CT_MRI融合图像在盆腔肿瘤放疗靶区勾画中的应用.pdf

术 Y 技 G O 像 L 影 O N CT/MRI融合图像 床 H 临 C E T G 在盆腔肿瘤放疗靶区勾画中的应用 N I G A Application of CT/MRI Image Fusion in the Delineating of the Gross M I L Tumor Target Volumes in the Radiotherapy for Pelvic Cavity Tumor A C I N I L C a a b b 张海南，汤日杰，张书旭，蔡霜 [摘 要] 目的 探讨 CT/MRI 融合图像在中老年盆腔肿瘤放疗靶区(GTV)勾画中的应用价值。方法 广州医学院附属肿瘤医院 a. 放射科；b. 19例盆腔肿瘤患者均在1周内分别进行CT、MRI异机非同步扫描。全部CT和MRI图像手工配准 放疗中心，广东 广州 510095 后传送至飞利浦公司的 PINNACLE V8.0放射治疗计划系统，并进行图像融合。由有经验的放 疗科医师对CT靶区、MRI靶区及CT与MR融合图像肿瘤靶区(GTV)进行勾画及评价分析。结果 GTVFUSION相对GTVCT提高了6.29％、相对GTVMRI提高了11.84％，融合图像对GTV的勾画明 显优于单独CT图像或MRI图像。结论 CT/MRI图像融合技术有利于盆腔肿瘤靶区的确定，提高 了临床对盆腔肿瘤靶区(GTV)勾画的准确率，利于患者的诊治。 [关键词] MRI；CT；图像融合；靶区勾画；盆腔肿瘤放疗 Abstract: Objective To study the value of application of CT/MRI image fusion in the delineating of the gross tumor target volumes in the radiotherapy for pelvic tumor in the middle-aged and elderly patients. Methods Nineteen patients suffering from pelvic tumor underwent CT and MRI examination within one week.All CT and MRI images were manually transported to the Nucletron PLATO Radiation Treatment Planning System(V 8.0, Philips medical corporation), and CT/MRI images were processed for image fusion.The experienced radiotherapeutic physicians delineated and analyzed the target volume of CT