MOBETRON移动式电子束术中放疗系统.pptxVIP

The 2012 MOBETRON?MOBETRON ? 移动式电子束术中放疗系统NEW TREATMENT NEW HOPE肿瘤的综合治疗化学治疗手术治疗放射治疗肿瘤的综合治疗 据病人的机体状况、肿瘤的病理类型、侵犯范围（病期）和发展方向，有计划的、合理的应用现有的治疗手段，以期较大幅度的提高治愈率，改善病人的生活质量。放疗发展历程1980’s-1960’s-1990’s-2000’s-IMRTIGRT/IORT3D适形2D3D动态静态2D精确WHAT IS IOERT ?术中放疗的概念术中放疗（IOERT）简而言之就是在手术中切除恶性肿瘤组织后,对于早期肿瘤瘤床、非根除性肿瘤、可疑非根除性肿瘤或手术不能切除的肿瘤，术中给予肿瘤和残留病变及可能产生转移、复发部位一次性大剂量照射。 Intra-Operative Electron Beam Radiation Therapy (IOERT)术中放疗技术发展简史2000’s1960’s1930’s 1907术中放疗技术发展简史1980’sIOERT viewed as salvage therapy for advanced diseaseIOERT by patient transportationRapid Growth in IOERT centersConcept of IOERT as a “boost” introduced-combined with EBRT1960’s-1970’sIntroduced in JapanLarge single doses Only radiation treatmentFocused on GI tumors2000’sIOERT is now a “Precision” BoostFormation of ISIORT to conduct research and studiesEmergence of mobile IOERT technology that makes it possible to:Use IOERT in earlier stage diseaseConduct research into new sites of treatment1990’sIOERT is fully integrated with chemotherapy and EBRTImpressive results begin to emerge on IOERT’s ability to promote enhanced local controlThe MOBETRONThe MOBETRON最有效和高效的电子线直线加速器可灵活移动自我防护、无需任何额外的屏蔽多挡能量高剂量率（1000cGy/Min）定位准确适应症广泛适合在现有的常规手术室、走廊、电梯体积小、重量轻质控完善（QA）配套完整Can move the machine to the patient !The MOBETRON治疗单元控制单元The MOBETRONThe MOBETRON射线阻挡器（专利）The MOBETRON激光软到位对准装置（专利）The MOBETRON限光筒三种角度：0o 、 15o 、 30o 直径：3-10 cm（每0.5cm递增）The MOBETRON射野潜望镜The MOBETRON多档能量电子线：6/9/12 MeV等剂量曲线PDD曲线注：以上曲线测于中国医学科学院肿瘤医院The MOBETRON术中照射深度与范围早期或浅表肿瘤手术切除肿瘤后肿瘤瘤床非根除性肿瘤（保留部分组织生理功能）MOBETRON移动式电子束术中放疗系统：最大照射深度：4cm 照射范围：10cm*10cmThe MOBETRONPeking Union Hospital Beijing Tumor HospitalBeijing General HospitalThe MOBETRONBeijing Xuanwu HospitalPLA 307The MOBETRONShanghai Tumor HospitalRuijin Shanghai HospitalThe MOBETRONThe MOBETRONThe MOBETRONThe MOBETRONThe MOBETRONThe MOBETRONMOBETRON临床应用确定控制台位置设备移入手术室医生进行手术日常QA定位限光筒选择限光筒及填充物查看照射野用卡夹固定限光筒移动手术床或治疗头进行激光软到位对接完成激光软到位对接IORT 1 - 2 分钟输入照射剂量主要适应症直肠癌胰腺癌肢体肉瘤腹膜后肉瘤头部和颈部癌症妇科癌症乳腺癌肺癌肝胆肿瘤膀胱癌食管癌胃癌卵巢癌（淋巴结）间皮瘤小儿癌症（神经母细