辐射疗法对内药物输送系统运行和安全的影响
David Hao1, Donghwan Lee1, Shivam S Shah2
1Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, MA, 02114, USA.
Current pain and headache reports
|March 14, 2025
概括
大多数内药物输送系统 (IDDS) 在放射治疗 (RT) 期间起作用,但有些可能会失效. 精心规划,屏蔽和监测是管理接受RT和IDDS患者风险的关键.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 医疗设备工程 医疗设备工程
背景情况:
- 导管内药物输送系统 (IDDS) 对于治疗慢性疼痛和性至关重要,特别是在接受放射治疗 (RT) 的瘤患者中.
- 有关电离辐射对IDDS功能的影响存在担忧,关于设备弹性数据有限但越来越多.
- 本综述综合了有关辐射诱导的IDDS故障,风险因素和缓解策略的当前文献.
研究的目的:
- 审查当前关于内药物输送系统 (IDDS) 辐射诱导功能障碍的文献.
- 确定与IDDS辐射暴露相关的关键风险因素.
- 讨论在放射治疗期间保护IDDS功能的潜在缓解策略.
主要方法:
- 在放射治疗期间检查IDDS功能的研究文献综述.
- 对辐射引起的故障的案例研究和回顾性审查的分析.
- 综合了关于辐射剂量,近距离和对IDDS的屏蔽效应的信息.
主要成果:
- 大多数IDDS在RT期间保持正常运行,但已报告过孤立的故障.
- 辐射剂量 (累计剂量>10 Gy可能会增加风险),接近处理场,以及屏蔽影响装置易感性.
- 一些IDDS已经承受了高剂量 (高达36 Gy) 没有失败;在RT的进步 (例如,质子疗法) 可能会减少暴露.
结论:
- 对于IDDS患者来说,RT带来了挑战,需要采用多学科的方法来平衡癌症治疗和设备完整性.
- 现代IDDS表现出弹性,但必须仔细考虑辐射剂量,设备放置和屏蔽.
- 需要进一步的研究,以建立基于证据的协议,以优化在RT期间的患者安全和设备性能.
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