首页> 外文期刊>Oncologie. >From conventional radiation therapy to robotic approach: Technological evolution and revolution of practice [De la radiothérapie conventionnelle á l'utilisation de la robotique: Des évolutions technologiques et une révolution des pratiques]
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From conventional radiation therapy to robotic approach: Technological evolution and revolution of practice [De la radiothérapie conventionnelle á l'utilisation de la robotique: Des évolutions technologiques et une révolution des pratiques]

机译:从常规放射疗法到机器人方法:技术演进和实践革命[从传统放射疗法到机器人技术的使用:技术演进和实践革命]

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摘要

Since the discovery of X-ray by R?ntgen in 1895, the technological evolution of radiation therapy increased swiftly. However, the philosophy remained always the same: delivering higher radiation dose to the target volume while decreasing the dose to the organ at risk. Since the beginning of the 1990s, with conformal radiation therapy development (3DCT), differents techniques appeared. Some of them are derived from 3DCT, such as intensity-modulated radiation therapy, arctherapy, Tomotherapy?, or techniques using gating approach for breath holding. In the frame of stereotactic radiation therapy, the GammaKnife? is already used since 20 years, while new concepts, based on a robotic approach (CyberKnife?), are now available for treatment. Brachytherapy also took advantage from the technological evolution with the new approaches. In the frame of heavy ions, hadrontherapy represents an interesting technique dedicated to special clinical situations including pediatric tumors. In this article, we report an analysis of the technological evolution of radiation therapy.
机译:自1895年伦琴(R?ntgen)发现X射线以来,放射治疗的技术发展迅速增长。但是,其原理始终保持不变:向目标体积提供更高的辐射剂量,同时减少对处于危险中的器官的剂量。自1990年代初以来,随着保形放射疗法的发展(3DCT),出现了差异技术。其中一些源自3DCT,例如强度调制放射疗法,弧光疗法,Tomotherapy?或使用门控方法屏气的技术。在立体定向放射治疗的框架中,伽玛刀?自20年以来就已经使用了“神经刀”,而基于机器人方法(Cyber​​Knife?)的新概念现在可以进行治疗。近距离治疗还利用了新方法带来的技术发展优势。在重离子的框架中,强子疗法代表了一种有趣的技术,专门用于特殊的临床情况,包括小儿肿瘤。在本文中,我们报告了放射治疗技术发展的分析。

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