作者单位
摘要
遵义市肿瘤临床医学中心 遵义市第一人民医院(遵义医科大学第三附属医院)放疗中心遵义 563099
研究动态调强放疗方式下多叶准直器角度改变对左侧全乳大分割放疗内侧、中间和外侧瘤床同期推量的剂量学影响。选取2018年01月至2023年01月间于遵义第一人民医院收治的左侧乳腺癌保乳术后行全乳大分割放疗瘤床同期推量患者60例,按瘤床位置分为内侧、中间和外侧3组,分别对比各组患者多叶准直器角度改变的放疗计划(标记为Plan-A)与多叶准直器角度为0°的原放疗计划(标记为Plan-O)的靶区、心肺剂量学参数差异。结果显示:3组患者的Plan-A较Plan-O,靶区处方覆盖(V处方(%))、适形度指数(Conformity Index,CI)和均匀性指数(Homogeneity Index,HI)均无显著差异;在内侧组采用Plan-A相较于Plan-O,左肺(V5V10Dmean)、心脏(V8Dmean)和冠状动脉左前降支(LAD)(DmaxDmean)均降低,差异有统计学意义(p<0.05);同时Plan-A较Plan-O,在中间和外侧组中仅外侧组LAD(DmaxDmean)明显减小(p<0.05),其余心肺受量参数均无显著差异。准直器角度改变对左侧全乳大分割放疗瘤床推量靶区剂量学参数无明显影响,但能使内侧组患者的心肺受量较原放疗计划明显减小,故对于左侧大分割单纯全乳放疗内侧瘤床制定放疗计划建议选择改变多叶准直器角度。
乳腺癌 多叶准直器 大分割放疗 瘤床位置 剂量学 Breast cancer Multi-leaf collimator Hypofractionated radiotherapy Tumor bed location Dosimetry 
辐射研究与辐射工艺学报
2023, 41(4): 040302
作者单位
摘要
甘肃省人民医院放疗科兰州 730000
使用Varian Edge直线加速器治疗长尺寸肿瘤的宫颈癌患者,比较新设计的计划(NewPlan)和治疗计划系统(Treatment planning system,TPS)自动生成双中心添加射野的计划(AutoPlan),探讨二者剂量学差异,寻求更有益的治疗方式。根据加速器多叶光栅准直器的特点,回顾分析11例同步加量容积旋转调强放疗(Volumetric modulated arc therapy,VMAT)的宫颈癌治疗计划,基于Eclipse 13.6.23版本的计划系统,用SPSS 19.0 统计软件分析数据,GraphPad prism 9.0软件绘制统计图,分析NewPlan与常规AutoPlan计划中计划靶区和危及器官的剂量分布差异。结果表明:两种方案均满足剂量学指标要求。高剂量区域PGTVnd的D98%D50%Dmean、靶区覆盖率(Target coverage,TC)和均匀性指数(Heterogeneity index,HI)有明显差异(p<0.05);靶区CTV差异没有统计学意义(p>0.05);计划靶区PTV的D2%D98%D50%Dmean和HI有明显差异(p<0.05)。膀胱和直肠的DmeanV30V40差异均有统计学意义(p<0.05),与AutoPlan对比,NewPlan中膀胱和直肠在受照相同剂量下所占的体积百分比更低。双侧股骨头和小肠的各项指标差异无统计学意义(p>0.05)。比较两计划得知,NewPlan能够减少靶区内的冷点和热点,提高肿瘤区域的治疗剂量,降低危及器官受量,有利于提升疗效。基于Varian Edge加速器治疗长尺寸肿瘤患者的NewPlan设计方案是可行的。
同步加量调强放射治疗 宫颈癌 治疗计划系统 剂量学 容积旋转调强放疗 Simultaneous modulated accelerated radiotherapy Cervical cancer Treatment planning system Dosimetry Volumetric modulated arc therapy 
辐射研究与辐射工艺学报
2022, 40(5): 050304
Author Affiliations
Abstract
1 RMIT Centre for Additive Manufacture, School of Engineering, RMIT University, Melbourne, Australia
2 Physical Sciences Department, Peter MacCallum Cancer Centre, Melbourne, Australia
3 ARC Industrial Transformation Training Centre in Additive Biomanufacturing, Queensland University of Technology, Brisbane, Australia
4 Centre for Medical Radiation Physics, University of Wollongong, Wollongong Australia
The additive manufacturing (AM) process plays an important role in enabling cross-disciplinary research in engineering and personalised medicine. Commercially available clinical tools currently utilised in radiotherapy are typically based on traditional manufacturing processes, often leading to non-conformal geometries, time-consuming manufacturing process and high costs. An emerging application explores the design and development of patient-specific clinical tools using AM to optimise treatment outcomes among cancer patients receiving radiation therapy. In this review, we: 1)? highlight the key advantages of AM in radiotherapy where rapid prototyping allows for patient-specific manufacture 2) explore common clinical workflows involving radiotherapy tools such as bolus, compensators, anthropomorphic phantoms, immobilisers, and brachytherapy moulds; 3) investigate how current AM processes are exploited by researchers to achieve patient tissuelike imaging and dose attenuations. Finally, significant AM research opportunities in this space are highlighted for their future advancements in radiotherapy for diagnostic and clinical research applications.
