国际肿瘤学杂志››2022,Vol. 49››Issue (12): 705-710.doi:10.3760/cma.j.cn371439-20220725-00139
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中华医学会数字医学分会, 重庆市医学会放射肿瘤治疗学专业委员会, 重庆市中西医结合学会肿瘤放疗专业委员会, 重庆市抗癌协会肿瘤放疗专业委员会
收稿日期:2022-07-25修回日期:2022-09-22出版日期:2022-12-08发布日期:2023-01-05通讯作者:中华医学会数字医学分会基金资助:
Received:2022-07-25Revised:2022-09-22Online:2022-12-08Published:2023-01-05中华医学会数字医学分会, 重庆市医学会放射肿瘤治疗学专业委员会, 重庆市中西医结合学会肿瘤放疗专业委员会, 重庆市抗癌协会肿瘤放疗专业委员会. 鼻咽癌调强放疗靶区勾画重庆共识之原发灶与靶区设计[J]. 国际肿瘤学杂志, 2022, 49(12): 705-710.
图1
鼻咽癌原发灶无岩尖受侵时，卵圆孔和破裂孔层面CTV54勾画展示 注：暗红色线为CTV60；粉红色线为CTV54；红色箭头为卵圆孔；绿色箭头为破裂孔；CTV60为高危临床靶区；CTV54为低危临床靶区"
图2
鼻咽癌患者伴右侧翼腭窝受侵时，其翼腭窝及腭大孔层面CTV54勾画展示 A为翼腭窝层面；B为腭大孔层面 注：暗红色线为CTV60；绿色线为CTV54；紫色箭头为腭大孔；黄色箭头为腭小孔；红色星形为翼腭窝；CTV60为高危临床靶区；CTV54为低危临床靶区"
图3
不同T分期鼻咽癌放疗靶区鼻咽层面设计推荐 A为T1-2期；B为T3-4期 注：各区域大小代表靶区相对体积；GTVnx为鼻咽大体肿瘤靶区；CTV60为高危临床靶区；CTV54为低危临床靶区"
图4
鼻咽癌放疗靶区鼻咽层面增加超高危CTV设计推荐 注：各区域大小代表靶区相对体积；GTVnx为鼻咽大体肿瘤靶区；CTV66为超高危临床靶区；CTV60为高危临床靶区"
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