鍚嶈瘝瑙ｉ噴
1.
绔嬩綋瀹氬悜鏀惧皠娌荤枟
锛?/p>
1.2.2
锛夋寚鍊熷姪
CT
銆?/p>
MRI
鎴栬绠℃暟瀛楀噺褰变华
(DSA)
绛夌簿纭畾浣嶆妧鏈拰鏍囧織闈跺尯鐨勫ご
棰呭浐瀹氬櫒锛屼娇鐢ㄥぇ閲忔部鐞冮潰鍒嗗竷鐨勬斁灏勬簮锛屽鐓у皠闈跺尯瀹炶鑱氱劍鐓у皠鐨勬不鐤楁柟娉曘�?/p>
2.
绔嬩綋閫傚舰鏀惧皠娌荤枟
锛?/p>
1.2.2
锛夋槸閫氳繃瀵瑰皠绾挎潫寮哄害杩涜璋冨埗锛屽湪鐓у皠閲庡唴缁欏嚭寮哄害鍙樺寲鐨勫皠绾胯繘琛屾不鐤楋紝
鍔犱笂浣跨敤澶氶噹鐓у皠锛屽緱鍒伴�傚悎闈跺尯绔嬩綋褰㈢姸鐨勫墏閲忓垎甯冪殑鏀惧皠娌荤枟銆?/p>
3.
娼滃湪鑷存鎬ф斁灏勬崯浼?/p>
锛?/p>
1.2.4
锛夊綋缁嗚優鍙楀埌闈炶嚧姝绘斁灏勫墏閲忕収灏勫悗鎵�浜х敓鐨勯潪鑷存鎬ф斁灏勬崯浼わ紝缁撳眬鍙?
瀵艰嚧缁嗚優姝讳骸锛屽湪鏌愪簺鐜涓嬶紙濡傛姂鍒剁粏鑳炲垎瑁傜殑鐜锛夌粏鑳炵殑鎹熶激涔熷彲淇銆?/p>
4.
浜氳嚧姝绘�ф斁灏勬崯
浼わ紙
1.2.4
锛夎緝浣庡墏閲忕収灏勫悗鎵�浜х敓鐨勬崯浼わ紝涓�鑸湪鏀惧皠鍚庣珛鍗冲紑濮嬭淇銆?/p>
5.
鍔犻�熷啀澧炴畺
锛?/p>
1.2.4
锛夊湪鏀剧枟鐤楃▼涓紝缁嗚優澧炴畺鐨勯�熺巼涓嶄竴锛屽湪鏌愪竴鏃堕棿閲屼細鍑鸿缁嗚優鐨勫姞閫熷娈栫幇琛岋紝
姝ょ幇璞¤涓虹О涓哄姞閫熷啀澧炴畺銆?/p>
6.
甯歌鏀惧皠鍒嗗壊娌荤枟
锛?/p>
1.2.1
锛夋槸鎸囨瘡澶╃収灏?/p>
1
娆★紝姣忔
1.8-2.0Gy
锛屾瘡鍛ㄧ収灏?/p>
5d
锛屾�诲墏閲?/p>
60-70Gy
锛岀収灏?
鎬绘椂闂?/p>
6~7
鍛ㄧ殑鏀剧枟鏂规硶銆?/p>
7.
闈炲父瑙勬斁灏勫垎鍓叉不鐤?/p>
锛?/p>
1.2.1
锛夋寚瀵瑰父瑙勬斁灏勫垎鍓叉柟寮忎腑鏃堕棿
-
鍓傞噺
-
鍒嗗壊鍥犲瓙鐨勪换浣曞洜绱犺繘琛屼慨姝ｃ�備竴鑸?
鐗规寚姣忔棩鐓у皠
1
娆′互涓婄殑鍒嗗壊鏂瑰紡锛屽瓒呭垎鍓叉不鐤楀強鍔犻�熻秴鍒嗗壊娌荤枟銆?/p>
8.
