵檢器量測醫用直線加速器光中子研究/ 林招膨林松彥朱鐵吉劉幕台張東浩黃昭源
放射治療機加值型網路劑量品質保證系統/ 劉雪君張淑瓊趙良曉李玉麟顏上惠
PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA-3 CASES REPORT/ Chi-Fu HungJyh-Der LeuChien-Ru Liu
ALVEOLAR SOFT PART SARCOMA: CLINICAL OUTCOME OF TWO PATIENTS AND REVIEW OF THE LITERATURE/ Helen H. W. ChenFen-Fen ChenWen-Tsung HuangLi-Li ChengHenry W. C. Leung
RADIOTHERAPY IS EFFECTIVE IN THE TREATMENT OF HEPATOCELLULAR CARCINOMA WITH RIGHT ATRIUM INVASION-REPORT OF A CASE/ Chih-Ping ChenYee ChaoChung-Pin LiMing-Yu LaiKwan-Hwa ChiSang-Hue YenFull-Young ChangShou-Dong Lee
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.