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首页> 外文期刊>Journal of the American College of Radiology: JACR >ACR appropriateness criteria? external-beam radiation therapy treatment planning for clinically localized prostate cancer
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ACR appropriateness criteria? external-beam radiation therapy treatment planning for clinically localized prostate cancer

机译：ACR适用性标准？临床上局限性前列腺癌的体外放射治疗方案

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摘要

Image-based radiation treatment planning and localization have contributed to better targeting of the prostate and sparing of normal tissues. Guidelines are needed to address radiation dose delivery, including patient setup and immobilization, target volume definition, treatment planning, treatment delivery methods, and target localization. Guidelines for external-beam radiation treatment planning have been updated and are presented here. The use of appropriate doses, simulation techniques, and verification of field setup are essential for the accurate delivery of radiation therapy. The ACR Appropriateness Criteria? are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
机译：基于图像的放射治疗计划和定位有助于更好地靶向前列腺和保留正常组织。需要制定准则来解决辐射剂量的交付问题，包括患者的设置和固定，目标体积的定义，治疗计划，治疗的交付方法以及目标的定位。已更新并在此处介绍了有关外部束放射治疗计划的指南。使用适当的剂量，模拟技术和现场设置验证对于准确地进行放射治疗至关重要。 ACR适当性标准？是针对特定临床状况的循证指南，由多学科专家小组每两年审查一次。指南的制定和审查包括对来自同行评审期刊的最新医学文献进行广泛分析，并应用公认的共识方法（改进的Delphi）评估专家组对影像学和治疗程序的适当性。在证据不足或不确定的情况下，专家意见可用于推荐影像学或治疗方法。

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