用常用办公软、硬件制作不规则挡铅方法研究.pdfVIP

雾 黪 }|嚣 ∥ 《誊 嚣磬I #； I f 距 ， =iUi‘；l●Ij 薯 一：】j：中国区寿设备 用常用办公软、硬件制作不规则挡铅方法研究 李贤富，柳弥，谭榜宪，滕德明，陈心容 (川北医学院附属医院 放疗中心， 四川 南充 637000) 【摘 要】目的探讨用常用办公用品等来制作不规则适形挡铅的方法、步骤。方法采用PC机、扫描仪、打印机、软件 Photoshop、精度inln级的直尺、手动热丝切割机等材料，首先调整热丝切割机的几何坐标系，使其与治疗机的射野几何坐标 系精确一致，然后扫描模拟定位片、用Photoshop缩放分别得到源轴距SAD处、源托距STD处的图像，按SAD处的图切割泡 模，得到阳模下端面与STD处图符合一致，最后浇注铅模，检验合格后应用于治疗。结果应用此方法制作的挡铅，能通过光 野验证、射野验证。结论 此方法成本低、准确、有效。值得不具备高端设备的放疗科采用。 【关键词】放射治疗；适形挡铅；photoshop软件 【中图分类号]11730．55 【文献标志码1B 【文章编号]1674—1633(2008)o6-oo85-o2 Study on Making Irregular Lead Block with Ordinary Of~ce Software and Hardware LI Xian-fu，LIU Mi，TAN Bang-xian，TENG De--ruing，CHEN Xin-rong (Radiotherapy Center of Hospital affiliated to Chuanbei Medical College，Nanehong Siehuan 637000，China) Abstract：Objective To search the steps and ways to make i~guhr conformal blocks with ordinary software and hardware．Me~ods Using PC，scanner，printer，ruler，hot-thread cutter，Photoshop，adjust hot-thread-cutter geometry parameters to be the same as those of Ireatment machine，and then$ean simulating X-ray film and handle hnages with Photoshop，print SAD inlage and STD image respectively and cut foam with high density according to SAD image．The lower end of foam must be fully conformal to STD image． Fmally，cast blocks with low-malting-point lead．The block Can be used in radiotherapy if it can pass the strict check．Results Th e lead model made by this way Can be tested by Ii and radiation fields．Conclusion This way of making blocks is low-exmt，accurate and efficient，so it Can be adopted by the department without ~vanced equipment of making blocks． Key words：radiotherapy；conformal block；photoshop so are 随着计算机技术，工程技术的不断前进，放疗技术也得 理软件、有软硬件接口的全自动切割机。准确输入源片距、 到很快发展，IMRT，IGRT，Conebemn CT等技术不断向前推 源托距等参数，调节好热丝温度等便能切割好高密度泡模， 进。但先进的技术设备需要很高的成本，如软硬件设备非常