在强度调节的放射治疗后,全景成像上的放射性变化
Yoonah Danskin1, Annu Singh1, Jessica Flynn2
1Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, USA.
强度调节放射治疗 (IMRT) 可以导致下部的亚临床放射性变化. 建议在IMRT后对口腔大癌患者进行密切的牙科监测,以防止像骨质放射性死这样的并发症.
科学领域:
- 牙科放射学 牙科放射学
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
背景情况:
- 口腔大癌的治疗往往涉及到放射治疗.
- 强度调节辐射疗法 (IMRT) 是一种常见的辐射技术.
- 在IMRT之后下的放射性变化需要文件证明.
研究的目的:
- 为了记录IMRT后的全景射线图上的放射性变化.
- 评估IMRT对下和上结构的影响.
主要方法:
- 对143名接受IMRT治疗的口腔癌患者进行了回顾性研究.
- 评估IMRT前和IMRT后的全景射线图 (共286张).
- 对大和下的放射性变化的分析.
主要成果:
- 在IMRT后的部没有观察到显著的放射性变化.
- 显著的下变化包括牙周带空间的扩大和 ipsilateral 侧的垂直缺陷.
- 在其他特定的骨损失模式和ipsilateral IMRT之间没有发现显著的关联.
结论:
- 在IMRT后,下部的亚临床放射变化很常见.
- 这些变化表明牙周节脱活化,需要密切的牙科监测.
- 频繁的牙科召回对于最大限度地降低口腔手术并发症和骨质放射性死结的风险至关重要.
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