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CT/MRI影像融合对肺癌脑转移放射治疗靶区勾画的影响 被引量:8

Impact of CT/MRI Image Registration on Target Delineation of Radiotherapy for Lung Cancer with Brain Metastasis
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摘要 背景与目的脑转移瘤靶区勾画的准确性一直是放射治疗的关键,CT/MRI融合技术提供了可行的方法 ,本研究旨在探讨CT/MRI图像融合技术在肺癌脑转移靶区勾画中的作用。方法将31例肺癌脑转移患者的增强CT和MRI图像传送至图像处理工作站,分别在CT和CT/MRI融合图像上勾画GTV,比较勾画后的GTV体积,分析最大平均误差及瘤周水肿对靶区勾画的影响。结果 CT/MRI融合图像上勾画的GTV明显小于CT图像上勾画的GTV;瘤周水肿对靶区勾画存在明显影响。结论 CT/MRI图像融合技术可以提高肺癌脑转移靶区勾画的准确性。 Background and objective Accurate target delineation in radiation therapy is a key component of the treatment regimen for brain metastasis for which CT/MRI fusion technology provides a feasible method. The aim of this study is to explore the role of CT/MRI image registration in target delineation for lung cancer with brain metastasis. Methods The image data of 31 patients were processed using Oncentra MasterPlan. The GTVs were delineated on CT and CT/MRI images, and their differences were compared to analyze the impact of the maximum average error and tumor edema on target delineation. Results The GTVs delineated on CT/MRI images were markedly smaller than those delineated on CT images. Target delineation was clearly influenced by edema. Conclusion The technology of CT/MRI image registration can improve the accuracy of target delineation for lung cancer with brain metastasis.
出处 《中国肺癌杂志》 CAS 北大核心 2012年第8期476-480,共5页 Chinese Journal of Lung Cancer
基金 哈尔滨市科技创新人才研究专项资金项目(No.2010RFQQS066)资助~~
关键词 肺肿瘤 脑转移 CT/MRI影像融合 靶区勾画 Lung neoplasms Brain metastasis CT/MR image registration Target delineation
作者简介 通讯作者:李香兰.E-mail:lixl0642@sina.com
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