PDF(Pubmed)
Abstract：
Juntendo University Hospital is the second hospital in Japan to start stereotactic brain irradiation using linear accelerator (LINAC) system. This report details the historical transition of stereotactic irradiation, progress of treatment technology, and change of treatment method from the beginning to the Juntendo University Hospital and Juntendo Nerima Hospital. The hospital changed the use of cobalt to the LINAC system when it was rebuilt in 1993. Total body irradiation treatment for leukemia had started around the same time. A year later, in 1994, the hospital used their LINAC systems to perform stereotactic head irradiation, otherwise known as pinpoint irradiation. In 2005, Juntendo University Nerima Hospital was opened and in September of the same year, radiation therapy using the latest model of LINAC system at that time was initiated. This was the first among all Juntendo hospitals to start intensity-modulated radiation therapy (IMRT) and image-guided radiotherapy (IGRT). In 2014, a second LINAC system for IMRT and IGRT was equipped at the Juntendo Hongo Hospital. In 2021, the LINAC systems of the Juntendo University Nerima Hospital were replaced after 15 years of usage. The new method of SRS was started using a latest LINAC systems. In this paper, I introduce the technique and progress of SRS that I have experienced mainly in Juntendo University.
摘要：
Juntendo大学医院是日本第二家开始使用线性加速器（LINAC）系统进行立体定向脑照射的医院。本报告详细介绍了立体定向辐照的历史转变，处理技术的进步，以及从开始到准腾多大学医院和准腾多尼玛医院的治疗方法的改变。医院在1993年重建时将钴的使用更改为LINAC系统。白血病的全身放射治疗大约在同一时间开始。一年后,1994年，医院使用他们的LINAC系统进行立体定向头部照射，也称为精确辐照。2005年，Juntendo大学Nerima医院开业，同年9月，当时开始使用最新型的LINAC系统进行放射治疗。这是所有Juntendo医院中第一个开始进行调强放射治疗（IMRT）和图像引导放射治疗（IGRT）的医院。2014年，JuntendoHongo医院配备了第二个用于IMRT和IGRT的LINAC系统。2021年，Juntendo大学Nerima医院的LINAC系统在使用15年后被更换。SRS的新方法是使用最新的LINAC系统开始的。在本文中,我主要介绍了我在Juntendo大学经历的SRS技术和进展。
