CT引导下植入I放射粒子治疗鼻窦复发性恶性肿瘤.docVIP

CT引导下植入125I放射粒子治疗鼻窦复发性恶性肿瘤 ）Application Study of Sinuse recurrent tumor with embedment of I125 by CT guid WANG Qi-feng1,ZUO Tai-yang2,HU Xiao-kun2 1. Department of Radiology of Shandong Province Jinan City Pingyin Hospital,Shandong, 250400,P.R.China 2.Department of radiology,Qilu and Pingyi Union Hospital of Shan Dong College,Shandong 273300,P.R.China [Abstract] Objective discusses the CT guided implantation of 125I radioactive particles in treatment of paranasal sinus recurrent malignant tumor methods, efficacy, safety. Materials and methods 11 cases of maxillofacial recurrent malignant tumor patients, CT guided percutaneous implantation of 125I radioactive particles. Preoperative observation lesion contour, size, use of radioactive seed brachytherapy treatment planning system BI-TPSTM ( Brachy Interstitial-Therapy Planning System ), 125I radiation particle activity and dosage, prescription dose ( Prescribed Dose ) PD 110-140Gy, particle activity for 0.6-0.8mCi, immediate postoperative CT scan and efficacy of quality analysis and validation, regular follow-up CT decision analysis, curative effect. Results 11 cases of maxillofacial recurrent malignant tumor patients after operation respectively, 2 months, 4 months, 6 months, 12 months to review the CT, statistics for the local control rate, tumor was observed to change. In 11 cases of maxillofacial recurrent malignant tumor patients at 2 months, 4 months, 6 months, December local tumor control rate ( RR ) were: 100% ( 11 / 11 ), 100% ( 11 / 11 ), 90.9% ( 10 / 11 ), 81.8% ( 9 / 11 ); in 3 cases the implant site of destroyed bone appeared obvious ossification, accounted for 27.3% ( 3 / 11 ), 1 patients were implanted in June again supplementation for 9.1% ( 1 / 11 ). Treatment of 6 cases of skin pigmentation after January. Conclusion CT guided radioactive particle implantation in treatment of paranasal sinus 125I recurrent malignant tumor patients, method is simple, reliable curative effect, high safety, worthy o