癌症科学与治疗

深吸气屏气 (DIBH) 技术在降低左侧乳腺癌放射治疗心脏和肺部剂量风险方面优于自由呼吸 (FB)

Abstract

Arvind Kumar?Bhatt CP ? Rishabh Dobhal

??????????????????????????????????? PTV ???????????? OAR ????????

??? DIBH ???????????????????? DIBH ??????????????????? FB ?????????????????? DIBH ??????????????????????????????????DIBH ???????????? FB ?????DIBH ??????????????????????????????????????????????????????????

??????????????????? 10 ?????????7 MRM + 3 BCS??????????????? DIBH ?????Varian ? RPM ??????????????????? Varian Medical System??????????????????????????????????????????????? CT ????????????? (FB)???????????????? (DIBH)??? SOMATOM Sensation Open CT ??????????????????? CT ???

????? CT ???? TPS ?????? DIBH ??? FB ???????????? Eclipse V13.5 ?????????????????????????????3DCRT ? IMRT???DIBH ? FB???????????????? PTV ??????????????????? (LAD)??????????

??? DIBH??????????FB???69.375%??????????????????PTV???????DIBH????????????????

?????????????FB?DIBH????DIBH??????C/L???LAD??????????????DIBH?FB????????????DIBH??????????FB?????????PTV???????????????????