an x-knife treatment planning error analysis（一个x-knife治疗计划误差分析）.docVIP

An X-knife treatment planning error Analysis Author: Zhao goods Ting Liang Jun Shao Qiuju Qi Yuhong [Keywords:] stereotactic conformal radiation therapy, error, analysis 0 Introduction Stereotactic radiation therapy (stereotactic radiotherapy, SRT as one of the most advanced and important way in cancer therapy has been popularized. Compared with conventional radiotherapy, X-knife as a precision radiotherapy techniques, with high precision, high-dose characteristics of high efficacy, so as to prevent errors is very important. now discovered an error in the process of implementation of SRT reported below for the draw. 1 Materials and methods 1.1 Materials 200 401/2006, 05, Fourth Military Medical University, Tang Du Hospital, Radiation Oncology, 372 cases were treated cancer patients with X-knife treatment plan, including head and neck cancer 148 cases, 113 cases of thoracic tumors, 51 cases of abdominal tumors, 60 cases of pelvic tumors. application of Nuclear Power Institute of the production of HMD IB radiotherapy simulator. Various parameters of the the 1.2X knife treatment plan, the authentication method of the radiation field center ① test and calibration of radiation therapy in the HMD the IB simulator under the premise of removing simulator machine and treatment by linear accelerator system error, ② the X-knife treatment bed placed radiation therapy simulator machine bed, in accordance with the treatment planning of patients with X  knife radiation field parameters, the laser light position, the ③ observed X-Knife treatment plan radiation field center with the patient the actual center consistent in different parts of cancer patients supplemented with different conditions to ensure that more accurately determine the actual center, For example, esophageal cancer, gastric cancer patients swallow barium, bladder through the catheter to inject 600 g / L, diatrizoate, and some abdominal or pelvic tumor anatomical landmarks reference to d