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在立体射线外科手术前的间隔内,内转移的进展,回顾性队列分析

Julian Cahill¹, Alperen Sozer², John Yianni¹

¹The National Centre for Stereotactic Radiosurgery, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Sheffield, United Kingdom.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

|September 16, 2024

概括

在诊断扫描和立体性放射性手术之间,内转移的数量和体积增加. 这种进展凸显了更新成像的必要性,以确保对大脑转移的有效治疗计划.

科学领域:

神经学神经学
在瘤学瘤学.
放射学放射学是一门学科.

背景情况:

在全球范围内,内转移性疾病的发病率正在上升.
立体辐射手术是大脑转移的关键治疗方式.
准确,最新的成像对于有效的立体射线外科手术至关重要.

研究的目的:

为了评估内转移性疾病负担的差异.
治疗当天的成像与历史/转诊成像的比较.
评估随着时间的推移转移数量和体积的变化.

主要方法:

追溯队列研究的设计.
在13个月内对符合条件的转诊成像患者进行分析.
将转诊扫描与治疗前一天的扫描进行比较,评估转移数量和体积.

主要成果:

扫描之间的中位数间隔为19天.
50%的患者甚至在2周内出现了新的转移.
75%的患者表现出瘤体积增加,较长的间隔与较大的体积增加相关.

结论:

在转诊和治疗成像之间发生了显著的疾病进展 (数量和体积).
这种进展会影响内转移的治疗计划.
更新的成像是必要的,以避免对转移性沉积物的处理不足.

关键词:

大脑转移是大脑的转移.疾病进展疾病进展.立体无线电手术是什么意思时间到治疗时间.

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