在放射治疗中直立患者定位的机遇和挑战
Lennart Volz1, James Korte2,3, Maria Chiara Martire1
1Biophysics, GSI Helmholtz Center for Heavy Ion Research GmbH, Darmstadt, Germany.
Physics in medicine and biology
|August 19, 2024
概括
直立放射疗法 (RT) 显示出降低成本和提高患者舒适度的前景,特别是在粒子疗法 (PT) 中. 然而,为了广泛采用,必须解决成像,患者对齐和设备重新设计方面的挑战.
科学领域:
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
背景情况:
- 在放射治疗 (RT) 中,直立定位在降低成本,提高患者舒适度和潜在的治疗质量改进方面越来越受到关注.
- 颗粒疗法 (PT) 可以显著降低成本和设施足迹,通过消除对垂直设置的门架的需求.
研究的目的:
- 审查与直立RT相关的机遇和挑战,考虑光子和粒子疗法.
- 综合当前的技术状况,并确定未来的发展方向.
主要方法:
- 广泛的文献审查以确定直立患者定位的临床,技术和工作流程挑战.
- 从光子和粒子治疗研究中协同收集数据.
主要成果:
- 现代图像指导对于直立RT至关重要,但最佳模式需要进一步定义.
- 在大多数身体部位中观察到直立和卧卧姿势之间的解剖学差异.
- 原型系统显示出患者对齐的潜力,早期研究表明呼吸运动减少和头部和部PT患者有希望的结果.
- 固定装置配件的创新正在出现,但需要重新设计设备.
结论:
- 直立RT正在全球范围内实施,特别是在PT中,但仍然存在重大挑战.
- 准则的制定,专业培训和大规模的临床研究对于将垂直定位成功整合到现代RT实践中至关重要.
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