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TOMO、射波刀、伽玛刀等放疗技术比较及实际使用交流贴

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295068 158 老马 发表于 2012-2-25 09:14:05 |
祈福心愿  小学六年级 发表于 2012-8-26 00:21:21 | 显示全部楼层 来自: 广东潮州

: i# p4 `) Y! J  {+ A9 a弱弱的问老马,有适合巨型的放疗么
lostm  高中二年级 发表于 2012-9-17 21:34:26 | 显示全部楼层 来自: 上海
乏血供HCC,gamma刀后二月复查MRI提示肿瘤进展,此期二月未采用其它治疗手段(只吃保肝药)。
鬼城军人  初中一年级 发表于 2012-10-7 15:55:09 | 显示全部楼层 来自: 吉林长春
沈阳军区总医院也有一台TOMO啦,我就是做的这个,效果还是不错的
wurong_zju  小学六年级 发表于 2012-10-19 15:09:41 | 显示全部楼层 来自: 上海
本帖最后由 wurong_zju 于 2012-10-22 09:52 编辑
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请问各位,恶性间皮瘤可不可以作放疗?Tomo, 射波,伽玛那种合适些?
平安!  退休老干部 发表于 2012-11-8 00:38:30 | 显示全部楼层 来自: 湖南长沙
脑部放疗,上午比下午敏感许多!
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% p3 ]1 S) I1 a1 ^& B3 i) PCancer 2011 Jan 15;117(2):414-20. doi: 10.1002/cncr.25423. Epub 2010 Sep 9.
% t) y9 D7 E  I4 ~1 RGamma knife radiosurgery for brain metastasis of nonsmall cell lung cancer: is there a difference in outcome between morning and afternoon treatment?
6 K, v, a1 d" Y! `8 u5 @Rahn DA 3rd, Ray DK, Schlesinger DJ, Steiner L, Sheehan JP, O'Quigley JM, Rich T.
0 @9 A, x, d1 X, CSourceDepartment of Radiation Oncology, University of Virginia Health Sciences Center, Charlottesville, Virginia 22908, USA.
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3 e9 I! ?; r( Y+ C  }, O' \) \Abstract5 K* U+ D  x  R" S$ {. {' j
BACKGROUND: Circadian cell-cycle progression causes fluctuating radiosensitivity in many tissues, which could affect clinical outcomes. The purpose of this study was to determine whether outcomes of single-session gamma knife radiosurgery (GKRS) for metastatic nonsmall cell lung cancer (NSCLC) differ based on treatment time.3 e1 A5 _9 }7 ?- x4 s+ h# q

4 w8 t/ E& w( E7 q' y8 }5 m5 gMETHODS: Fifty-eight patients received GKRS between 10:00 am and 12:30 pm and 39 patients received GKRS between 12:30 pm and 3:00 pm. The mean peripheral dose was 18.6 Gy. The mean tumor size was 7.3 cm³. Magnetic resonance imaging was used to score local control at 3 months. Cause of death (COD) was categorized as central nervous system (CNS)-related or systemic.5 o4 ^* U% S. y& r
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RESULTS: Demographic and disease characteristics of the 2 groups were similar. Local control at 3 months was achieved in 97% (35/36) of patients who underwent GKRS early in the day versus 67% (8/12) of patients who underwent GKRS later in the day (chi-square, P = .014). Early GKRS was associated with better survival (median 9.5 months) than late GKRS (median 5 months) (Kaplan-Meier log-rank test, P = .025). Factors contributing to better survival in a Cox regression model included early treatment time (P = .004) and recursive partition analysis class (P < .001). Cause of death in the early treatment group was CNS-related in 6% (3/47) of patients versus 24% (8/34) of patients in the late treatment group (chi-square test, P = .026).
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CONCLUSIONS: GKRS for metastatic NSCLC had better local control, better survival, and a lower rate of CNS-related cause of death when given earlier in the day versus later in the day. These retrospective data should encourage future study in brain radiosurgery and non-CNS stereotactic body radiotherapy series.
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KIRA  小学六年级 发表于 2012-11-22 01:35:32 | 显示全部楼层 来自: 江苏南京
常弓 发表于 2012-8-21 20:18
  Y) J* a: j: |: o0 U我们打算做伽马刀

; Y4 P0 w* Z! _0 B4 S: J% W千万不要做伽马刀,这已经是几乎被淘汰的技术,我父亲治病时候两个病友,肺转移,都是做完伽马刀以后病情恶化很快就走了,一定要做放疗,建议做射波刀和TOMO,虽然价格相对伽马刀高昂很多,但无论从疗效精确度还是病人的副反应来说,都远胜伽马刀
前世今生  高中三年级 发表于 2012-11-25 17:40:15 | 显示全部楼层 来自: 新疆乌鲁木齐
我本人于2011年6月,因为头部核磁观察,原有疑似单发病灶有水肿,医生建议做头部X刀治疗,做一个头部面部磨具,当时是两天做一次,我一共照射了五次,没有任何不适感觉,治疗后至今稳定,我本人考虑头部或许不是转移病灶。
学无止境 积极治疗QQ1711938319 患者群48752655
jkzx703  初中二年级 发表于 2012-12-6 09:39:45 | 显示全部楼层 来自: 江苏南京
前世今生 发表于 2012-11-25 17:40
3 S2 C- X/ M( [; {. B% I我本人于2011年6月,因为头部核磁观察,原有疑似单发病灶有水肿,医生建议做头部X刀治疗,做一个头部面部磨 ...

% E5 U5 S' q" E( p0 q& k0 D: j) G照肿瘤病人的治疗规律,不管怎样,稳定就好,也不去管是否误诊了,这也是我们的悲哀
相信自己、相信老公!
啊风。。  小学六年级 发表于 2013-3-22 12:39:18 | 显示全部楼层 来自: 浙江金华
我刚做了伽马刀不久现状况还好
啊风。。  小学六年级 发表于 2013-3-22 12:52:01 | 显示全部楼层 来自: 浙江金华
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