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CT引导放射性125I粒子组织间永久植入治疗肿瘤专家共识

2017-04-18 中华医学会放射肿瘤学会 中华医学杂志,2017,97(15):1132-1139.

CT引导放射性125I粒子

放射性粒子组织间永久植入(简称粒子植入)治疗前列腺癌已经成为早期前列腺癌的标准治疗手段，美国癌症学会、泌尿学会、临床肿瘤学会、放射肿瘤学会、近距离学会和NCCN指南均作为标准进行普及和推广。由于前列腺癌粒子植入治疗采用经直肠超声引导，结合会阴部模板技术实现了前列腺内粒子空间精准三维分布，剂量高度适形，实现剂量提升，达到根治肿瘤目的。头颈、胸部、腹部和盆腔部位肿瘤由于受到骨结构、气体和器官运动影响，

中文标题：

CT引导放射性125I粒子组织间永久植入治疗肿瘤专家共识

发布机构：

中华医学会放射肿瘤学会

发布日期：

2017-04-18

简要介绍：

放射性粒子组织间永久植入(简称粒子植入)治疗前列腺癌已经成为早期前列腺癌的标准治疗手段，美国癌症学会、泌尿学会、临床肿瘤学会、放射肿瘤学会、近距离学会和NCCN指南均作为标准进行普及和推广。由于前列腺癌粒子植入治疗采用经直肠超声引导，结合会阴部模板技术实现了前列腺内粒子空间精准三维分布，剂量高度适形，实现剂量提升，达到根治肿瘤目的。头颈、胸部、腹部和盆腔部位肿瘤由于受到骨结构、气体和器官运动影响，很难通过超声技术实现术中图像采集、三维重建和指导粒子植入。2002年中国学者在国际上首次创造性地将CT引导技术全面引入粒子植入治疗领域，结合4D－CT扫描技术、打孔技术和固定针技术克服气体、骨结构和器官运动影响，建立起CT引导粒子植入治疗标准，大大提高了粒子植入治疗精度，拓宽了粒子治疗应用范畴，丰富和发展了粒子植入近距离治疗，发表了系列研究结果。而关于CT引导技术规范和标准目前尚没有系统研究和报道，本共识主要是对CT引导粒子植入技术流程进行论述，疗效和研究成果将伴随临床研究陆续报道。

 

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评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=237945, encodeId=4d5123e94546, content=粒子植入在中小城市并未盛起, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Mon Aug 28 08:21:12 CST 2017, time=2017-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236605, encodeId=526123660510, content=学习了.今后临床工作可对照参考., beContent=null, objectType=guider, channel=null, level=null, likeNumber=4, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230812/e93037ddfed9425fb0316dc3e904f2f4/870c0a4383ef42ef803173fea0339be3.jpg, createdBy=27ba1551982, createdName=huangzh898, createdTime=Thu Aug 24 09:15:48 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236580, encodeId=676c236580e4, content=指南指的好.工作脾气小, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Thu Aug 24 08:24:20 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236533, encodeId=9c1c236533de, content=学习了谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Aug 24 07:09:50 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236525, encodeId=5ddb23652595, content=内容丰富.值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Thu Aug 24 07:02:54 CST 2017, time=2017-08-24, status=1, ipAttribution=)]
    2017-08-28 187清风

    粒子植入在中小城市并未盛起

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=237945, encodeId=4d5123e94546, content=粒子植入在中小城市并未盛起, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Mon Aug 28 08:21:12 CST 2017, time=2017-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236605, encodeId=526123660510, content=学习了.今后临床工作可对照参考., beContent=null, objectType=guider, channel=null, level=null, likeNumber=4, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230812/e93037ddfed9425fb0316dc3e904f2f4/870c0a4383ef42ef803173fea0339be3.jpg, createdBy=27ba1551982, createdName=huangzh898, createdTime=Thu Aug 24 09:15:48 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236580, encodeId=676c236580e4, content=指南指的好.工作脾气小, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Thu Aug 24 08:24:20 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236533, encodeId=9c1c236533de, content=学习了谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Aug 24 07:09:50 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236525, encodeId=5ddb23652595, content=内容丰富.值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Thu Aug 24 07:02:54 CST 2017, time=2017-08-24, status=1, ipAttribution=)]
    2017-08-24 huangzh898

    学习了.今后临床工作可对照参考.

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=237945, encodeId=4d5123e94546, content=粒子植入在中小城市并未盛起, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Mon Aug 28 08:21:12 CST 2017, time=2017-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236605, encodeId=526123660510, content=学习了.今后临床工作可对照参考., beContent=null, objectType=guider, channel=null, level=null, likeNumber=4, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230812/e93037ddfed9425fb0316dc3e904f2f4/870c0a4383ef42ef803173fea0339be3.jpg, createdBy=27ba1551982, createdName=huangzh898, createdTime=Thu Aug 24 09:15:48 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236580, encodeId=676c236580e4, content=指南指的好.工作脾气小, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Thu Aug 24 08:24:20 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236533, encodeId=9c1c236533de, content=学习了谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Aug 24 07:09:50 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236525, encodeId=5ddb23652595, content=内容丰富.值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Thu Aug 24 07:02:54 CST 2017, time=2017-08-24, status=1, ipAttribution=)]
    2017-08-24 李东泽

    指南指的好.工作脾气小

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=237945, encodeId=4d5123e94546, content=粒子植入在中小城市并未盛起, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Mon Aug 28 08:21:12 CST 2017, time=2017-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236605, encodeId=526123660510, content=学习了.今后临床工作可对照参考., beContent=null, objectType=guider, channel=null, level=null, likeNumber=4, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230812/e93037ddfed9425fb0316dc3e904f2f4/870c0a4383ef42ef803173fea0339be3.jpg, createdBy=27ba1551982, createdName=huangzh898, createdTime=Thu Aug 24 09:15:48 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236580, encodeId=676c236580e4, content=指南指的好.工作脾气小, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Thu Aug 24 08:24:20 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236533, encodeId=9c1c236533de, content=学习了谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Aug 24 07:09:50 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236525, encodeId=5ddb23652595, content=内容丰富.值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Thu Aug 24 07:02:54 CST 2017, time=2017-08-24, status=1, ipAttribution=)]
    2017-08-24 刘煜

    学习了谢谢分享

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=237945, encodeId=4d5123e94546, content=粒子植入在中小城市并未盛起, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Mon Aug 28 08:21:12 CST 2017, time=2017-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236605, encodeId=526123660510, content=学习了.今后临床工作可对照参考., beContent=null, objectType=guider, channel=null, level=null, likeNumber=4, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20230812/e93037ddfed9425fb0316dc3e904f2f4/870c0a4383ef42ef803173fea0339be3.jpg, createdBy=27ba1551982, createdName=huangzh898, createdTime=Thu Aug 24 09:15:48 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236580, encodeId=676c236580e4, content=指南指的好.工作脾气小, beContent=null, objectType=guider, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Thu Aug 24 08:24:20 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236533, encodeId=9c1c236533de, content=学习了谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Aug 24 07:09:50 CST 2017, time=2017-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=236525, encodeId=5ddb23652595, content=内容丰富.值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Thu Aug 24 07:02:54 CST 2017, time=2017-08-24, status=1, ipAttribution=)]
    2017-08-24 忠诚向上

    内容丰富.值得学习

    0

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