全球剂量处方差异以口腔大癌为例:什么时候70灰是70灰?
Christian Rønn Hansen1, Tony Tadic2, Manju Sharma3
1Laboratory of Radiation Physics, Odense University Hospital, Denmark; Institute of Clinical Research, University of Southern Denmark, Denmark; Danish Center of Particle Therapy, Aarhus University Hospital, Denmark.
International journal of radiation oncology, biology, physics
|February 2, 2026
概括
全球针对头癌的放射治疗剂量处方有很大的差异. 这种缺乏标准化的影响患者护理和研究,突出需要在全球范围内进行一致的剂量测量评估.
科学领域:
- 在瘤学瘤学.
- 放射治疗 物理 物理
- 医学剂量测量 医学剂量测量
背景情况:
- 头癌 (HNC) 的放射治疗计划依赖于处方剂量,但缺乏全球标准化.
- 各中心对剂量测量评估的差异可能会影响治疗的一致性和患者的结果.
研究的目的:
- 为量化相同头癌病例的放射治疗剂量处方的全球变化.
- 为在全球范围内提高HNC治疗解释的一致性奠定基础.
主要方法:
- 从2017年起连续治疗口腔癌患者的分析.
- 包括来自北美,欧洲,大洋洲和亚洲八个国际放射治疗部门的数据.
- 使用强度调节放射疗法 (IMRT) 或体积调节弧线疗法 (VMAT).
主要成果:
- 分析了1514名患者和40个不同的剂量处方.
- 当正常化到70 Gy处方时,观察到平均CTV剂量的中位数为4%的差异.
- 欧洲/大洋洲中心的波动率为0.4%,北美/亚洲中心的波动率为2%. 接近最小的CTV剂量在68.7Gy到71.4Gy之间.
结论:
- 在HNC放射治疗剂量处方实施方面存在显著的全球差异.
- 缺乏标准化剂量测量影响患者护理,研究合作和先进的治疗策略.
- 仔细解释国际剂量处方标准对于准确的结果分析至关重要.
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