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題 名 | 評估術後頭頸癌病患治療計畫安全範圍的差異性=Assessment Areatment Plan Safe Margins Differences of Post-operative Head and Neck Cancer Patients |
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作 者 | 林俊彥; 謝敏文; 吳卉蓁; 李俊德; 林佳生; 陳千惠; 張東杰; | 書刊名 | 中華放射線技術學雜誌 |
卷 期 | 38:4 2014.12[民103.12] |
頁 次 | 頁225-229 |
分類號 | 416.21 |
關鍵詞 | 治療計劃安全範圓; 再現性; 穩定性; 影像導引; Safe margin of treatment planning; Reproducibility; Stability image guide; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究評估手術後進行放射治療之頭頸部病人是否會因面容改變或疼痛不適而改變治療中定位之再現性與穩定性,進而影響原先設定的治療計劃安全範圍。自2012年1月到2012年9月收集手術後頭頸癌病患30位及未手術頭頸癌病患26位共兩組,採用頭頸模具固定與Rapid Arc治療方式。在每次治療前先進行影像導引修正擺位誤差,治療後再進行影像導引取像。收集到的資料,利用SPSS統計分析數據,並以Van Herk公式計算治療計劃安全範圍。比較手術後與未手術頭頸癌病患治療中心誤差。再現性分別為0.0±1.16mm、0.0±1.30mm(RL);0.0±1.28mm、0.0±1.44mm(CC);0.0±1.15mm、0.0±1.35mm(AP),P值均大於0.05;由Van Herk公式得知外擴安全範圍分別3.08mm、3.16mm(RL);4.05mm、3.95mm(CC);3.55mm、3.87mm(AP)。穩定性分別為0.0±1.03mm、0.0±1.03mm(RL);0.0±0.61、0.0±0.63mm(CC);0.0±0.55mm'0.0±0.62mm(AP),P值均大於0.05;外擴安全範圍分別為2.54、1.90mm(RL);0.80mm、0.97mm(CC);0.94mm、1.23mm(AP)。治療前的再現性與治療中的穩定性,在統計上都沒有太大的差異。頭頸癌的病患不會因為手術因素而影響治療時擺位的再現性與病患穩定性,也不會影響原來規劃的治療計劃安全範圖與治療準確性。 |
英文摘要 | The head and neck patients with operation will change the facial and feel pain during the radiation treatment. Due to the facial change or body weight loss will affect the reproducibility and stability, and moreover affect the safe margin of treatment planning. Between January 2012 and September 2012, total 56 patients were enrolled. 30 patients accepted the operation and the other 26 patients only accepted the VMAT therapy. Before the treatment, we use the image guide system to correct the set up error, after the treatment. We also use the image guide system to acquire the post-treatment position. All data were analyzed by SPSS system and used Van Herk to calculate the safe margin of treatment planning. To compare the set up error of the treatment center differences between the operative and non-operative patients. The reproducibility of operative and post-operative were 0.0±1.16mm, 0.0±1.30mm(RL); 0.0±1.28mm, 0.0±1.44mm(CC); 0.0±1.15mm, 0.0±1.35mm(AP), respectively (P> 0.05).Use the Van Herk to calculate the safe margin, the safe margin were 3.08mm; 3.16mm (RL); 4.05mm; 3.95mm (CC); 3.55mm; 3.87mm (AP), respectively. The stability were 0.0±1.03 mm, 0.0±1.03 mm(RL) ; 0.0±0.61, 0.0±0.63mm(CC) ; 0.0±0.55mm, 0.0±0.62 mm(AP), p >0.05. The safe margin were added 2.54, 1.90mm(RL); 0.80mm, 0.97mm(CC); 0.94mm, 1.23mm(AP). Our conclusion showed that there were no significant differences for the reproducibility and stability between the operative and non-operative patients. |
本系統中英文摘要資訊取自各篇刊載內容。