乳腺癌改良根治术后CT模拟胸壁电子线照射的剂量学探讨.pdfVIP

肿瘤防治研究 2008 年第 35 卷第 9 期 6·71 · 乳腺癌改良根治术后 C T 模拟胸壁电子线 照射的剂量学探讨 曾子君 ,李伟雄 Dosimetry of Electronbeam Radiotherapy with Use of Computed Tomography ( CT) Based on Chest Wall f or Postmastectomy Patients ZEN G Zij un ,L I Weixiong D ep a rtment of R a d iot he rap y , Cance r Cente r , Guang dong P rov i nci al Peop le ’s H osp i t al , Guangz hou 5 10080 , Chi na ( ) Abstract :Objective 　 To evaluate t he do simetry of electron beam with t he use of computed tomograp hy CT based radiotherapy on chest wall for po stmastectomy patient s. Methods 　CT simulation was conducted for 20 breast cancer patient s having received electron beam chest wall irradiation after po stmastectomy , and digitizing reconstit ution of the image pictures from spiral CT equipment and outlining the clinical target volume (CTV) and organs at risks (OARs ) such as heart and lung , calculating their volume and expo sure do se ,were done by t he ( ) 3D treatment planning system TPS . The prescribed do se for chest wall was 5 000 c Gy . Results 　The maxi mum do se (Dmax) 、mean do se (D mean) and do se of 90 % CTV (D90) for the left breast cancer were (5 542 ± ) ( ) ( ) 279 c Gy 、4 809 ±116 c Gy and 4 526 ±239 c Gy respectively. The Dmean and percentage of volume receiving ( ) ( ) ( ) ( ) ( ) more than 20 Gy V20 and 10 Gy V 10 of left lung were 1 6 16 ±608 c Gy 、33 ±13 % and 44 ±16 % re spectively. The mean do se (Dmean) and volume receiving more than 30 Gy (V30) of heart were ( 1 008 ±457) ( )