additive manufacturing radiotherapy tools dosimetry EBRT patient-specific cancer treatment quality assurance 
International Journal of Extreme Manufacturing
2020, 2(1): 012003
作者单位
摘要
Centre for Medical Radiation Physics, University of Wollongong, Wollongong NSW 2522, Australia
fiber-optic dosimetry scintillators X-ray Cherenkov radiation cancer therapy microbeam radiation therapy (MRT) 
Frontiers of Optoelectronics
2018, 11(1): 0123
Author Affiliations
Abstract
1 Faculty of Mathematics and Physics Department of Chemical Physics and Optics Charles University in Prague Ke Karlovu 3, 12116 Praha 2, Czech Republic
2 Third Faculty of Medicine Department of Normal, Pathological and Clinical Physiology Charles University in Prague Ke Karlovu 4, 12000 Praha 2, Czech Republic
The time- and spectral-resolved set-up for measurements of weak infrared luminescence of photosensitizers (PSs) and singlet oxygen using optical lightguides was used on skin of laboratory animals in vivo. Wistar rats with abdominal incisions treated by methylis aminolevulinitis (MAL) were used as a model. A control group of animals with abdominal incisions was also tested. Spectrally resolved fluorescence of the PS was acquired during the treatment from the same spot. The intensity and spectral profile of the fluorescence signal from the skin can be used to guide the detection setup to the investigated spots in the lesion. The rate of bleaching of Protoporphyrin IX band and appearance of a band of its photoproducts during the treatment can be characterized by the exposition ED, under which the latter becomes dominant feature in fluorescence spectrum. ED value differs statistically significantly between the normal skin and the lesion treated by MAL. No direct proportionality was found between the fluorescence signal and singlet oxygen production. Nevertheless, the strong fluorescence signal is necessary but not a sufficient condition for higher singlet oxygen production in vivo. ED value correlates rather well with production of singlet oxygen, but differently in lesion and normal skin. Lifetimes of singlet oxygen differ between spots outside and in the lesion. PS triplet state lifetimes exhibit weak difference between spots treated and untreated by MAL.
PDT dosimetry singlet oxygen Protoporphyrin IX time-resolved luminescence photodiagnosis 
Journal of Innovative Optical Health Sciences
2015, 8(6): 1550037
Author Affiliations
Abstract
1 Department of Medical Biophysics niversity of Toronto/University Health Network Toronto, Ontario M5G 1L7, Canada
2 Juravinski Cancer Centre and McMaster University Hamilton, Ontario L8V 5C2, Canada
3 MOE Key Laboratory of OptoElectronic Science and Technology for Medicine Fujian Provincial Key Laboratory for Photonics Technology Fujian Normal University, Fuzhou, Fujian 350007, P. R. China
Excited-state singlet oxygen (1O2), generated during photodynamic therapy (PDT), is believed to be the primary cytotoxic agent with a number of clinically approved photosensitizers. Its relative concentration in cells or tissues can be measured directly through its near-infrared (NIR) luminescence emission, which has correlated well with in vitro cell and in vivo normal skin treatment responses. Here, its correlation with the response of tumor tissue in vivo is examined, using the photosensitizer meso-tetrahydroxyphenylchlorin (mTHPC) in an animal model comprising luciferase- and green fluorescent protein (GFP)-transduced gliosarcoma grown in a dorsal window chamber. The change in the bioluminescence signal, imaged pretreatment and at 2, 5 and 9 d post treatment, was used as a quantitative measure of the tumor response, which was classified in individual tumors as \non", \moderate" and \strong" in order to reduce the variance in the data. Plotting the bioluminescence-based response vs the 1O2 counts demonstrated clear correlation, indicating that 1O2 luminescence provides a valid dosimetric technique for PDT in tumor tissue.
