• 患者服务: 与癌共舞小助手
  • 微信号: yagw_help22

QQ登录

只需一步,快速开始

开启左侧

TOMO、射波刀、伽玛刀等放疗技术比较及实际使用交流贴

    [复制链接]
275552 158 老马 发表于 2012-2-25 09:14:05 |
祈福心愿  小学六年级 发表于 2012-8-26 00:21:21 | 显示全部楼层 来自: 广东潮州
6 i8 |! z+ a& B1 I1 m1 J6 u6 L
弱弱的问老马,有适合巨型的放疗么
lostm  高中二年级 发表于 2012-9-17 21:34:26 | 显示全部楼层 来自: 上海
乏血供HCC,gamma刀后二月复查MRI提示肿瘤进展,此期二月未采用其它治疗手段(只吃保肝药)。
鬼城军人  初中一年级 发表于 2012-10-7 15:55:09 | 显示全部楼层 来自: 吉林长春
沈阳军区总医院也有一台TOMO啦,我就是做的这个,效果还是不错的
wurong_zju  小学六年级 发表于 2012-10-19 15:09:41 | 显示全部楼层 来自: 上海
本帖最后由 wurong_zju 于 2012-10-22 09:52 编辑 1 o' o2 e+ I& U& b, I8 p* g

8 Z( o; l8 Z- K; T2 E' O( A9 ~请问各位,恶性间皮瘤可不可以作放疗?Tomo, 射波,伽玛那种合适些?
平安!  退休老干部 发表于 2012-11-8 00:38:30 | 显示全部楼层 来自: 湖南长沙
脑部放疗,上午比下午敏感许多!
* {9 E( |1 J/ ?) B% q: |. t
/ Y* K5 |  \& H1 J# R" e& Q1 f! ^' |+ _
Cancer 2011 Jan 15;117(2):414-20. doi: 10.1002/cncr.25423. Epub 2010 Sep 9.9 f, s  }- _+ s! o2 f
Gamma knife radiosurgery for brain metastasis of nonsmall cell lung cancer: is there a difference in outcome between morning and afternoon treatment?& n' {1 H2 _8 i4 i
Rahn DA 3rd, Ray DK, Schlesinger DJ, Steiner L, Sheehan JP, O'Quigley JM, Rich T.6 _/ ~3 L) D5 r' g% a: T# j
SourceDepartment of Radiation Oncology, University of Virginia Health Sciences Center, Charlottesville, Virginia 22908, USA.
: Q% u% d) _* f. G; \+ T5 w
# \' Q5 n( u4 c4 _Abstract' k- U5 I7 K2 J$ h- \
BACKGROUND: Circadian cell-cycle progression causes fluctuating radiosensitivity in many tissues, which could affect clinical outcomes. The purpose of this study was to determine whether outcomes of single-session gamma knife radiosurgery (GKRS) for metastatic nonsmall cell lung cancer (NSCLC) differ based on treatment time." s. O9 H2 D8 c& r
/ ?8 [: q% e. r" Z$ x+ q! g$ M, k
METHODS: Fifty-eight patients received GKRS between 10:00 am and 12:30 pm and 39 patients received GKRS between 12:30 pm and 3:00 pm. The mean peripheral dose was 18.6 Gy. The mean tumor size was 7.3 cm³. Magnetic resonance imaging was used to score local control at 3 months. Cause of death (COD) was categorized as central nervous system (CNS)-related or systemic.) E" }* j. I. m
& y/ u- y& {: E; ~
RESULTS: Demographic and disease characteristics of the 2 groups were similar. Local control at 3 months was achieved in 97% (35/36) of patients who underwent GKRS early in the day versus 67% (8/12) of patients who underwent GKRS later in the day (chi-square, P = .014). Early GKRS was associated with better survival (median 9.5 months) than late GKRS (median 5 months) (Kaplan-Meier log-rank test, P = .025). Factors contributing to better survival in a Cox regression model included early treatment time (P = .004) and recursive partition analysis class (P < .001). Cause of death in the early treatment group was CNS-related in 6% (3/47) of patients versus 24% (8/34) of patients in the late treatment group (chi-square test, P = .026).1 h& r2 F3 N0 S6 Q* H
2 I* C5 ?! R. `1 |5 W
CONCLUSIONS: GKRS for metastatic NSCLC had better local control, better survival, and a lower rate of CNS-related cause of death when given earlier in the day versus later in the day. These retrospective data should encourage future study in brain radiosurgery and non-CNS stereotactic body radiotherapy series.
! x' C) j2 D: o& A- \. z2 d, m* H: N) m5 J4 D
KIRA  小学六年级 发表于 2012-11-22 01:35:32 | 显示全部楼层 来自: 江苏南京
常弓 发表于 2012-8-21 20:18 ; ~. L7 j- F+ S1 ^( K5 k) Y
我们打算做伽马刀

$ D/ q. H8 J$ k- U千万不要做伽马刀,这已经是几乎被淘汰的技术,我父亲治病时候两个病友,肺转移,都是做完伽马刀以后病情恶化很快就走了,一定要做放疗,建议做射波刀和TOMO,虽然价格相对伽马刀高昂很多,但无论从疗效精确度还是病人的副反应来说,都远胜伽马刀
前世今生  高中三年级 发表于 2012-11-25 17:40:15 | 显示全部楼层 来自: 新疆乌鲁木齐
我本人于2011年6月,因为头部核磁观察,原有疑似单发病灶有水肿,医生建议做头部X刀治疗,做一个头部面部磨具,当时是两天做一次,我一共照射了五次,没有任何不适感觉,治疗后至今稳定,我本人考虑头部或许不是转移病灶。
学无止境 积极治疗QQ1711938319 患者群48752655
jkzx703  初中二年级 发表于 2012-12-6 09:39:45 | 显示全部楼层 来自: 江苏南京
前世今生 发表于 2012-11-25 17:40 . f  ^( P9 ~5 |
我本人于2011年6月,因为头部核磁观察,原有疑似单发病灶有水肿,医生建议做头部X刀治疗,做一个头部面部磨 ...
& N) O  z! h3 Q2 R
照肿瘤病人的治疗规律,不管怎样,稳定就好,也不去管是否误诊了,这也是我们的悲哀
相信自己、相信老公!
啊风。。  小学六年级 发表于 2013-3-22 12:39:18 | 显示全部楼层 来自: 浙江金华
我刚做了伽马刀不久现状况还好
啊风。。  小学六年级 发表于 2013-3-22 12:52:01 | 显示全部楼层 来自: 浙江金华
不错顶

发表回复

您需要登录后才可以回帖 登录 | 立即注册

本版积分规则

  • 回复
  • 转播
  • 评分
  • 分享
帮助中心
网友中心
购买须知
支付方式
服务支持
资源下载
售后服务
定制流程
关于我们
关于我们
友情链接
联系我们
关注我们
官方微博
官方空间
微信公号
快速回复 返回顶部 返回列表