关键词: Head and neck Immobilisation Positioning Verification

来  源:   DOI:10.1016/j.tipsro.2016.12.001   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
OBJECTIVE: Over the last decade, the management of locally advanced head and neck cancers (HNCs) has seen a substantial increase in the use of chemoradiation. These guidelines have been developed to assist Radiation TherapisTs (RTTs) in positioning, immobilisation and position verification for head and neck cancer patients.
METHODS: A critical review of the literature was undertaken by the writing committee.Based on the literature review, a survey was developed to ascertain the current positioning, immobilisation and position verification methods for head and neck radiation therapy across Europe. The survey was translated into Italian, German, Greek, Portuguese, Russian, Croatian, French and Spanish.Guidelines were subsequently developed by the writing committee.
RESULTS: Results from the survey indicated that a wide variety of treatment practices and treatment verification protocols are in operation for head and neck cancer patients across Europe currently.The guidelines developed are based on the experience and expertise of the writing committee, remaining cognisant of the variations in imaging and immobilisation techniques used currently in Europe.
CONCLUSIONS: These guidelines have been developed to provide RTTs with guidance on positioning, immobilisation and position verification of HNC patients. The guidelines will also provide RTTs with the means to critically reflect on their own daily clinical practice with this patient group.
摘要:
目标:在过去的十年中,在局部晚期头颈癌(HNC)的治疗中,放化疗的使用大幅增加.制定这些指南是为了帮助放射治疗(RTT)定位,头颈部癌症患者的固定和位置验证。
方法:写作委员会对文献进行了严格审查。在文献综述的基础上,进行了一项调查以确定当前的位置,欧洲头颈部放射治疗的固定和位置验证方法。调查被翻译成意大利语,德语,希腊语,葡萄牙语,俄语,克罗地亚人,法语和西班牙语。准则随后由写作委员会制定。
结果:调查结果表明,目前欧洲的头颈部癌症患者正在实施各种各样的治疗实践和治疗验证方案。制定的准则是根据写作委员会的经验和专业知识制定的,认识到目前在欧洲使用的成像和固定技术的变化。
结论:制定这些指南是为了为RTT提供定位指导,HNC患者的固定和位置验证。该指南还将为RTT提供批判性地反思他们与该患者组的日常临床实践的手段。
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