鏀惧皠澧炴晱鍓?/p>
锛?/p>
1.2.1
锛夎兘澶熸彁楂樻斁灏勮偪鐦ょ粏鑳炵殑鏀惧皠鏁忔劅鎬т互澧炲姞瀵硅偪鐦ょ殑鏉�鐏晥搴旓紝鎻愰珮灞�鎺х巼鐨勮嵂
鐗┿�傚寘鎷槯鍟剁被琛嶇敓鐗┿�佸寲鐤楄嵂鐗╁拰缂烘哀缁嗚優澧炴晱鍓傘�?/p>
9.
鏀惧皠淇濇姢鍓?/p>
锛?/p>
1.2.1
锛夎兘澶熸湁鏁堢殑淇濇姢鑲跨槫鍛ㄥ洿鐨勬甯哥粍缁囷紝鍑忓皯鏀惧皠鎹熶激锛屽悓鏃朵笉鍑忓皯鏀惧皠瀵硅偪鐦ょ殑
鏉�鐏晥搴斿寲瀛︿慨楗板墏銆?/p>
10.
鐑枟
锛?/p>
1.2.1
锛夋槸涓�绉嶉�氳繃瀵规満浣撶殑灞�閮ㄦ垨鍏ㄨ韩鍔犳俯浠ヨ揪鍒版不鐤楃柧鐥呯殑鐩殑鐨勬不鐤楁柟娉曘�?/p>
11.
浜氫复搴婄梾鐏?/p>
涓村簥鍙婃樉寰暅鍧囬毦浜庡彂鐜扮殑锛屽讥鏁ｄ簬姝ｅ父缁勭粐闂存垨鏋佸皬鐨勮偪鐦ょ粏鑳炵兢闆嗭紝缁嗚優鏁伴噺绾р墹
106
锛屽鏍规不鏈垨鍖栫枟瀹屽叏缂撹В鍚庣姸鎬併�?/p>
12.
寰皬鐧屽发
涓烘樉寰暅涓嬪彲鍙戠幇鐨勮偪鐦ょ粏鑳炵兢闆嗭紝缁嗚優鏁伴噺绾?/p>
>106,
濡傛墜鏈竟缂樼梾鐞嗘湭鍑�銆?/p>
13.
涓村簥鐥呯伓
涓村簥鎴栧奖鍍忓鍙瘑杈ㄧ殑鐥呯伓锛岀粏鑳炴暟閲忕骇鈮?/p>
109
锛屽鍓栬吂鎺㈡煡鏈垨閮ㄥ垎鍒囬櫎鏈悗銆?/p>
14.
瀵嗛泦鑲跨槫鍖猴紙
GTV
锛?/p>
鎸囬�氳繃涓村簥妫�鏌ユ垨褰卞儚妫�鏌ュ彲鍙戠幇锛堝彲娴嬮噺锛夌殑鑲跨槫鑼冨洿锛屽寘鎷師鍙戣偪鐦ゅ強杞Щ
鐏躲�?/p>
15.
璁″垝闈跺尯锛?/p>
PTV
锛?/p>
鎸囪�冭檻鍒版不鐤楄繃绋嬩腑鍣ㄥ畼鍜岀梾浜虹殑绉诲姩銆佸皠閲庤宸強鎽嗕綅璇樊鑰屾彁鍑虹殑涓�涓潤鎬佺殑
鍑犱綍姒傚康锛屽寘鎷复搴婇澏鍖哄拰鑰冭檻鍒颁笂杩板洜绱犺�屽湪涓村簥闈跺尯鍛ㄥ洿鎵╁ぇ鐨勮寖鍥淬�?/p>
CTV+0.5cm
16.
鈥?/p>
B
鈥濈棁鐘?/p>
涓村簥涓婂皢涓嶆槑鍘熷洜鍙戠儹
38
鈩冧互涓婏紝杩炵画
3
澶╋紱鐩楁睏锛涗笉鏄庡師鍥犱綋閲嶅噺杞伙紙鍗婂勾鍐呬綋閲嶅噺
杞诲ぇ浜?/p>
10%
锛夌О涓衡�?/p>
B
鈥濈棁鐘躲�?/p>
17.
