Research progress on target delineation for radiotherapy in hepatocellular carcinoma with
10.3760/cma.j.issn.1004-4221.2019.07.016
- VernacularTitle:肝细胞癌放疗靶区勾画的研究进展
- Author:
Haimin LIN
1
;
Chengxin LIU
;
Dali HAN
;
Jinming YU
Author Information
1. 山东大学附属山东省肿瘤医院放疗科
- Keywords:
Hepatocellular neoplasm/radiotherapy;
Target delineation;
Progress
- From:
Chinese Journal of Radiation Oncology
2019;28(7):551-554
- CountryChina
- Language:Chinese
-
Abstract:
Modern medical imaging techniques,such as computed tomorgraphy (CT),magnetic resonance imaging (MRI) and position emission tomorgraphy/computed tomorgraphy (PET-CT) can accurately delineate the gross target volume (GTV) of hepatocellular carcinoma (HCC).Comparison of postoperative pathological subclinical lesions,imaging and clinical parameters contributes to the precise delineation of clinical target volume (CTV).Moreover,radiotherapy-assisted techniques,such as fourdimensional computed tomography (4DCT),compression of abdomen,active breathing control and respiratory gating,can minimize the internal target volume (ITV).In addition,immobilization with vacuum cushion and body membrane can reduce the set-up error,minimize the planning target volume (PTV) and avoid or decrease the irradiation error or missing irradiation.All these approach can minimize the target volume,elevate the dose and reduce the complications during radiotherapy for HCC.In this article,the research progress on the target delineation for external beam radiotherapy in HCC patients was reviewed.