Photodynamic therapy singlet oxygen luminescence dosimetry bioluminescence 
Journal of Innovative Optical Health Sciences
2015, 8(1): 1540006
作者单位
摘要
1 陕西学前师范学院物理与电子技术系, 陕西西安710100
2 中国科学院上海光学精密机械研究所强激光材料重点实验室, 上海201800
3 中山大学物理科学与工程技术学院, 广东广州510275
采用中频感应提拉法生长了高光学质量的YAP:Cu(原子数分数为0.5%)单晶,使用RisFTL/OSL-DA-15型热释光(TL)和光释光(OSL)仪系统研究了其TL 性能。研究结果表明:YAP:Cu单晶存在431K和482K两个热释光峰,482K处为主发光峰;TL峰位置不随辐照剂量的变化而变化,显示其为一级动力学峰;YAP:Cu单晶的TL 辐射剂量响应在10-5-102Gy范围内呈较好的线性关系。YAP:Cu晶体是一种TL性能优良并具有潜在应用价值的电离辐射剂量计材料。
材料 YAP:Cu单晶 热释光 剂量响应 剂量计 
激光与光电子学进展
2014, 51(9): 091605
作者单位
摘要
1 南京航空航天大学 核科学与工程系, 南京 210016
2 兰州大学 核科学与技术学院, 兰州 730000
针对空间辐射环境进行了理论分析,并使用蒙特卡罗方法,对银河宇宙射线及典型太阳质子事件进行了模拟。通过分析常规屏蔽对空间辐射场及人体剂量的影响、屏蔽下的次级粒子产额等,验证了蒙特卡罗工具包Geant4应用于空间辐射防护研究的准确性。模拟发现: 在常规屏蔽厚度的情况下,对于太阳质子事件,由于其能量主要分布在低能量段(100 MeV以下),屏蔽效果随屏蔽厚度的增加明显增大,1 g/cm2 Al等效厚度屏蔽皮肤剂量可降低至其初始剂量值的8%左右,10 g/cm2 Al等效厚度的屏蔽可降低至初始剂量值的048%左右; 而对于银河宇宙射线,由于其平均能量较高,屏蔽层的屏蔽作用并不明显,在浅层组织剂量甚至有所增加。
空间辐射 能谱分布 蒙特卡罗方法 次级粒子 人体剂量 space radiation spectrum distribution Monte Carlo method secondary particle human dosimetry 
强激光与粒子束
2012, 24(12): 3028
作者单位
摘要
福建师范大学激光与光电子技术研究所, 福建省光子技术重点实验室,医学光电科学与技术教育部重点实验室, 福建 福州 350007
回顾了“激光钻”的发展历程,归纳总结了牙硬组织的光学性质及牙硬组织与激光的相互作用方式和机制,综述了激光在牙釉质、牙本质、牙结石和牙槽骨等硬组织上的应用研究动态和最新进展,并对其存在的问题及发展趋势进行了探讨。分析表明:硬组织激光消融技术在牙科存在广阔的应用前景。
医用光学 消融光学 激光牙科 牙硬组织 光剂量学 窝洞制备 
激光与光电子学进展
2012, 49(10): 100005
作者单位
摘要
1 福建师范大学医学光电信息科学与技术教育部重点实验室, 福建省光子技术重点实验室, 福建 福州 350007
2 科罗拉多大学放射肿瘤系, 科罗拉多 80045
单态氧(1O2)是光动力学疗法(photodynamic therapy, PDT)过程中II型光化学反应的主要细胞毒性物质。通过直接测量1O2发光强度预测PDT疗效已成为PDT剂量学研究的前沿热点, 这种方法的最大优点在于能够克服现有其它剂量学方法中的光、光敏剂、氧分子, 以及组织光学特性等因素之间的复杂相互影响, 将PDT的疗效与1O2的产量直接关联起来。本文简述了PDT中1O2的产生机理、及其发光特性和检测技术, 比较和分析了1O2在不同溶剂体系中的寿命。重点总结了PDT-1O2剂量学在离体细胞、活体动物模型和临床前实验的最新研究进展, 并探讨了PDT-1O2剂量学所面临的主要技术挑战和今后的发展趋势。
光动力学疗法 单态氧 剂量学 发光 检测 寿命 photodynamic therapy singlet oxygen dosimetry luminescence detection lifetime 
激光生物学报
2011, 20(1): 134

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