利用T模拟机复位对比分析宫颈癌IMRT两种体位固定方式误差.docVIP

利用CT模拟机复位对比分析宫颈癌IMRT两种体位固定方式误差 湖南省肿瘤医院/屮南人学湘雅医学院附属肿瘤医院放疗屮心湖南长沙 410013 】目的：利用CT模拟机对比分析宫颈癌调强放射治疗俯卧位与仰卧位 的复位误差。方法：选取宫颈癌行根治术IMRT患者40例，随机分成两组，采 取俯卧位方式20例，仰卧位方式20例。通过CT复位，采取骨性标志匹配方式 分析两种体位的复位误差。结果：俯卧位患者复位误差在X (左右)丫(头脚)Z (腹背)轴方向上分别为(0.20plusmn;1.95) mm、(-0.72plusmn;1.96) mm、 (-2.14plusmn;1.99) mm,仰卧位患者复位误差在X、Y、Z轴方向上分别为 (-0.46plusmn;1.21) mm、(0.10plusmn;1.01) mm、(0.17plusmn;1.14) mm。 对两种体位在X、Y、Z三个方向上进行比较，X、Y轴方向上的差异无统计学意 义(Pgt;0.05), Z轴方向上的差异有统计学意义(Plt;0.01)o结论:从体位复 位重复性方面考虑，仰卧位明显优于俯卧位。 关键词】宫颈癌；IMRT; CT复位；体位固定；复位误差 Comparative Analysis of errors in two kinds of body position fixing methods for cervical cancer IMRT Xiao You-li Ni Qian-xi Zhang Jiu-tang (Hunan Cancer Hospital amp;The Affiliated Cancel Hospital of Xiangya School of Medicine，Central South University, Changsha, Hunan Province 410013) [Abstract]Purpose： To investigate the treatment Position-validation of prone position and supine position IMRT in cervical cancer.Method： 40 cases of IMRT patients with cervical cancer underwent radical operation, Randomly divided into two groups, 20 cases take the prone position, 20 cases take the supine position.Verify position by CT.Analysis of the two kinds of position error.Result： Reset errors of Patients in prone position in X (left and right), Y (head and foot), Z (front and back) axis are (0.20plusmn;1.95) mm, (-0.72plusmn;1.96) mm, (-2.14plusmn;1.99) mm； Reset errors of Patients in supine position in three-dimensional are (-0.46plusmn;1.21) mm, (0.10plusmn;1.01) mm, (0.17plusmn;1.14) mm.The comparison of two different positions in X，丫 and Z was carried out in three directions, There was no significant difference in the axial direction of X and Y (Pgt;0.05), There were statistically significant differences in the direction of Z (Plt;O.Ol) .Conclusion： From the aspect of body position repeatability, The supine position is superior. [Key words]cervical carcinoma； IMRT； position verification by CT； Postural fixation； errors. 放射治疗在宫颈癌(Cervical cancer)的治疗中占存重要的地位，而 近年来调强放射治疗(