锥形束CT在肺癌精确放疗摆位中的临床应用研究的中期报告.docxVIP

锥形束CT在肺癌精确放疗摆位中的临床应用研究的中期报告 （Mid-term report on the clinical application of cone-beam CT in precise positioning of lung cancer radiotherapy） 摘要： 目的：研究锥形束CT在肺癌精确放疗摆位中的临床应用效果，探讨其在提高精确放疗治疗效果和降低放射性损伤方面的价值。方法：选取50例肺癌患者进行锥形束CT三维造影，采用电子线性加速器3D定位系统进行精确放疗。每个患者治疗前和治疗后进行锥形束CT扫描，对比定位误差及摆位调整次数，并对影响放疗精度的因素进行分析。结果：锥形束CT扫描能够清晰显示肺癌灶的位置、形态、大小和轮廓，比普通CT扫描更为准确。在治疗前进行锥形束CT扫描可以有效降低定位误差，根据扫描结果调整摆位能够有效提高放疗精度。治疗后的锥形束CT扫描可以及时发现并纠正放疗中的定位误差，避免放射性损伤。结论：锥形束CT在肺癌精确放疗摆位中具有重要的临床应用价值，能够提高放疗精度，减少放射性损伤。但需要进一步探讨其在不同病例和治疗方式中的应用效果和局限性。 Abstract: Objective: To study the clinical application of cone-beam CT in precise positioning of lung cancer radiotherapy, and explore its value in improving the treatment efficacy and reducing radiation injury. Methods: 50 lung cancer patients were selected for cone-beam CT 3D imaging and precise radiotherapy using an electron linear accelerator 3D positioning system. Cone-beam CT scans were performed before and after treatment for each patient, and the positioning errors and adjustment times were compared, and the factors affecting the accuracy of radiotherapy were analyzed. Results: Cone-beam CT scanning can clearly show the position, morphology, size and outline of the lung cancer lesion, which is more accurate than ordinary CT scanning. Cone-beam CT scanning before treatment can effectively reduce positioning errors, and adjusting the position based on the scanning results can effectively improve the accuracy of radiotherapy. Cone-beam CT scanning after treatment can timely detect and correct positioning errors during radiotherapy to avoid radiation damage. Conclusion: Cone-beam CT has important clinical application value in the precise positioning of lung cancer radiotherapy, which can improve the accuracy of radiotherapy and reduce radiation injury. However, further exploration is needed for its application efficacy and limitations in different cases and treatment methods.