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食管癌影像引导的放射治疗六维配准范围探讨
引用本文:李建成,王笑良,胡彩容,程文芳,赵云辉,潘建基. 食管癌影像引导的放射治疗六维配准范围探讨[J]. 生物医学工程与临床, 2010, 14(1): 34-37. DOI: 10.3969/j.issn.1009-7090.2010.01.009
作者姓名:李建成  王笑良  胡彩容  程文芳  赵云辉  潘建基
作者单位:福建省肿瘤医院放疗科,福建,福州,350014
摘    要:目的探讨食管癌在影像引导下进行放射治疗(IGRT)时的六维最佳配准范围。方法20例食管癌病人,其中男性18例,女性2例;年龄27~68岁,平均年龄45岁。病灶部位食管胸上段2例,食管胸中段18例。在IGRT的摆位误差纠正前,行锥形束计算机X线断层摄影术(CBCT)图像扫描,并选取不同的配准范围与计划CT图像进行图像配准。以手动配准为基准,比较使用骨配准方式对4种配准范围:椎体、椎体+棘突、椎体+肺尖、椎体+棘突+肺尖等的配准结果的差异。结果用4种配准范围进行配准与手动配准比较,在平移方向上的Z轴平移中椎体配准最差,其余相似。平均差异的幅度以椎体+棘突+肺尖配准为最小。在旋转方向的X轴旋转中,椎体+棘突+肺尖配准有优势,其余各种方法均相似。差异的幅度从小到大为椎体+棘突椎体+棘突+肺尖椎体椎体+肺尖配准。结论食管癌骨配准时最佳的配准范围是椎体+棘突+肺尖。

关 键 词:食管癌  影像引导的放射治疗  配准范围

Study on 6-dimensional registration scope of esophageal cancer during image-guided radiotherapy
LI Jian-cheng,WANG Xiao-liang,HU Cai-rong,CHENG Wen-fang,ZHAO Yun-hui,PAN Jian-ji. Study on 6-dimensional registration scope of esophageal cancer during image-guided radiotherapy[J]. Biomedical Engineering and Clinical Medicine, 2010, 14(1): 34-37. DOI: 10.3969/j.issn.1009-7090.2010.01.009
Authors:LI Jian-cheng  WANG Xiao-liang  HU Cai-rong  CHENG Wen-fang  ZHAO Yun-hui  PAN Jian-ji
Affiliation:LI Jian-cheng,WANG Xiao-liang,HU Cai-rong,CHENG Wen-fang,ZHAO Yun-hui,PAN Jian-ji (Department of Radiation Oncology,Fujian Provincial Tumor Hospital,Fuzhou 350014,Fujian,China)
Abstract:Objective To explore the 6-dimensional registration scope of esophageal cancer during image-guided radiotherapy (IGRT). Methods A total of 20 patients with esophageal cancer were enrolled,male 18 and female 2,aged 27-68 years,mean age 45 years. There were 2 cases in upper thoracic esophagus and 18 cases in middle thoracic esophagus. Cone beam computed tomography(CBCT) images were acquired before IGRT. The registration between CBCT images of 4 different kinds of registration scope and the planned CT images o...
Keywords:esophageal carcinoma  image-guided radiotherapy  registration scope  
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