Chii chiri nani kune medulloblastoma - Yechinyakare radiotherapy kana proton kurapwa?

Chii chiri nani kune medulloblastoma - Kwechinyakare radiotherapy kana proton kurapwa? Proton kurapa kwekurapa medulloblastoma. Mutengo weproton kurapwa pakurapa medulloblastoma.

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Myeloblastoma is one of the most common childhood tumors. Among children under 10 years of age, the incidence rate is about 20% to 30% of all tumors. The peak age of onset is 5 years, and men are slightly more than women. The tumarara is located in the posterior cervical fovea, near the cerebellar vermis and the fourth ventricle midline, and advanced tumors spread in the cerebrospinal fluid. Typical clinical manifestations are mainly related to the increased intracranial pressure caused by tumor occupying the posterior cranial fossa and blocking the fourth ventricle or midbrain aqueduct: headache, nausea, vomiting, blurred vision, and balance function caused by tumor compression on the cerebellum Obstacles, such as walking instability, ataxia, etc.

At present, the treatment of medulloblastoma should be based on the clinical stage and risk stage of the child, and comprehensive treatment methods: a reasonable combination of three treatment methods: surgery, radiation therapy and chemotherapy, to improve the cure rate of the tumor and reduce the damage to normal tissues. Growth and development, intellectual effects.
Sezvo mazhinji medulloblastomas achiitika muvana uye achinyatso kunangana nemwaranzi, radiation radiation ndiyo imwe yenzira dzinokosha pakurapwa kwemedulloblastomas. Vana vari mudanho rekukura uye kukura, kurapwa kwemwaranzi kunokonzeresa kukuvara kwekukura kwevana, endocrine uye ungwaru. Parizvino, matatu-epamhepo conformal radiotherapy kana yakasimba-modulated radiotherapy inonyanya kushandiswa kudzikisa mwero we radiation weiyo brainstem, yemukati nzeve, yetembere lobe, hypothalamus-pituitary dunhu, uye thyroid gland, uye anterior cranial fossa pasi sieve plate nzvimbo iri akatsunga kuve nemutero wakakwana. Irradiation. Iyo iriradiation saiti yakavezwa nehuropi hwakazara, hwese hwesipinha uye yekumashure cranial fossa.
Chiyero cheradiotherapy yechinyakare: huropi hwese uye musana wese wemuzongoza zvinoenderana neboka renjodzi, iyo yekudzivirira radiation dosi i1.8Gy / nguva, iyo yakazara huwandu ndeye 30-36Gy, iro rine njodzi yakakura iri 36Gy, uye posterior cranial fossa. yakawedzera kusvika 55.8 Gy. Kana paine gross metastasis kune uropi tishu uye / kana musana wemuzongoza, mamwe madosi anodiwa zvakare. Huropi hwese hwese spinal cord irradiation tekinoroji tekinoroji yeradiotherapy ine tambo huru yekuvhenekesa, iyo inoda akawanda isocenters uye akati wandei minda, uye inoda kurongeka kwepamusoro pakumisikidza, kuronga, nekuisa. Chirongwa chekugadzira chinowanzo shandisa 6MV X-rays. Nekuda kwenzvimbo yakareba yakanangwa, maitiro ekugadzira anowanzoda matatu akaenzana nzvimbo: uropi nehuropi nzvimbo, cervical uye thoracic nzvimbo, uye thoracic uye abdominal nzvimbo. Nekudaro, yechinyakare radiotherapy haigone kudzora nemaseru maseru egomarara. Chikonzero chikuru ndechekuti saiti yebundu yakadzika zvakanyanya, kudzika kwemwaranzi kune bundu kunongori masendimita matatu, masero ebundu anoshingirira neradiotherapy yechinyakare, uye bundu racho rinowanzonzwa nemwaranzi yechinyakare. Iyo matishu yakakomberedzwa uye bundu harigone kudzorwa nemazvo.
Mapurotoni anochajiswa zvimedu. Kukura kweiyoni, ndiko kukura kwekuita kwavo kwehupenyu. Huremu hwawo hunosvika 1836 pahuremu hwemaerekitironi. Kutamisa simba kwadzo kunopesana neskweya yekumhanya kweproton yekufamba. Iko kurasikirwa kwesimba kuri pedyo nekuguma kwehuwandu. Heino The Bragg peak (yakatumidzwa zita remuwani wayo, muhwina weNobel weGerman William Henry Prague), dhigirii mushure meiyo Bragg peak iri zero, uye chironda chinoiswa munzvimbo yepamusoro panguva yekurapa, iyo inogona kuwana yakakwira yekurapa kuwana reshiyo. .
Chekutanga, proton therapy imhando yemwaranzi yekunze inoshandisa radiation radiation. Munguva yekurapa, iyo yekuwedzera accelerator inovhenekera bundu ne bango remapurotoni. Izvi zvakapatsanurwa zvinokonzeresa tambo imwechete muDNA, zvinoparadza iyo DNA yemamota maseru, uye pakupedzisira zvinokonzeresa maseru ane gomarara kufa kana kukanganisa kugona kwavo kubereka. Iyo yakatanhamara chiyero chemasero ane cancer uye kuderedzwa kugona kwekugadzirisa yakakuvara DNA inoita yavo DNA kunyanya kunetseka kurwisa.
Chechipiri, iyo dosimetric zvivakwa zvemapurotoni:
1) Yakasimba yekupinda mashandiro: Proton simba rinogona kugadziriswa zvinoenderana nenzvimbo uye kudzika kwechironda, kuitira kuti proton danda rinosvika chero kudzika kwemuviri wemunhu;
2) Zvakajairika zvinyama kukuvara idiki: iyo josi pamberi pechironda ishoma, iyo muyero kumashure ndeye zero, uye yakajairika turu vhoriyamu yakaderedzwa;
3) Yakakwira dosi munzvimbo yakanangwa: Paradzira bragg peak (SOBP) inowanikwa kuburikidza neBragg peak kuwedzera, kuitira kuti ronda racho rive munzvimbo yeSOBP yepamusoro, nekudaro ichiwana dosi yepamusoro munzvimbo yakanangwa
4) Yakadzika divi yekuparadzira: Nekuda kwehukuru hwakawanda hwema proton, pane kushoma kumwaya mune izvo zvinhu, saka mwero wekuvhenekesa weyakajairika matukisi akautenderedza wakadzikira.
Chechitatu, iyo proton simba kugadzikana
Kuti ubate maronda akadzika, proton accelerator inofanira kupa proton beam remagetsi ane simba, uye pamamota ekunze epasi-simba proton danda rinoshandiswa. Proton therapy accelerators inowanzo gadzira mapurononi mapfumo ane simba pakati pe 70 ne 250 megaelectron volts (MeV). Nokugadzirisa simba reproton panguva yekurapa, danda reproton rinogona kuwedzera kukuvara kwemarara maseru. Tissue iri padyo nemuviri kumusoro pane kuti bundu rinogashira mwero wakaderera wemwaranzi uye nekudaro kukuvara kudiki. Iwo matumbu akadzika emuviri wemunhu haana kunyatso kufumurwa.
4. Kukwidziridzwa kwepamusoro kwebundu irradiation

