髓母细胞瘤的放射治疗课件.ppt

髓母细胞瘤的放射治疗;概述;临床表现;分级;治疗方案;放疗剂量;放疗技术;Craniospinal irradiation (CSI):methods;;Craniospinal irradiation (CSI):dose;23.4GyCSI的疗效;23.4GyCSI对智力的影响(POG-8631);CSI:cranial-spinal junction site;超分割放疗;SRT Boost to posterior fossa;放疗反应;甲低;认知障碍;;联合化疗;;手术+放/化疗;维持化疗对6岁以上低危组更有效； 新辅助化疗增加放疗的骨髓抑制从而延长治疗时间； M分期高/低龄儿预后差； 手术是否有残留对预后无明显影响。;手术+化疗--方案;手术+化疗--结果;影响预后的因素;On multivariate analysis, age 3 years, M0 status, 50 Gy PFB dose, radiotherapy treatment duration 50 days, and use of chemotherapy correlated with better freedom from progression and posterior fossa control rates.Protracted Radiotherapy Treatment Du