鍜芥穻宸寸幆锛堥煢姘忕幆锛?/p>
Waldege鈥檚 ring
锛?/p>
鏄敱榧诲捊鑵斻�佹墎妗冧綋銆佽垖鏍广�佸彛鍜戒互鍙婅蒋鑵儗闈㈡穻宸寸粍缁囨墍
鍥寸粫鐨勭幆褰㈠尯鍩熴�?/p>
1
銆?/p>
鑲跨槫鏀惧皠娌荤枟瀛?/p>
锛氭槸鐮旂┒鍜屽簲鐢?/p>
鏀惧皠鐗╄川
鎴?/p>
鏀惧皠鑳?/p>
鏉?/p>
娌荤枟
鑲跨槫鐨勫師鐞嗗拰鏂规硶涓�闂ㄤ复搴婂绉戙�傚畠鍖呮嫭
鏀惧皠
鐗╃悊瀛?/p>
銆?/p>
鏀惧皠鐢熺墿瀛?/p>
銆?/p>
鏀剧枟鎶�鏈
鍜?/p>
涓村簥鑲跨槫瀛︺�?/p>
2
銆?/p>
鏀惧皠鐗╃悊瀛?/p>
鈥斺�?/p>
鐮旂┒鍚勭鏀惧皠婧愮殑鎬ц兘鍜岀壒鐐癸紝娌荤枟鍓傞噺瀛﹀拰闃叉姢
銆?/p>
3
銆?/p>
鏀剧枟鎶�鏈
鈥斺�?/p>
鐮旂┒鍏蜂綋杩愮敤鍚勭鏀惧皠婧愭垨璁惧娌荤枟鐥呬汉锛屽皠閲庤缃?/p>
瀹氫綅鎶�鏈?/p>
鎽嗕綅鎶�鏈�?/p>
4
銆?/p>
鏀惧皠鐢熺墿瀛?/p>
鈥斺�?/p>
鐮旂┒鏈轰綋姝ｅ父缁勭粐鍙婅偪鐦ょ粍缁?/p>
瀵瑰皠绾垮弽搴斾互鍙婂浣曟敼鍙樿繖浜涘弽搴旂殑璐ㄥ拰閲?/p>
銆?/p>
5
銆?/p>
涓村簥鑲跨槫瀛?/p>
鈥斺�?/p>
鑲跨槫鐥呭洜瀛︼紝鐥呯悊缁勭粐瀛︼紝璇婃柇瀛︿互鍙婃不鐤楁柟妗堢殑閫夋嫨锛屽悇绉嶇枟娉曠殑閰嶅悎
銆?/p>
6
銆?/p>
浜氳嚧姝绘�ф崯浼?/p>
锛?/p>
sublethal damage
锛?/p>
SLD
锛?/p>
缁嗚優鍙楀埌鐓у皠鍚庡湪涓�瀹氭椂闂村唴鑳藉瀹屽叏淇鐨勬崯浼ゃ�?/p>
7
銆?/p>
娼滃湪鑷存鎬ф崯浼?/p>
锛?/p>
potential lethal damage
锛?/p>
PLD
锛夌粏鑳炲彈鍒扮収灏勫悗鍦ㄩ�傚疁鐨勭幆澧冩垨鏉′欢鑳藉淇锛屽惁鍒欏皢
杞寲涓轰笉鍙�嗘崯浼わ紝浠庤�屾渶缁堜抚澶卞垎瑁傝兘鍔涖�?/p>
8
銆?/p>
鑷存鎬ф崯浼?/p>
锛?/p>
lethal damage
锛?/p>
LD
锛夌粏鑳炴墍鍙楁崯浼ゅ湪浠讳綍鏉′欢涓嬮兘涓嶈兘淇銆?/p>
9
銆?/p>
姘ф晥搴?/p>
锛氭斁灏勭嚎鍜岀墿璐ㄤ綔鐢ㄥ湪鏈夋哀鍜屾棤姘х姸鎬佷笅瀛樺湪宸紓鐨勭幇璞?/p>
鏃犳哀鐘舵�佷骇鐢熶竴瀹氱敓鐗╂晥搴旂殑鍓?/p>