胰腺癌立体定向放疗(放射外科)指南 - betway必威登陆网址

国际肿瘤学杂志››2021,Vol. 48››Issue (11): 643-648.doi:10.3760/cma.j.cn371439-20210621-00128

• 指南·共识 •上一篇下一篇

胰腺癌立体定向放疗(放射外科)指南

中国医师协会放射肿瘤治疗医师分会

收稿日期:2021-06-21修回日期:2021-08-20出版日期:2021-11-08发布日期:2021-12-14

Received:2021-06-21Revised:2021-08-20Online:2021-11-08Published:2021-12-14

摘要/Abstract

中国医师协会放射肿瘤治疗医师分会. 胰腺癌立体定向放疗(放射外科)指南[J]. 国际肿瘤学杂志, 2021, 48(11): 643-648.

图/表3

表1

英国SBRT正常组织限量的专家共识(5次分割)[12](Ⅱ级推荐)"

危及器官	剂量体积参数
胃	$D 0.5 c m 3$ <33 Gy(最优),<35 Gy(强制); $D 5 c m 3$ <25 Gy(最优); $D 10 c m 3$ <25 Gy(强制); $D 50 c m 3$ <12 Gy(最优)
十二指肠	$D 0.5 c m 3$ <35 Gy(强制); $D 1 c m 3$ <33 Gy(最优); $D 5 c m 3$ <25 Gy(最优); $D 9 c m 3$ <15 Gy(最优); $D 10 c m 3$ <25 Gy(强制)
小肠	$D 0.5 c m 3$ <30 Gy(最优),<35 Gy(强制); $D 5 c m 3$ <25 Gy(最优); $D 10 c m 3$ <25 Gy(强制)
肝脏	超过10 Gy受照剂量的体积小于总体积70%,D_mean<13 Gy(最优),<15.2 Gy(强制)

表1

表2

AAPM发布的SBRT应用和质控报告(TG-101报告,5次分割)(Ⅱ级推荐)"

危及器官	剂量体积参数
脊髓	D_max<30 Gy, $D 0.35 c m 3$ <23 Gy, $D 1.2 c m 3$ <14.5 Gy
胃	D_max<32 Gy, $D 10 c m 3$ <18 Gy
十二指肠	D_max<32 Gy, $D 5 c m 3$ <18 Gy, $D 10 c m 3$ <12.5 Gy
空回肠	D_max<35 Gy, $D 5 c m 3$ <19.5 Gy
肝脏	小于21 Gy受照剂量的体积大于700 cm³

表2

表3

调强放疗剂量模式(15~20次分割)(Ⅱ级推荐)"

危及器官	剂量体积参数
十二指肠	$D 1 c m 3$ ≤50 Gy, $D 3 c m 3$ ≤45 Gy, $D 5 c m 3$ ≤40 Gy
胃、小肠、结肠	$D 1 c m 3$ ≤55 Gy, $D 3 c m 3$ ≤50 Gy, $D 5 c m 3$ ≤45 Gy

表3

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