{"id":155,"date":"2016-05-24T23:04:30","date_gmt":"2016-05-24T15:04:30","guid":{"rendered":"http:\/\/www.rf-engineers.cn\/?p=155"},"modified":"2018-11-23T22:56:59","modified_gmt":"2018-11-23T14:56:59","slug":"%e8%ae%a9%e5%86%85%e8%a1%8c%e8%af%bb%e7%9a%84%e9%80%9a%e9%80%8f%ef%bc%9a2016%e5%b9%b4%e6%94%be%e7%96%97%e8%ae%be%e5%a4%87%e6%8a%80%e6%9c%af%e8%a7%a3%e6%9e%90%e3%80%81%e5%b8%82%e5%9c%ba%e5%88%86","status":"publish","type":"post","link":"http:\/\/www.rf-engineers.cn\/?p=155","title":{"rendered":"\u8ba9\u5185\u884c\u8bfb\u7684\u901a\u900f\uff1a2016\u5e74\u653e\u7597\u8bbe\u5907\u6280\u672f\u89e3\u6790\u3001\u5e02\u573a\u5206\u6790\u4e0e\u9884\u6d4b"},"content":{"rendered":"
\u672c\u62a5\u544a\u662f\u8d44\u6df1\u653e\u7597\u5e02\u573a\u4eba\u58eb\u7ed9\u6295\u8d44\u5546\u505a\u8bc4\u4f30\u4f7f\u7528\u7684\uff0c\u4ec5\u9650rf-engineers.cn\u8f6c\u8f7d\uff0c\u7981\u6b62\u4efb\u4f55\u4eba\u4f7f\u7528\u5728\u4efb\u4f55\u5176\u4ed6\u5730\u65b9\u3002<\/span><\/pre>\n
\u672c\u62a5\u544a\u5c06\u4ece\u4e0b\u9762\u4e24\u4e2a\u4e3b\u8981\u65b9\u9762\u5bf9\u653e\u7597\u5e02\u573a\u65b9\u5411\u8fdb\u884c\u5206\u6790<\/span><\/p>\n
\u7b2c\u4e00\u3001\u4ece\u4e34\u5e8a\u9700\u6c42\u51fa\u53d1\u6765\u5f97\u5230\u5bf9\u653e\u7597\u8bbe\u5907\u7684\u8981\u6c42\u3002<\/span><\/p>\n
\u7b2c\u4e8c\u3001\u4ece\u5e02\u573a\u7edf\u8ba1\u7684\u6570\u636e\u5f97\u5230\u76ee\u524d\u8bbe\u5907\u5728\u5e02\u573a\u7684\u5360\u6709\u60c5\u51b5\u3002<\/span><\/p><\/blockquote>\n
1\u3001\u4e34\u5e8a\u8981\u6c42\uff1a<\/strong><\/span><\/h1>\n
\u653e\u5c04\u6cbb\u7597\u662f\u80bf\u7624\u6cbb\u7597\u7684\u4e09\u79cd\u624b\u6bb5\u4e4b\u4e00\uff0c\u5176\u65e2\u53ef\u4ee5\u4f5c\u4e3a\u5176\u5b83\u6cbb\u7597\u65b9\u5f0f\u7684\u8865\u5145\uff0c\u53c8\u53ef\u4ee5\u72ec\u7acb\u5b8c\u6210\u6cbb\u7597\uff0c\u5e76\u4e14\u968f\u7740\u5fae\u6ce2\u6280\u672f\u3001\u63a7\u5236\u6280\u672f\u3001\u5f71\u50cf\u6280\u672f\u548cIT \u6280\u672f\u7684\u53d1\u5c55\uff0c\u653e\u5c04\u6cbb\u7597\u7684\u6cbb\u6108\u7387\uff08\u6216\u8005\u8bf45 \u5e74\u751f\u5b58\u7387\uff09\u5f97\u5230\u4e86\u975e\u5e38\u5927\u7684\u63d0\u9ad8\u3002\u4e0b\u56fe\u662f\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08WTO\uff09\u5bf9\u4e09\u79cd\u80bf\u7624\u6cbb\u7597\u624b\u6bb5\u7684\u6cbb\u6108\u7387\u505a\u51fa\u7684\u4e00\u4e2a\u7edf\u8ba1\u3002<\/span><\/p>\n
\"\u56fe\u72472\"<\/p>\n
Fig. 1 \u5404\u79cd\u624b\u6bb5\u7684\u80bf\u7624\u6cbb\u6108\u7387\u7edf\u8ba1\uff082000 \u5e74V.S. 2013 \u5e74\uff09<\/span><\/p>\n
\u4eceFig.1 \u4e2d\u53ef\u4ee5\u770b\u5230\u4ece2000 \u5e74\u52302013 \u5e74\uff0c\u80bf\u7624\u7684\u7efc\u5408\u6cbb\u6108\u7387\u4ece45%\u63d0\u5347\u523067%\uff0c\u5176\u4e2d\u653e\u5c04\u6cbb\u7597\u7684\u8d21\u732e\u6700\u5927\uff0c\u4ece18%\u63d0\u9ad8\u523030%\uff0c\u5c24\u5176\u5bf9\u6bd4\u5316\u7597\u7684\u6709\u9650\u7684\u63d0\u5347\u7387\u66f4\u4e3a\u660e\u663e\u3002\u800c\u8fd9\u6bb5\u65f6\u95f4\u6070\u597d\u662f\u653e\u7597\u4ece\u5e38\u89c4\u653e\u7597\u2014>\u7cbe\u786e\u653e\u7597\u2014>\u5f71\u50cf\u5f15\u5bfc\u653e\u7597<\/strong><\/span>\u7684\u53d1\u5c55\u65f6\u671f\uff0c\u5f88\u663e\u7136\uff0c\u8bbe\u5907\u7684\u98de\u901f\u8fdb\u6b65\u5bf9\u653e\u7597\u624b\u6bb5\u4e30\u5bcc\u548c\u6cbb\u6108\u7387\u7684\u63d0\u5347\u8d77\u5230\u4e86\u5173\u952e\u6027\u7684\u4f5c\u7528\u3002<\/span><\/p>\n
\u653e\u5c04\u6cbb\u7597\u7684\u65b9\u5f0f\u4ece\u5927\u7c7b\u4e0a\u5212\u5206\u53ef\u4ee5\u5206\u4e3a\u5916\u7167\u5c04\u548c\u5185\u7167\u5c04\uff0c90%<\/span>\u751a\u81f3\u66f4\u9ad8\u6bd4\u4f8b\u7684\u6cbb\u7597\u662f\u4ee5\u52a0\u901f\u5668\uff08\u5fae\u6ce2\u578b\u76f4\u7ebf\u52a0\u901f\u5668\u3001\u8d28\u5b50&\u91cd\u79bb\u5b50\u56de\u65cb\u578b\u52a0\u901f\u5668\uff09\u4e3a\u4e3b\u8981\u8bbe\u5907\u6765\u5b8c\u6210\u7684\u5916\u7167\u5c04\u3002\u8fd9\u90e8\u5206\u8bbe\u5907\u5360\u636e\u653e\u7597\u5e02\u573a\u7684\u4e3b\u6d41\uff0c\u76ee\u524d\u5f00\u53d1\u7684\u5404\u79cd\u52a0\u901f\u5668\u8ba1\u6709\uff1a<\/span><\/p>\n
