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首页> 美国卫生研究院文献>Journal of Contemporary Brachytherapy >Clinical implementation of a new electronic brachytherapy system for skin brachytherapy
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Clinical implementation of a new electronic brachytherapy system for skin brachytherapy

机译：一种新型电子近距离放射治疗系统对皮肤近距离放射治疗的临床实施

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Although surgery is usually the first-line treatment for nonmelanoma skin cancers, radiotherapy (RT) may be indicated in selected cases. Radiation therapy as primary therapy can result in excellent control rates, cosmetics, and quality of life. Brachytherapy is a radiation treatment modality that offers the most conformal option to patients. A new modality for skin brachytherapy is electronic brachytherapy. This involves the placement of a high dose rate X-ray source directly in a skin applicator close to the skin surface, and therefore combines the benefits of brachytherapy with those of low energy X-ray radiotherapy. The Esteya electronic brachytherapy system is specifically designed for skin surface brachytherapy procedures. The purpose of this manuscript is to describe the clinical implementation of the new Esteya electronic brachytherapy system, which may provide guidance for users of this system. The information covered includes patient selection, treatment planning (depth evaluation and margin determination), patient marking, and setup. The justification for the hypofractionated regimen is described and compared with others protocols in the literature. Quality assurance (QA) aspects including daily testing are also included. We emphasize that these are guidelines, and clinical judgment and experience must always prevail in the care of patients, as with any medical treatment. We conclude that clinical implementation of the Esteya brachytherapy system is simple for patients and providers, and should allow for precise and safe treatment of nonmelanoma skin cancers.
机译：虽然手术通常是非曼洲皮肤癌的一线治疗，但是在选定病例中可以在放射治疗（RT）中。作为主要疗法的放射疗法可能导致优异的控制率，化妆品和生活质量。近距离放射治疗是一种辐射治疗方式，为患者提供最适合的选择。皮肤近距离放射治疗的新态度是电子近距离放射治疗。这涉及将高剂量率X射线源直接放置在靠近皮肤表面的皮肤涂抹器中，因此将近距离放射治疗与低能量X射线放射疗法的益处结合起来。 ESTEYA电子近距离放射治疗系统专为皮肤表面近距离放射治疗程序而设计。本手稿的目的是描述新的Esteya电子近距离放射治疗系统的临床实施，这可能为该系统的用户提供指导。所涵盖的信息包括患者选择，治疗计划（深度评估和保证金确定），患者标记和设置。描述并将其与文献中的其他协议进行了描述的对次级方案的理由。还包括质量保证（QA）各个方面，包括日常测试。我们强调，这些是指导方针，临床判断和经验必须在患者的照顾中普遍存在，如任何医疗。我们得出结论，对于患者和提供者来说，esteya近距离放射治疗系统的临床实施是简单的，并且应该允许对非棉状瘤皮肤癌进行精确和安全的治疗。

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