Proton banga remishonga

Yemazuva ano proton-banga radiotherapy inosanganisa 3D-CRT uye IMRT tekinoroji kuti ibudirire yakakwira bundu radiotherapy kuenderana. Proton intension modulated radiotherapy (IMPT) inosanganisa yakazara seti yefotoni 3D-CRT uye IMRT matekinoroji, zvichiita kuti proton radiotherapy ibudirire kuenderana kwakanyanya kwethumba kufuridzira kusvika parizvino, uye muyero weyakajairika nyama yakatenderedza bundu yakanyanya kuderedzwa.

Naizvozvo, tichienzanisa neakajairika radiotherapy, proton banga kurapa ine zvirinani zvemuviri uye zvehupenyu hunhu, uye ine yakakwana radiation mwero wekusvikira mamota munzvimbo dzakadzika dzemuviri. Heavy ions uye mapurotoni anokwanisa kusvika matishu akadzika masendimita 30 pasi peganda, izvo zvinonyanya kugadzirisa kugona kudzora bundu; zvichienzaniswa nemaitiro echinyakare emwaranzi, simba remwaranzi rinosvika panzvimbo yebundu rinogona kuwedzerwa zvakanyanya (proton banga rinogona kuwedzerwa ne20%), izvo zvinonyanya kudzikisira parutivi pebundu. Kukuvadza uye mhedzisiro mhedzisiro yemaitiro munyama deredza huturu hwezvinhu zvakajairika zvinyama nekushandisa panguva imwe chete kweradiotherapy uye chemotherapy; zvakanyanya kupfupisa nzira yekurapa nekuwedzera iyo yemazuva ese radiation radiation; kuderedza kuitika kwezviremara zvechipiri zvekutanga.

 

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