1\u3001 S \u6ce2\u6bb5\u7684C \u578b\u81c2\u67b6\u7684\u76f4\u7ebf\u52a0\u901f\u5668\uff0c\u5206\u4e3a\u884c\u6ce2\uff08Elekta\uff09\u548c\u9a7b\u6ce2\uff08Varian\uff09\u4e24\u79cd\u52a0\u901f\u65b9\u5f0f\uff1b<\/span><\/p>\n
2\u3001 S \u6ce2\u6bb5\u7684O \u578b\u81c2\u67b6\u7684\u76f4\u7ebf\u52a0\u901f\u5668\uff08TOMO\uff09\uff1b<\/span><\/p>\n
3\u3001 C \u6ce2\u6bb5\u7684O \u578b\u81c2\u67b6\u7684\u76f4\u7ebf\u52a0\u901f\u5668\uff08Vero\uff09\uff1b<\/span><\/p>\n
4\u3001 X \u6ce2\u6bb5\u7684\u673a\u68b0\u624b\u81c2\u67b6\u7684\u76f4\u7ebf\u52a0\u901f\u5668\uff08CyberKnife\uff09\uff1b<\/span><\/p>\n
5\u3001 S \u6ce2\u6bb5\u7684\u8dd1\u9053\u578b\u52a0\u901f\u5668\uff08MM50 \u6216Microtron\uff09\uff1b<\/span><\/p>\n
6\u3001 \u8d28\u5b50\u578b\u56de\u65cb\u52a0\u901f\u5668\uff08\u7b49\u65f6\u578b\u6216\u540c\u6b65\u578b\uff09\uff1b<\/span><\/p>\n
7\u3001 \u91cd\u79bb\u5b50\u56de\u65cb\u52a0\u901f\u5668\uff08\u540c\u6b65\u578b\uff09\u3002<\/span><\/p><\/blockquote>\n
\u5b83\u4eec\u6216\u91c7\u53d6\u4e0d\u540c\u7684\u6280\u672f\u6216\u91c7\u53d6\u4e0d\u540c\u7684\u7ed3\u6784\uff0c\u4e3b\u8981\u7528\u4e8e\u6ee1\u8db3\u4e0d\u540c\u7684\u4e34\u5e8a\u9700\u6c42\u3002\u56e0\u6b64\uff0c\u4e34\u5e8a\u9700\u6c42\u662f\u4ea7\u54c1\u5f00\u53d1\u548c\u5e02\u573a\u5b9a\u4f4d\u7684\u4e3b\u8981\u4f9d\u636e\u3002\u5e76\u4e14\u7ecf\u8fc7\u51e0\u5341\u5e74\u7684\u53d1\u5c55\uff0c\u653e\u7597\u7684\u4e34\u5e8a\u9700\u6c42\u4e5f\u968f\u4e4b\u4e0d\u65ad\u7684\u63d0\u5347\u5230\u66f4\u9ad8\u7684\u5883\u754c\u3002\u4e0b\u9762\u5c31\u5bf9\u6b64\u8fdb\u884c\u4e00\u4e2a\u7b80\u8981\u7684\u6574\u7406\u3002\u4ece\u5b8f\u89c2\u7684\u5c42\u9762\u4e0a\u6765\u770b\uff0c\u4e0b\u56fe\u7ed9\u51fa\u4e86\u76ee\u524d\u653e\u7597\u7684\u4e34\u5e8a\u8981\u6c42\uff0c\u5e76\u6309\u7167\u4ece\u57fa\u672c\u5230\u9ad8\u7ea7\u8fdb\u884c\u5982\u4e0b\u56fe\u6240\u793a\u7684\u6392\u5217\u3002<\/span><\/p>\n
\"\u56fe\u72473\"<\/p>\n
Fig. 2 \u653e\u7597\u7684\u4e34\u5e8a\u8981\u6c42<\/span><\/p>\n
\u5982\u4e0a\u56fe\u91d1\u5b57\u5854\u7ed3\u6784\u6240\u793a\uff0c\u653e\u7597\u7684\u4e34\u5e8a\u8981\u6c42\u4e0d\u65ad\u63d0\u5347\uff0c\u6240\u9700\u7684\u653e\u7597\u6280\u672f\u4e5f\u968f\u4e4b\u63d0\u5347\uff0c\u4ece\u5e38\u89c4\u653e\u7597\uff08Conventional RT\uff09\u2014>\u8c03\u5f3a\u653e\u7597\uff08Intensity Modulated RT\uff09\u2014> \u5f71\u50cf\u5f15\u5bfc\u653e\u7597\uff08Image Guided RT\uff09\u2014> \u81ea\u9002\u5e94\u653e\u7597\uff08Adaptive RT\uff09<\/span><\/strong>\uff0c\u6cbb\u7597\u7684\u7cbe\u5ea6\u66f4\u9ad8\u3001\u6b63\u5e38\u7ec4\u7ec7\u7684\u635f\u4f24\u66f4\u5c0f\u3001\u75c5\u4eba\u7684\u6cbb\u7597\u8fc7\u7a0b\u66f4\u8212\u9002\u7b49\u3002\u56e0\u6b64\u5bf9\u8bbe\u5907\u7684\u8981\u6c42\u4e5f\u66f4\u52a0\u5168\u9762\uff0c\u76ee\u524d\u653e\u7597\u8bbe\u5907\u5df2\u7ecf\u4ece\u4e00\u4e2a\u4ee5\u52a0\u901f\u5668\u4e3a\u4e3b\u7684\u76f8\u5bf9\u5355\u4e00\u4f53\u7cfb\u53d1\u5c55\u6210\u4ee5\u52a0\u901f\u5668+\u9ad8\u7cbe\u5ea6\u6cbb\u7597\u5934+\u9ad8\u7cbe\u5ea6\u5b9a\u4f4d\u7cfb\u7edf+\u5f71\u50cf\u7cfb\u7edf+\u8ba1\u5212\u8f6f\u4ef6&\u7ba1\u7406\u8f6f\u4ef6+\u5404\u79cd\u8f85\u52a9\u8bbe\u5907\u7684\u7efc\u5408\u6027\u6cbb\u7597\u5e73\u53f0\u3002\u4e0b\u6587\u6211\u4eec\u9996\u5148\u5bf9\u4e34\u5e8a\u9700\u6c42\u8fdb\u884c\u8fdb\u4e00\u6b65\u7684\u7ec6\u5316\uff0c\u5e76\u5bf9\u5e94\u5230\u5177\u4f53\u7684\u8bbe\u5907\u8981\u6c42\uff08\u6211\u4eec\u5c06\u4e3b\u8981\u9009\u53d6\u5e94\u7528\u6700\u5e7f\u6cdb\u7684S \u6ce2\u6bb5\u76f4\u7ebf\u578b\u52a0\u901f\u5668\u8fdb\u884c\u8bf4\u660e\uff09\u3002<\/span><\/p>\n
1.1\u3001\u5e38\u89c4\u653e\u7597\u8981\u6c42\u548c\u6280\u672f&\u8bbe\u5907\u8981\u6c42<\/span><\/h2>\n
