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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >The effect of amifostine or IMRT to preserve the parotid function after radiotherapy of the head and neck region measured by quantitative salivary gland scintigraphy.
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The effect of amifostine or IMRT to preserve the parotid function after radiotherapy of the head and neck region measured by quantitative salivary gland scintigraphy.

机译:通过定量唾液腺闪烁显像法测量,氨磷汀或IMRT保留头颈部区域放疗后保留腮腺功能的作用。

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PURPOSE: In this retrospective study, two approaches to preserve the parotid function after radiotherapy (RT) were compared: application of the radioprotective agent amifostine during RT and parotid-sparing intensity-modulated radiotherapy (IMRT). PATIENTS AND METHODS: Patients were qualified for this analysis if (1) both parotid glands received a radiation dose of 50Gy using conventional radiotherapy techniques (cRT) or if they received a parotid-sparing IMRT as alternative, if (2) salivary gland scintigraphies before and after RT were performed, and if (3) a normal parotid function was present before RT. Quantitative salivary gland scintigraphy was used to assess the parotid gland function. RESULTS: Altogether 275 salivary gland scintigraphies of 100 patients were analyzed. The mean relative tracer uptake (DeltaU) of patients treated with cRT, cRT with amifostine and IMRT 1-12 months after RT was 0.59 (95%CI 0.54-0.65), 0.67 (95%CI 0.59-0.76), and 0.93 (95%CI 0.78-1.07), respectively. The mean relative DeltaU 13-47 months after RT was 0.40 (95%CI 0.32-0.49), 0.60 (95%CI 0.48-0.71), and 0.92 (95%CI 0.56-1.28). At 1-12 months after RT, ANOVA testing with post-hoc comparison using the Bonferroni correction showed a significant difference between IMRT and cRT (p<0.001) or IMRT and amifostine (p<0.01). The difference between amifostine and cRT was not significant during the first year. At 13-47 months after RT, the difference between cRT and amifostine was significant (p=0.02). CONCLUSION: Our data suggest that both amifostine and IMRT are able to partially preserve the parotid function after radiotherapy. The effect of IMRT appeared to be much greater.
机译:目的:在这项回顾性研究中,比较了两种在放疗(RT)后保留腮腺功能的方法:放疗期间应用放射防护剂氨磷汀和保留腮腺的调强放疗(IMRT)。患者和方法:如果(1)两个腮腺均接受了常规放射疗法(cRT)的50Gy放射剂量,或者如果他们接受了保留腮腺的IMRT作为替代物,则患者(2)之前唾液腺闪烁显像并且在进行RT后,如果(3)在RT前存在正常的腮腺功能。定量唾液腺闪烁显像术用于评估腮腺功能。结果:共分析了100例患者的275例唾液腺闪烁显像。 RT后1-12个月接受cRT,cRT联合氨磷汀和IMRT治疗的患者的平均相对示踪剂摄取量(DeltaU)为0.59(95%CI 0.54-0.65),0.67(95%CI 0.59-0.76)和0.93(95) %CI 0.78-1.07)。放疗后13-47个月的平均相对DeltaU为0.40(95%CI 0.32-0.49),0.60(95%CI 0.48-0.71)和0.92(95%CI 0.56-1.28)。在放疗后1-12个月,采用Bonferroni校正进行事后比较的ANOVA测试显示IMRT和cRT(p <0.001)或IMRT和氨磷汀(p <0.01)之间存在显着差异。在第一年,氨磷汀和cRT之间的差异并不显着。放疗后13-47个月,cRT和氨磷汀之间的差异显着(p = 0.02)。结论:我们的数据表明,氨磷汀和IMRT都能在放射治疗后部分保留腮腺功能。 IMRT的效果似乎要大得多。

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