宫颈癌放疗腰围变化与两种体位的相关性研究

Abstract
Figure/Table
References (18)
Related Citation (4)

Download: PDF (0 KB) HTML (40 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the correlation between the changes of waistline and set-up errors of two kinds of immobilization methods in cervical cancer radiotherapy.Methods A total of 60 patients with cervical cancer who received radiotherapy in the First Affiliated Hospital, Sun Yat-sen University from June to December 2019 were retrospectively selected and divided into group A and group B according to the supine or prone position, with 30 cases in each group.Cone beam CT (CBCT) was performed once a week.The set-up errors of translation, rotation and waistline were recorded offline, and the correlation between the changes of waistline and set-up errors were calculated.Results The translation errors of X, Y and Z directions in group A were (-0.5±2.7), (-0.1±3.2), (-0.4±2.5) mm, and (-0.2±3.0),(-0.2±4.0), (2.0±4.1) mm in group B; the rotation errors of Rx, Ry and Rz in group A were (-0.6±2.2), (-0.2±0.8), (0.1±0.8)°, and (0.5±2.3), (-0.2±1.3), (0.5±0.9)° in group B.In Z, Rx and Rz directions, the difference between two groups was statistically significant (P＜0.05).The change of waistline △C in group A and B was (-2.3±2.7) and (-1.4±2.0) cm respectively, the difference between two groups was statistically significant (P＜0.05).There was a negative correlation between error of Z direction in group B and change of waistline △C (r=-0.618, P＜0.05).Conclusion In the supine position of cervical cancer radiotherapy, the repeatability is better, but the change of waistline will lead to serious adverse reactions.In the prone position, the protection of small bowel is better, but the change of waistline has a greater impact on the accuracy of Z direction.In clinic, the change of waistline should be paid attention and intervention of bladder filling and weight should be taken if necessary.

Key words： Immobilization technique Set-up error Cervical neoplasms Radiotherapy Waistline

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHONG Jia-jian
	QIU Min-min
	LIN Ze-huang
	HUANG Tai-ming
	MIN Meng-zhen
	XIAO Zhen-hua
	DENG Yong-jin

Cite this article:

ZHONG Jia-jian,QIU Min-min,LIN Ze-huang, et al. Study on the correlation between the changes of waistline and two kinds of immobilization methods in cervical cancer radiotherapy[J]. 中国当代医药, 2021, 28(10): 159-162.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I10/159

[1]	陈真云，李秀敏，盛修贵，等.子宫颈癌术后辅助性放疗不同照射技术临床比较研究[J].中华肿瘤防治杂志，2017，24（11）：759-765.
[4]	陈唐庚，陈玲玲，陈丽清，等.宫颈癌患者调强放疗个体化饮水量及膀胱充盈训练[J].护理学杂志，2018，33（16）：27-29.
[5]	张蔚，许青，柯桂好，等.术前术后宫颈癌膀胱充盈度一致性在调强放疗中对靶区及危及器官重要性研究[J].中华放射肿瘤学杂志，2019，28（6）：438-441.
[6]	周晖，彭永排，俞进，等.《2014年NCCN 宫颈癌临床实践指南》解读[J].实用妇产科杂志，2014，30（6）：422-425.
[2]	Wang S，Shan S，Chen J，et al.Dosimetric Effects of Bladder Filling Volume on Small Bowel in Intensity-Modulated Radiation Therapy Treatment Planning of External Beam Radiation Therapy for Cervical Cancer[J].Int J Radiat Oncol，2017，99（2）：E644.
[3]	Stromberger C，Kom Y，Kawgan-Kagan M，et al.Intensity-Modulated Radiotherapy in Patients with Cervical Cancer.An intra-individual Comparison of Prone and Supine Positioning[J].Radiat Oncol，2010，5：63.
[7]	何月岚，王岳梅，高其能.调强放射治疗宫颈癌中摆位误差对器官剂量及靶区影响研究[J].浙江医学教育，2018，17（5）：58-60.
[8]	高丽娟，黄嘉敏，黄峻，等.Orfit 架和真空袋对宫颈癌放疗摆位误差比较[J].中华放射肿瘤学杂志，2017，26（9）：1080-1083.
[9]	Boda-Heggemann J，Lohr F，Wenz F，et al.KV cone-beam CT-based IGRT：a clinical review[J].Strahlenther Onkol，2011，187（5）：284-291.
[10]	袁红琴，兰胜民.宫颈癌患者膀胱充盈状态对子宫位置的影响[J].世界最新医学信息文摘（电子版），2016，16（48）：10-11.
[11]	王亮和，陈军.宫颈癌患者膀胱充盈度一致性对模拟机位置验证的影响[J].生物医学工程与临床，2019，23（6）：653-656.
[12]	杨海松，聂晓历，刘利彬，等.不同匹配方式对宫颈癌图像引导放射治疗摆位误差的影响[J].福建医药杂志，2012，34（2）：103-105.
[13]	陈文娟，江楠，倪晓雷，等.宫颈癌图像引导下调强放疗中危及器官变化对靶区的影响[J].中国癌症防治杂志，2018，10（2）：109-113.
[14]	芦莹，张海亮，安俊铉，等.宫颈癌IMRT 中膀胱充盈一致性研究[J].中华放射肿瘤学杂志，2018，27（9）：814-817.
[15]	方临明，颜桂明，张飞燕，等.宫颈癌放疗患者体重指数变化对摆位误差的影响[J].中国现代医生，2018，56（8）：28-31.
[16]	Weiss E，Richter S，Hess CF.Radiation therapy of the pelvic and paraaortic lymph nodes in cervical carcinoma：a prospective three-dimensional analysis of patient positioning and treatment technique[J].Radiother Oncol，2003，68（1）：41-49.
[17]	Chen VE，Gillespie EF，Manger RP，et al.The impact of daily bladder filling on small bowel dose for intensity modulated radiation therapy for cervical cancer[J].Med Dosim，2019，44（2）：102-106.
[18]	付庆国，邓烨，杨海明，等.膀胱充盈度对宫颈癌术后放疗靶区照射剂量的影响[J].中国肿瘤临床与康复，2015，22（2）：167-169.