\u5e38\u89c4\u653e\u7597\u6280\u672f\u4ece\u653e\u7597\u4f0a\u59cb\u4e00\u76f4\u5230\u73b0\u5728\u8fd8\u5728\u4e34\u5e8a\u4e2d\u5f97\u5230\u5e7f\u6cdb\u7684\u5e94\u7528\uff0c\u5176\u4e3b\u8981\u7279\u70b9\u662f\u4e34\u5e8a\u7684\u64cd\u4f5c\u8981\u6c42\u76f8\u5bf9\u7b80\u5355\uff0c\u653e\u7597\u8ba1\u5212\u7684\u5236\u5b9a\u4e5f\u6bd4\u8f83\u7b80\u5355\uff0c\u591a\u4f7f\u7528\u89c4\u5219\u7684\u5c04\u91ce\uff0c\u8f85\u4ee5\u6954\u5f62\u6863\u5757\u548c\u5916\u6302\u94c5\u6863\u5757\u7b49\u65b9\u5f0f\u5bf9\u5c04\u675f\u8fdb\u884c\u4e00\u5b9a\u7684\u4fee\u6b63\u3002\u5e38\u89c4\u653e\u7597\u662f\u73b0\u4ee3\u653e\u7597\u6280\u672f\u7684\u57fa\u7840\uff0c\u5c3d\u7ba1\u73b0\u5728\u9010\u6b65\u88ab\u66f4\u5148\u8fdb\u7684\u653e\u7597\u6280\u672f\u6240\u53d6\u4ee3\uff0c\u4f46\u4e00\u4e9b\u6839\u672c\u6027\u7684\u675f\u6d41\u6307\u6807\u4ecd\u7136\u662f\u653e\u7597\u8bbe\u5907\u7684\u57fa\u7840\uff0c\u5bf9\u653e\u7597\u8bbe\u5907\u7684\u5f00\u53d1\u4ecd\u7136\u5177\u6709\u5f88\u5f3a\u7684\u6307\u5bfc\u610f\u4e49\u3002\u6211\u4eec\u9009\u53d6\u4e86\u533b\u79d1\u8fbe\u7684\u675f\u6d41\u6307\u6807\u4e3a\u4f8b\u3002<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n
Nominal energy, MV <\/strong><\/span><\/td>\n6<\/strong><\/span><\/td>\n10<\/strong><\/span><\/td>\nNominal energy, MV <\/strong><\/span><\/td>\n15<\/strong><\/span><\/td>\n18<\/strong><\/span><\/td>\n<\/tr>\n
Depth of dose maximum, dmax<\/span><\/td>\n1.50<\/span><\/td>\n2.10<\/span><\/td>\nDepth of dose maximum, dmax<\/span><\/td>\n2.60<\/span><\/td>\n3.00<\/span><\/td>\n<\/tr>\n
Percent dose at 10 cm depth, D10, \u00b11 %<\/span><\/td>\n67.5<\/span><\/td>\n73.0<\/span><\/td>\nPercent dose at 10 cm depth, D10, \u00b11 %<\/span><\/td>\n76.5<\/span><\/td>\n78.5<\/span><\/td>\n<\/tr>\n
Penetrative quality, d80, cm, \u00b1 0.3 cm<\/span><\/td>\n6.4<\/span><\/td>\n7.6<\/span><\/td>\nPenetrative quality, d80, cm, \u00b1 0.2 cm<\/span><\/td>\n8.4<\/span><\/td>\n9.0<\/span><\/td>\n<\/tr>\n
Quality index, TPR20,10<\/span><\/td>\n0.68<\/span><\/td>\n0.73<\/span><\/td>\nQuality index, TPR20,10<\/span><\/td>\n0.76<\/span><\/td>\n0.78<\/span><\/td>\n<\/tr>\n
Dose rate variable in steps between (MU\/min.)<\/strong><\/span><\/td>\n<\/tr>\n
Minimum nominal<\/span><\/td>\n30<\/span><\/td>\n30<\/span><\/td>\nMinimum nominal<\/span><\/td>\n40<\/span><\/td>\n<\/tr>\n
Maximum nominal<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\nMaximum nominal<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88681. X \u5c04\u7ebf\u7684\u675f\u6d41\u6307\u6807<\/span><\/p>\n\n\n\n\n\n\n\n\n\n
Nominal energy (MeV)<\/strong><\/span><\/td>\n4<\/strong><\/span><\/td>\n6<\/strong><\/span><\/td>\n8<\/strong><\/span><\/td>\n9<\/strong><\/span><\/td>\n10<\/strong><\/span><\/td>\n12<\/strong><\/span><\/td>\n15<\/strong><\/span><\/td>\n<\/tr>\n
R80, cm<\/span><\/td>\n1.33<\/span><\/td>\n2.0<\/span><\/td>\n2.67<\/span><\/td>\n3.0<\/span><\/td>\n3.33<\/span><\/td>\n4.0<\/span><\/td>\n5.0<\/span><\/td>\n<\/tr>\n
dmax, cm<\/span><\/td>\n0.9<\/span><\/td>\n1.3<\/span><\/td>\n1.7<\/span><\/td>\n1.90<\/span><\/td>\n2.1<\/span><\/td>\n2.5<\/span><\/td>\n2.7<\/span><\/td>\n<\/tr>\n
Rp, cm<\/span><\/td>\n2.2<\/span><\/td>\n3.0<\/span><\/td>\n4.1<\/span><\/td>\n4.5<\/span><\/td>\n4.9<\/span><\/td>\n5.9<\/span><\/td>\n7.2<\/span><\/td>\n<\/tr>\n
Dose rate variable in 5 steps (cGy\/min.)<\/strong><\/span><\/td>\n<\/tr>\n
Minimum nominal<\/span><\/td>\n37.5<\/span><\/td>\n37.5<\/span><\/td>\n37.5<\/span><\/td>\n37.5<\/span><\/td>\n37.5<\/span><\/td>\n37.5<\/span><\/td>\n37.5<\/span><\/td>\n<\/tr>\n
Maximum nominal<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n600<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88682. \u7535\u5b50\u7ebf\u7684\u675f\u6d41\u6307\u6807<\/span><\/p>\n
\u4ece\u4e0a\u8ff0\u4e24\u4e2a\u8868\u53ef\u4ee5\u770b\u5230\uff0c\u76ee\u524d\u7684\u4e3b\u6d41\u8bbe\u5907\u4ecd\u7136\u4f7f\u7528\u591a\u6863X \u5c04\u7ebf\u548c\u7535\u5b50\u7ebf\u4e3a\u4e34\u5e8a\u63d0\u4f9b\u4e0d\u540c\u7684\u6cbb\u7597\u9009\u62e9\uff0c\u9664\u4e86\u4e0a\u8ff0\u80fd\u91cf\u7a7f\u900f\u548c\u5242\u91cf\u7387\u7684\u57fa\u672c\u8981\u6c42\u5916\uff0c\u5e38\u89c4\u653e\u7597\u4f7f\u7528\u7684\u5c04\u675f\u8fd8\u7ecf\u8fc7\u4e86\u4fee\u6574\uff0c\u5176beam profile \u7684\u4e3b\u8981\u8861\u91cf\u6307\u6807\u8fd8\u6709\u5e73\u5766\u5ea6\uff08flatness\uff09\u548c\u5bf9\u79f0\u6027\uff08symmetry\uff09\u3002\u57fa\u4e8e\u6b64\uff0c\u6211\u4eec\u53ef\u4ee5\u6574\u7406\u5e38\u89c4\u653e\u7597\u7684\u9700\u6c42\u5982\u4e0b\uff1a<\/span><\/p>\n\n\n\n\n
\n
\u5e38\u89c4\u653e\u7597\u9700\u6c42<\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n
\u53ef\u4ee5\u63d0\u4f9b\u80fd\u91cf\u4ece\u4f4e\u5230\u9ad8\u7684X\u5c04\u7ebf\uff086MV ->18MV\uff09\u548c\u7535\u5b50\u5c04\u7ebf\uff084MeV-> 25MeV\uff09\uff0c\u6216\u8005\u81f3\u5c11\u63d0\u4f9b\u5355\u80fd6MVX\u5c04\u7ebf\u8f93\u51fa\uff1b\u5e76\u4e14\u5c04\u7ebf\u7684\u5242\u91cf\u7387\u53ef\u6ee1\u8db3\u4e34\u5e8a\u6cbb\u7597\u901a\u8fc7\u7387\u8981\u6c42\u3002<\/span><\/td>\n\u675f\u6d41\u6307\u6807\uff08\u7a7f\u900f\u6df1\u5ea6\u3001\u7b49\u5242\u91cf\u66f2\u7ebf\u7279\u6027\u5982\u5e73\u5766\u5ea6\u548c\u5bf9\u79f0\u6027\u7b49\uff09\u548c\u673a\u68b0\u7cbe\u5ea6\uff08\u7b49\u4e2d\u5fc3\u7cbe\u5ea6\u7b49\uff09\u6ee1\u8db3IEC60976\u6807\u51c6\u6216\u56fd\u6807\u3002<\/span><\/td>\n\u8bbe\u5907\u5728\u957f\u65f6\u95f4\u4f7f\u7528\uff0c\u53cd\u590d\u542f\u52a8\u9ad8\u538b\u7684\u5de5\u4f5c\u73af\u5883\u4e0b\u4f9d\u7136\u80fd\u591f\u4fdd\u6301\u8f93\u51fa\u7a33\u5b9a\u7684\u3001\u5408\u683c\u7684\u675f\u6d41\u6307\u6807\u3002<\/span><\/td>\n\u6cbb\u7597\u5934\u8bbe\u8ba1\u5177\u6709\u9632\u6b62\u5c04\u7ebf\u6f0f\u5c04\u7684\u80fd\u529b\uff0c\u53ef\u4ee5\u6539\u53d8\u5c04\u91ce\u9762\u79ef\uff0c\u53ef\u4ee5\u4f7f\u7528\u6954\u5f62\u3001\u5f71\u5b50\u76d8\u7b49\u7b49\u9644\u4ef6\u5bf9\u5c04\u91ce\u8fdb\u884c\u6709\u9650\u7684\u4fee\u6574\u3002<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88683. \u5e38\u89c4\u653e\u7597\u9700\u6c42<\/span><\/p>\n
\u5e38\u89c4\u653e\u7597\u6280\u672f\u6bd4\u8f83\u7b80\u5355\uff0c\u4e3b\u8981\u4f7f\u7528\u89c4\u5219\u7684\u5c04\u91ce\u5bf9\u9776\u533a\u8fdb\u884c\u8986\u76d6\uff0c\u901a\u5e38\u4f1a\u4ece\u4e0d\u540c\u7684\u89d2\u5ea6\u4f7f\u7528\u51e0\u4e2a\u5c04\u91ce\uff0c\u6709\u65f6\u4e5f\u4f1a\u4f7f\u7528\u6954\u578b\u6863\u5757\u6216\u8005\u5916\u6302\u94c5\u6863\u6765\u4fee\u6574\u5c04\u675f\uff08\u5373\u7b49\u5242\u91cf\u66f2\u7ebf\u7684\u5f62\u72b6\uff09\uff0c\u6216\u4f7f\u7528\u5f27\u5f62\u6cbb\u7597\uff0c\u975e\u5171\u9762\u6cbb\u7597\u7b49\u3002\u603b\u4e4b\uff0c\u5e38\u89c4\u653e\u7597\u57fa\u672c\u8fd8\u662f\u57fa\u4e8e\u89c4\u5219\u56fe\u5f62\u5c04\u91ce\u7684\u653e\u7597\u6280\u672f\uff0c\u5176\u5fc5\u7136\u96be\u514d\u5bf9\u9776\u533a\u7684\u9002\u5f62\u4e0d\u662f\u975e\u5e38\u7684\u7406\u60f3\uff1b\u53e6\u5916\uff0c\u4e00\u4e9b\u6b63\u5e38\u7ec4\u7ec7\u548c\u5371\u53ca\u5668\u5b98\u7d27\u90bb\u9776\u533a\u7684\u90e8\u5206\u4e5f\u65e0\u53ef\u907f\u514d\u7684\u4f1a\u53d7\u5230\u8fc7\u91cf\u7684\u7167\u5c04\u3002\u800c\u5982\u679c\u8003\u8651\u5230\u5bf9\u6b63\u5e38\u7ec4\u7ec7\u548c\u5371\u53ca\u5668\u5b98\u53d7\u91cf\u7684\u9650\u5236\uff0c\u5f80\u5f80\u4f1a\u5bfc\u81f4\u5bf9\u9776\u533a\u52a0\u91cf\u4e0d\u8db3\u3002\u6240\u4ee5\uff0c\u5e38\u89c4\u653e\u7597\u6700\u5927\u7684\u95ee\u9898\u5728\u4e8e\u65e0\u6cd5\u89e3\u51b3\u5982\u4f55\u5728\u9776\u533a\u52a0\u91cf\u540c\u65f6\u53c8\u80fd\u4fdd\u62a4\u6b63\u5e38\u7ec4\u7ec7\u548c\u5371\u53ca\u5668\u5b98\u8fd9\u4e00\u4e2a\u77db\u76fe\u3002<\/span><\/p>\n
\u5e38\u89c4\u653e\u7597\u4e3b\u8981\u8981\u6c42\u653e\u7597\u8bbe\u5907\u7684\u6838\u5fc3\u51fa\u675f\u7cfb\u7edf\uff0c\u5373\u4ee5\u52a0\u901f\u7ba1\u4e3a\u6838\u5fc3\u7684\u5fae\u6ce2\u7cfb\u7edf\u5177\u5907\u7a33\u5b9a\u548c\u53ef\u9760\u5de5\u4f5c\u7684\u80fd\u529b\uff0c\u675f\u6d41\u7684\u53d8\u5316\u5c06\u76f4\u63a5\u5f71\u54cd\u6cbb\u7597\u7684\u6548\u679c\uff0c\u56e0\u6b64\u8f93\u51fa\u5c04\u7ebf\u7684\u80fd\u91cf\u548c\u5242\u91cf\u7387\u7684\u7a33\u5b9a\u81f3\u5173\u91cd\u8981\u3002\u5c24\u5176\u5bf9\u4e8e\u5242\u91cf\u7387\uff0c\u591a\u79cd\u56e0\u7d20\u90fd\u53ef\u4ee5\u5f71\u54cd\u5230\u5b83\u7684\u7a33\u5b9a\u6027\uff0c\u6bd4\u5982\uff1aAFC \u7684\u8c03\u8c10\u662f\u5426\u51c6\u786e\u3001\u7a33\u5b9a\uff1b\u6c34\u51b7\u7cfb\u7edf\u662f\u5426\u5de5\u4f5c\u6b63\u5e38\u3001\u7535\u5b50\u67aa\u53d1\u5c04\u662f\u5426\u6b63\u5e38\u3001\u5c04\u9891\u529f\u7387\u6e90\u662f\u5426\u5de5\u4f5c\u6b63\u5e38\u3001\u52a0\u901f\u7ba1\u771f\u7a7a\u662f\u5426\u906d\u5230\u7834\u574f\u3001\u5fae\u6ce2\u7684\u4f20\u8f93\u901a\u9053\u662f\u5426\u53d1\u751f\u6253\u706b\uff08Arcing\uff09\u7b49\u3002\u800c\u6839\u636e\u7528\u6237\u7684\u53cd\u9988\uff0cRF \u6e90\u5728\u957f\u65f6\u95f4\u4f7f\u7528\u540e\uff0c\u5176\u529f\u7387\u8f93\u51fa\u80fd\u529b\u4f1a\u9010\u6b65\u4e0b\u964d\uff0c\u8fd9\u4e5f\u4f1a\u5bfc\u81f4\u52a0\u901f\u5668\u65e0\u6cd5\u7a33\u5b9a\u957f\u65f6\u95f4\u5de5\u4f5c\u5728\u6700\u5927\u5242\u91cf\u7387\u6863\u4e0a\uff0c\u8fd9\u70b9\u5bf9\u4e8e\u4ee5\u78c1\u63a7\u7ba1\u4e3aRF \u6e90\u7684\u52a0\u901f\u5668\u4e0a\u8868\u73b0\u66f4\u4e3a\u660e\u663e\u3002\u56e0\u6b64\u5728\u9009\u53d6RF \u6e90\u7684\u65f6\u5019\u8981\u5c3d\u91cf\u8003\u8651\u4e00\u5b9a\u7684\u529f\u7387\u5197\u4f59\u80fd\u529b\u3002\u6b64\u5916\uff0cAFC \u8c03\u8c10\u4e5f\u5bf9\u5242\u91cf\u7387\u7684\u7a33\u5b9a\u975e\u5e38\u91cd\u8981\uff0c\u5c24\u5176\u5bf9\u4e8e\u9a7b\u6ce2\u578b\u52a0\u901f\u5668\uff0c\u8c10\u632f\u9891\u70b9\u7684\u5fae\u5c0f\u504f\u79fb\u90fd\u4f1a\u5bfc\u81f4\u52a0\u901f\u7535\u573a\u65e0\u6cd5\u5efa\u7acb\uff0c\u56e0\u6b64AFC \u5fc5\u987b\u4fdd\u8bc1RF \u6e90\u548c\u52a0\u901f\u5668\u8154\u4f53\u7684\u8c10\u632f\u9891\u7387\u5b8c\u5168\u4e00\u81f4\u3002<\/span><\/p>\n
1.2\u3001\u7cbe\u786e\uff08\u8c03\u5f3a\uff09\u653e\u7597\u8981\u6c42\u548c\u6280\u672f&\u8bbe\u5907\u8981\u6c42<\/span><\/h2>\n
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\n
\u7cbe\u786e\u653e\u7597\u9700\u6c42<\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n
\u5bf9\u4e0d\u89c4\u5219\u5c04\u91ce\u5f62\u72b6\u80fd\u591f\u57282D\u62163D\u7a7a\u95f4\u4e0a\u7684\u9002\u5f62<\/span><\/td>\n\u5c04\u7ebf\u5242\u91cf\u4e3b\u8981\u96c6\u4e2d\u4e8e\u9776\u533a<\/span><\/td>\n\u4fdd\u62a4\u5371\u53ca\u5668\u5b98\uff08organ at risk\uff09\u548c\u6b63\u5e38\u7ec4\u7ec7\uff0c\u6216\u8005\u8bf4\u5c3d\u53ef\u80fd\u538b\u4f4eOAR\u548c\u6b63\u5e38\u7ec4\u7ec7\u7684\u53d7\u91cf<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88684. \u7cbe\u786e\u653e\u7597\u9700\u6c42<\/span><\/p>\n
\u9488\u5bf9\u4e0a\u8ff0\u9700\u6c42\uff0c\u73b0\u5df2\u5f00\u53d1\u7684\u7cbe\u786e\u653e\u7597\u6280\u672f\u4e3b\u8981\u5982\u4e0b\uff1a<\/span>
\n i. \u8c03\u5f3a\u6280\u672f\uff0c\u5206\u4e3a\u9759\u6001\u8c03\u5f3a\uff08step & shoot IMRT\uff09\u548c\u52a8\u6001\u8c03\u5f3a\uff08dynamic IMRT\uff09\u6216\u79f0\u201c\u6ed1\u52a8\u7a97\u201d\u6280\u672f\uff08sliding window\uff09\uff1b<\/span>
\n ii. \u5bb9\u79ef\u65cb\u8f6c\u8c03\u5f3a\u6280\u672f\uff08Volumetric Modulated Arc Therapy, VMAT\uff09\u3002<\/span><\/p><\/blockquote>\n
\u8c03\u5f3a\u6280\u672f\u7684\u51fa\u73b0\u662f\u653e\u7597\u53d1\u5c55\u7684\u91cc\u7a0b\u7891\uff0c\u8fd9\u79cd\u65b9\u5f0f\u4e3b\u8981\u901a\u8fc7\u88c5\u6709\u591a\u53f6\u7535\u52a8\u5149\u6805\uff08MLC\uff09\u7684\u6cbb\u7597\u5934\u6765\u5b9e\u73b0\u3002\u81ea\u6b64\uff0cMLC \u9996\u6b21\u6210\u4e3a\u548c\u52a0\u901f\u5668\u51fa\u675f\u88c5\u7f6e\u5e76\u91cd\u7684\u5206\u7cfb\u7edf\u3002\u5e76\u4e14\uff0c\u572821 \u4e16\u7eaa\u521d\u671f\uff0cIT \u6280\u672f\u7684\u53d1\u5c55\u4e3a\u5236\u5b9a\u590d\u6742\u7684\u8c03\u5f3a\u8ba1\u5212\u63d0\u4f9b\u4e86\u826f\u597d\u7684\u786c\u3001\u8f6f\u4ef6\u73af\u5883\uff1b\u8ba1\u7b97\u4e00\u4e2a\u590d\u6742\u7684\u8ba1\u5212\u4e0d\u4f1a\u518d\u7b49\u5f85\u5f88\u957f\u7684\u65f6\u95f4\uff0c\u8fd9\u5c31\u4e3a\u8c03\u5f3a\u8d70\u5411\u5b9e\u7528\u5960\u5b9a\u4e86\u5f88\u597d\u7684\u57fa\u7840\u3002\u8c03\u5f3a\u4e3b\u8981\u901a\u8fc7\u5728\u591a\u4e2a\u65b9\u5411\u6295\u5c04\u9884\u5148\u7531\u6cbb\u7597\u8ba1\u5212\u7cfb\u7edf\uff08Treatment Planning System, TPS\uff09\u8ba1\u7b97\u7684\u591a\u4e2a\u4e0d\u89c4\u5219\u5b50\u91ce\uff08Segment\uff09\u6765\u5b8c\u6210\u4e0a\u8ff0\u7cbe\u786e\u653e\u7597\u7684\u76ee\u7684\u3002\u8c03\u5f3a\u6280\u672f\u51fa\u73b0\u7684\u6700\u5927\u610f\u4e49\u5728\u4e8e\u7ed9\u4e0e\u4e86\u4e00\u79cd\u5b9e\u7528\u7684\u6280\u672f\u624b\u6bb5\u80fd\u591f\u4fdd\u8bc1\u5728\u9776\u533a\u6ce8\u5165\u66f4\u9ad8\u5242\u91cf\u4f46\u540c\u65f6\u80fd\u591f\u628a\u5468\u56f4\u7684\u5371\u53ca\u5668\u5b98\u7684\u5242\u91cf\u538b\u4f4e\uff0c\u8fd9\u6539\u53d8\u4e86\u5e38\u89c4\u653e\u7597\u7ecf\u5e38\u5728\u6743\u8861\u8fd9\u4e24\u8005\u65f6\u9677\u5165\u4e24\u96be\u5883\u5730\u7684\u5c40\u9762\u3002\u56e0\u6b64\uff0c\u653e\u7597\u52bf\u5fc5\u8d70\u5165\u7cbe\u786e\u653e\u7597\u65f6\u4ee3\u3002\u4e0d\u8fc7\uff0c\u8c03\u5f3a\u6280\u672f\u7684\u51fa\u73b0\u5bf9\u52a0\u901f\u5668\u63d0\u51fa\u4e86\u66f4\u9ad8\u7684\u8981\u6c42\u3002\u9996\u5148\uff0c\u5b83\u9700\u8981MLC \u548c\u539f\u6709\u52a0\u901f\u5668\u90e8\u5206\u4e00\u8d77\u914d\u5408\u5b8c\u6210\u6295\u5c04\uff1b\u800c\u4e14\u9488\u5bf9\u4e0d\u540c\u7684\u8c03\u5f3a\u6280\u672f\u5bf9\u52a0\u901f\u5668\u6709\u4e0d\u540c\u7684\u8981\u6c42\u3002<\/span><\/p>\n
Step & Shoot IMRT \u7684\u4e3b\u8981\u5b9e\u65bd\u8fc7\u7a0b\u662f\uff1a\u5728\u4e00\u4e2a\u56fa\u5b9a\u673a\u67b6\u4f4d\u6295\u5c04\u4e00\u4e2a\u7531\u82e5\u5e72\u4e2a\u5b50\u91ce\u7ec4\u6210\u7684\u5927\u5c04\u91ce\uff0cMLC \u9996\u5148\u7ec4\u6210\u7b2c\u4e00\u4e2a\u5b50\u91ce\u7684\u5f62\u72b6\uff0c\u7136\u540e\u51fa\u675f\uff0c\u5c04\u7ebf\u6295\u5c04\u5b8c\u6210\u540e\u7ec8\u6b62\u5c04\u7ebf\uff0c\u7136\u540eMLC \u518d\u7ec4\u6210\u7b2c\u4e8c\u4e2a\u5b50\u91ce\uff0c\u518d\u51fa\u675f\u3002\u3002\u3002\u4e00\u76f4\u5230\u5b8c\u6210\u6700\u540e\u4e00\u4e2a\u5b50\u91ce\uff0c\u673a\u67b6\u518d\u79fb\u52a8\u5230\u4e0b\u4e00\u4e2a\u4f4d\u7f6e\u3002\u3002\u3002\u76f4\u5230\u5b8c\u6210\u6574\u4e2a\u8ba1\u5212\u3002\u7531\u4e8e\u5bf9\u5927\u5c04\u91ce\u8fdb\u884c\u5b50\u91ce\u5212\u5206\u7531TPS \u8ba1\u7b97\u5b8c\u6210\uff0c\u4e3a\u4e86\u5f97\u5230\u6700\u4f18\u7ed3\u679c\uff0c\u5728\u4e00\u4e9b\u60c5\u51b5\u4e0b\u4f1a\u51fa\u73b0\u5f88\u5c0f\u9762\u79ef\u7684\u5b50\u91ce\uff0c\u56e0\u6b64\u9700\u8981\u7684\u5242\u91cf\u4e5f\u5f88\u5c11\uff0c\u901a\u5e38\u5c0f\u4e8e5MU\u3002\u8fd9\u5728\u8c03\u5f3a\u53d1\u5c55\u53f2\u4e0a\u88ab\u79f0\u4e3a\u5c0fMU \u95ee\u9898\u3002\u8fd9\u4e2a\u65f6\u5019\u5c0fMU \u7684\u6295\u5c04\u51c6\u786e\u6027\u5c31\u53d8\u5f97\u975e\u5e38\u91cd\u8981\uff0c\u6216\u8005\u8bf4\u52a0\u901f\u5668\u5728\u5c0fMU 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\u79d2\uff09\u5e76\u4e0d\u5bf9\u6574\u4f53\u6295\u653e\u9020\u6210\u5927\u7684\u8bef\u5dee\uff1b\u6240\u4ee5\u65e9\u671f\u52a0\u901f\u5668\u5e76\u6ca1\u6709\u592a\u5173\u6ce8\u8fd9\u4e2a\u95ee\u9898\uff0c\u76f4\u5230\u9759\u6001\u8c03\u5f3a\u5e7f\u6cdb\u8fdb\u5165\u4e34\u5e8a\u4ee5\u540e\uff0c\u4eba\u4eec\u624d\u5f00\u59cb\u53d1\u73b0\u675f\u6d41\u542f\u52a8\u5bf9\u5c0f\u91ce\u6295\u653e\u5242\u91cf\u51c6\u786e\u6027\u5b58\u5728\u4e00\u5b9a\u7684\u5f71\u54cd\u3002\u53ef\u80fd\u5f71\u54cd\u5242\u91cf\u7387\u722c\u5347\u7684\u4e3b\u8981\u56e0\u7d20\u88ab\u4e3b\u8981\u5f52\u7ed3\u6709\u5fae\u6ce2\u5efa\u573a\u65f6\u95f4\u548cAFC \u8c03\u8c10\u65f6\u95f4\uff0c\u5c24\u5176\u5bf9\u4e8e\u9a7b\u6ce2\u52a0\u901f\u7ba1\uff0c\u5fae\u6ce2\u5efa\u573a\u8981\u901a\u8fc7\u53cd\u590d\u9707\u8361\u4e0a\u4e07\u6b21\u624d\u80fd\u8fbe\u5230\u7a33\u5b9a\uff0c\u884c\u6ce2\u7ba1\u4e0d\u5b58\u5728\u53cd\u5c04\u6ce2\u53e0\u52a0\u8fc7\u7a0b\uff0c\u56e0\u6b64\u5efa\u573a\u65f6\u95f4\u8981\u5feb\u7684\u591a\u3002AFC \u8c03\u8c10\u540c\u6837\u5bf9\u4e8e\u9a7b\u6ce2\u7ba1\u8981\u96be\u5ea6\u66f4\u5927\u4e00\u4e9b\uff0c\u56e0\u4e3a\u76f8\u6bd4\u8f83\u884c\u6ce2\u7ba1\uff0c\u9a7b\u6ce2\u7ba1\u66f4\u50cf\u4e00\u4e2a\u70b9\u9891\u7684\u5fae\u6ce2\u5668\u4ef6\uff0c\u7a0d\u5fae\u504f\u79bb\u8c10\u632f\u70b9\u5c31\u4f1a\u9020\u6210\u5c04\u9891\u52a0\u901f\u7535\u573a\u5931\u8c10\uff0c\u56e0\u6b64\u5176AFC \u8c03\u8c10\u8fc7\u7a0b\u9700\u8981\u3001\u5728\u5e73\u8861\u70b9\u53cd\u590d\u903c\u8fd1\u51e0\u6b21\uff0c\u6240\u8017\u65f6\u95f4\u66f4\u957f\u3002\u800c\u884c\u6ce2\u7ba1\u6709\u4e24\u3001\u4e09\u4e2a\u8c10\u632f\u70b9\uff0cAFC \u80fd\u76f8\u5bf9\u66f4\u5feb\u5b8c\u6210\u8c03\u8c10\u3002\u6240\u4ee5\u8fd9\u4e24\u8005\u89e3\u51b3\u5242\u91cf\u7387\u542f\u52a8\u7684\u529e\u6cd5\u4e5f\u4e0d\u4e00\u6837\u3002\u76ee\u524d\u533b\u79d1\u8fbe\u4f7f\u7528\u4e00\u4e2a\u7531E2V \u5f00\u53d1\u7684\u5feb\u901f\u8c03\u8c10\u78c1\u63a7\u7ba1\uff08\u7528\u7535\u78c1\u6ce2\u4ee3\u66ff\u673a\u68b0\u63a2\u9488\u8c03\u8282\u78c1\u63a7\u7ba1\u7684\u9891\u7387\uff09\u6765\u52a0\u5febAFC \u8c03\u8c10\u8fc7\u7a0b\uff0c\u800c\u74e6\u91cc\u5b89\u548c\u4ee5\u524d\u7684\u897f\u95e8\u5b50\u90fd\u4f7f\u7528\u6805\u63a7\u7535\u5b50\u67aa\u901a\u8fc7\u6805\u6781\u6765\u8c03\u8282\u675f\u6d41\u5f00\u542f\u65f6\u95f4\uff0c\u8fd9\u6837\u53ef\u4ee5\u6709\u6548\u8eb2\u8fc7\u5fae\u6ce2\u5efa\u573a\u548cAFC \u8c03\u8c10\u9636\u6bb5\uff0c\u5f85\u7a33\u5b9a\u540e\u6253\u5f00\u6805\u6781\uff0c\u53ef\u4ee5\u5f88\u5feb\u7684\u5f97\u5230\u6ee1\u8d1f\u8377\u8f93\u51fa\u7684\u5c04\u7ebf\u3002\u533b\u79d1\u8fbe\u7684\u675f\u6d41\u542f\u52a8\u65f6\u95f4\u5927\u81f4\u5c0f\u4e8e0.5s\uff0c\u74e6\u91cc\u5b89\u7684\u6805\u63a7\u67aa\u8c03\u8c10\u66f4\u80dc\u4e00\u7b79\uff0c\u5927\u81f4\u5c0f\u4e8e0.1s\u3002\u5b50\u91ce\u548c\u5b50\u91ce\u5207\u6362\u65f6\uff0c\u6805\u63a7\u65b9\u5f0f\u66f4\u6709\u5229\u4e8e\u675f\u6d41\u542f\u52a8\uff0c\u5927\u81f4\u5c0f\u4e8e10ms\uff08\u6216\u8005\u8bf4\u53ef\u4ee5\u57282 \u4e2a\u8109\u51b2\u5c31\u5b8c\u6210\u8fbe\u5230\u675f\u6d41\u6ee1\u8d1f\u8377\u72b6\u6001\uff09\u3002\u5f53\u7136\uff0c\u76f4\u81f3\u4eca\u65e5\u4eba\u4eec\u5df2\u7ecf\u610f\u8bc6\u5230\u5c0fMU \u7684\u6295\u653e\u5bf9\u4e8e\u4e34\u5e8a\u6548\u679c\u672a\u5fc5\u6709\u5f88\u5927\u7684\u5e2e\u5fd9\uff0c\u56e0\u6b64\u5728\u5f88\u591a\u4e3b\u6d41TPS \u4e2d\u53ef\u4ee5\u5bf9\u6700\u5c0f\u8df3\u6570\u8fdb\u884c\u8bbe\u5b9a\uff0c\u8fd9\u79cd\u65b9\u5f0f\u53ef\u4ee5\u5e2e\u52a9\u5254\u9664\u5c0f\u5b50\u91ce\uff0c\u56e0\u6b64\u53ef\u4ee5\u8bf4\u901a\u8fc7TPS \u6211\u4eec\u53ef\u4ee5\u5ffd\u7565\u5c0f\u8df3\u6570\u5e26\u6765\u7684\u9ebb\u70e6\u3002\u4f46\u662f\uff0c\u4e00\u4e2a\u597d\u7684\u5242\u91cf\u7387\u722c\u5347\u7279\u6027\u4f9d\u7136\u53ef\u4ee5\u4f5c\u4e3a\u8861\u91cf\u52a0\u901f\u5668\u5fae\u6ce2\u7cfb\u7edf\u6027\u80fd\u7684\u91cd\u8981\u6307\u6807\u3002<\/span><\/p>\n
\u7b2c\u4e8c\u4e2a\u5f71\u54cdstep & shoot \u6295\u653e\u51c6\u786e\u5ea6\u7684\u56e0\u7d20\u662fMLC \u548c\u51fa\u675f\u7cfb\u7edf\u7684\u901a\u8baf\u5ef6\u8fdf\u3002\u901a\u8baf\u5ef6\u8fdf\u4e3b\u8981\u4f1a\u5f71\u54cd\u4e00\u4e2a\u5c04\u91ce\u4e2d\u7b2c\u4e00\u4e2a\u5b50\u91ce\u548c\u6700\u540e\u4e00\u4e2a\u5b50\u91ce\u7684\u6295\u653e\u51c6\u786e\u5ea6\u3002\u5bf9\u4e2d\u95f4\u8fc7\u7a0b\u5e76\u65e0\u5f71\u54cd\uff0c\u4e00\u822c\u6765\u8bf4\uff0c\u5ef6\u8fdf\u8d8a\u4e25\u91cd\uff0c\u7b2c\u4e00\u4e2a\u5b50\u91ce\u4f1a\u51fa\u73b0\u8d8a\u5927\u7684\u8fc7\u5242\u91cf\u7167\u5c04\uff0c\u800c\u6700\u540e\u4e00\u4e2a\u5b50\u91ce\u4f1a\u51fa\u73b0\u8d8a\u5927\u7684\u6b20\u5242\u91cf\u7167\u5c04\uff0c\u8fd9\u4f1a\u8fdb\u4e00\u6b65\u5f71\u54cd\u5bf9\u6574\u4e2a\u5c04\u91ce\u6295\u653e\u7684\u51c6\u786e\u7a0b\u5ea6\u3002\u7ecf\u7814\u7a76\uff0c\u74e6\u91cc\u5b89truebeam \u5e73\u53f0\u7684\u63a7\u5236\u7cfb\u7edf\u5728\u8fd9\u4e00\u70b9\u4e0a\u89e3\u51b3\u7684\u6700\u597d\uff0c\u53ef\u4ee5\u628a\u5ef6\u8fdf\u63a7\u5236\u572820ms \u4ee5\u5185\uff0c\u800c\u5176C3 \u5e73\u53f0\u7684\u63a7\u5236\u7cfb\u7edf\u548c\u533b\u79d1\u8fbe\u7684\u63a7\u5236\u7cfb\u7edf\u7684\u901a\u8baf\u5ef6\u8fdf\u901a\u5e38\u572850 ~ 60ms\u3002<\/span><\/p>\n
\u52a8\u6001\u8c03\u5f3a\u548c\u9759\u6001\u8c03\u5f3a\u7684\u539f\u7406\u5b8c\u5168\u4e0d\u540c\uff0c\u5b83\u4e3b\u8981\u901a\u8fc7\u4e00\u5bf9\u53f6\u7247\u7684\u901f\u5ea6\u5dee\u57281D\u65b9\u5411\u4e0a\u5236\u9020\u51fa\u5242\u91cf\u7684\u5206\u5e03\u5dee\u5f02\uff0c\u56e0\u6b64\u5176\u5242\u91cf\u68af\u5ea6\u80fd\u529b\u81f3\u5173\u91cd\u8981\u3002\u800c\u5f71\u54cd\u5242\u91cf\u68af\u5ea6\u7684\u4e3b\u8981\u6709\u4e24\u4e2a\u56e0\u7d20\uff0c\u4e00\u4e2a\u662f\u5242\u91cf\u7387\uff0c\u53e6\u4e00\u4e2a\u662f\u53f6\u7247\u7684\u6700\u5927\u901f\u5ea6\uff1b\u6362\u53e5\u8bdd\u8bf4\uff0c\u5242\u91cf\u7387\u53d8\u5316\u80fd\u529b\u8d8a\u5927\uff0c\u53f6\u7247\u901f\u5ea6\u5dee\u5f02\u8d8a\u5927\uff0c\u5219\u5176\u5bf9\u9776\u533a\u7684\u5242\u91cf\u5206\u5e03\u8c03\u8282\u80fd\u529b\u5219\u8d8a\u5f3a\u3002\u56e0\u6b64\uff0c\u4e3a\u4e86\u83b7\u5f97\u66f4\u597d\u7684\u5242\u91cf\u5206\u5e03\u8c03\u5236\u80fd\u529b\uff0c\u52a8\u6001\u8c03\u5f3a\u9996\u5148\u8981\u6c42\u52a0\u901f\u5668\u7684\u5242\u91cf\u7387\u53d8\u5316\u662f\u8fde\u7eed\u53ef\u53d8\u7684\uff0c\u5176\u6b21MLC \u53f6\u7247\u901f\u5ea6\u5c3d\u53ef\u80fd\u7684\u63d0\u9ad8\uff0c\u8fd9\u4e5f\u662f\u9ad8\u901f\u5149\u6805\u5b58\u5728\u7684\u4e00\u4e2a\u91cd\u8981\u610f\u4e49\u3002\u76ee\u524d\u5bf9\u4e8e\u53ef\u53d8\u5242\u91cf\u7387\uff0c\u533b\u79d1\u8fbe\u91c7\u53d6\u4e86\u6539\u53d8PRF\uff08pulse repeating\u00a0frequency\uff09\uff0c\u5373\u8109\u51b2\u6570\u76ee\u6765\u5b9e\u73b0\u3002\u5b83\u7684PRF \u6700\u5927\u503c\u4e3a256Hz\uff0c\u56e0\u6b64\u5176\u53d8\u5316\u7684\u6700\u5c0f\u5355\u4f4d\u7ea6\u4e3a2MU\uff08\u4ee5600MU\/min \u7684\u5242\u91cf\u7387\u6765\u8ba1\uff09\u5de6\u53f3\uff0c\u5e76\u975e\u771f\u6b63\u610f\u4e49\u4e0a\u7684\u8fde\u7eed\u8c03\u8282\uff0c\u4f46\u662f\u53ef\u4ee5\u5b8c\u5168\u6ee1\u8db3\u4e34\u5e8a\u7684\u8981\u6c42\u4e86\u3002\u74e6\u91cc\u5b89\u91c7\u53d6\u8c03\u8282\u6805\u63a7\u67aa\u6805\u538b\u7684\u65b9\u5f0f\u53ef\u4ee5\u66f4\u65b9\u4fbf\u7684\u53d6\u5f97\u66f4\u7075\u6d3b\u7684\u5242\u91cf\u8c03\u8282\u3002\u56e0\u6b64\u53ef\u4ee5\u8bf4\u6805\u63a7\u67aa\u662f\u4e00\u79cd\u66f4\u52a0\u5148\u8fdb\u7684\u675f\u6d41\u8c03\u8282\u65b9\u5f0f\uff0c\u5b9e\u9645\u4e0a\u4e5f\u66f4\u5e7f\u6cdb\u7684\u5e94\u7528\u5728\u52a0\u901f\u5668\u9886\u57df\u3002\u9ad8\u901f\u53f6\u7247\u7531\u4e8e\u53d7\u5230\u673a\u68b0\u52a0\u5de5\u7b49\u5404\u65b9\u9762\u7684\u9650\u5236\u5e76\u4e0d\u4f1a\u65e0\u9650\u63d0\u5347\u5176\u6027\u80fd\uff0c\u53ef\u4ee5\u60f3\u8c61\u4e00\u4e2a\u66f4\u8584\u3001\u66f4\u957f\u3001\u66f4\u9ad8\u7684\u53f6\u7247\u7684\u9ad8\u901f\u8fd0\u52a8\u5e76\u4e0d\u5341\u5206\u5bb9\u6613\uff0c\u56e0\u6b64\u76ee\u524d\u901f\u5ea6\u65b9\u9762\u7684\u63d0\u5347\u90fd\u6bd4\u8f83\u6709\u9650\uff0c\u533b\u79d1\u8fbe\u6700\u5feb\u7684\u53f6\u7247\u662f3.5cm\/s\uff0c\u74e6\u91cc\u5b89\u5219\u4e3a2.5cm\/s\u3002\u6b64\u5916\uff0c\u9ad8\u901f\u53f6\u7247\u7684\u53e6\u5916\u4e00\u4e2a\u91cd\u8981\u610f\u4e49\u5728\u4e8e\uff1a\u7531\u4e8e\u5728\u52a8\u6001\u8c03\u5f3a\u6280\u672f\u4e2d\uff0c\u53f6\u7247\u901f\u5ea6\u548c\u5242\u91cf\u7387\u7684\u9009\u62e9\u4e0d\u662f\u4efb\u610f\u7684\uff0c\u901a\u5e38\u9700\u8981\u901a\u8fc7TPS\u8ba1\u7b97\u5f97\u5230\u4e00\u5b9a\u7684\u5173\u8054\u6027\uff0c\u5f80\u5f80\u4f1a\u51fa\u73b0\u7531\u4e8e\u53f6\u7247\u901f\u5ea6\u65e0\u6cd5\u6ee1\u8db3\u8981\u6c42\u7684\u60c5\u51b5\u4e0b\u4e0d\u5f97\u4e0d\u964d\u4f4e\u5242\u91cf\u7387\u7684\u60c5\u51b5\u3002\u8fd9\u6837\u65e0\u7591\u4f1a\u5ef6\u957f\u6cbb\u7597\u65f6\u95f4\uff0c\u5f71\u54cd\u6cbb\u7597\u6548\u7387\uff0c\u6240\u4ee5\u9ad8\u901f\u53f6\u7247\u5373\u53ef\u4ee5\u5e2e\u52a9\u4f18\u5316\u5242\u91cf\u5206\u5e03\uff0c\u53c8\u53ef\u4ee5\u63d0\u9ad8\u6cbb\u7597\u6548\u7387\u3002<\/span><\/p>\n
\u6805\u63a7\u7535\u5b50\u67aa\u7684\u5e94\u7528\u53ef\u4ee5\u663e\u8457\u6539\u5584\u52a0\u901f\u5668\u7684\u6027\u80fd\uff0c\u65e0\u8bba\u5bf9\u4e8e\u9759\u6001\u8c03\u5f3a\u8fd8\u662f\u5bf9\u4e8e\u52a8\u6001\u8c03\u5f3a\uff0c\u5b83\u90fd\u80fd\u4f7f\u7cfb\u7edf\u7684\u6574\u4f53\u5242\u91cf\u6295\u653e\u80fd\u529b\u663e\u5f97\u66f4\u52a0\u6e38\u5203\u6709\u4f59\u3002\u867d\u7136\u533b\u79d1\u8fbe\u7684\u5168\u7cfb\u5217\u548c\u74e6\u91cc\u5b89\u76846MV \u4f4e\u80fd\u673a\u8fd8\u5728\u4f7f\u7528\u4e8c\u6781\u7535\u5b50\u67aa\u8fdb\u884c\u8c03\u5f3a\uff0c\u4f46\u8fd9\u5b8c\u5168\u4e0d\u80fd\u8bf4\u660e\u6805\u63a7\u67aa\u7684\u5de8\u5927\u4f18\u52bf\u53ef\u4ee5\u88ab\u5ffd\u7565\u3002<\/span><\/p>\n
VMAT \u6280\u672f\u662f\u57fa\u4e8e\u8c03\u5f3a\u6280\u672f\u57fa\u7840\u4e0a\u5e76\u7ed3\u5408\u5f27\u5f62\u6cbb\u7597\u7684\u4f18\u52bf\u5f00\u53d1\u51fa\u6765\u7684\u76ee\u524d\u517c\u5177\u826f\u597d\u9776\u533a\u5242\u91cf\u5206\u5e03\u548c\u9ad8\u901f\u6cbb\u7597\u6548\u7387\u7684\u65b0\u4e00\u4ee3\u8c03\u5f3a\u65b9\u5f0f\u3002\u5b83\u5c06\u6210\u767e\u4e0a\u5343\u7684\u5b50\u91ce\u5206\u5e03\u57281 \u5230\u51e0\u4e2a\u5f27\u4e0a\uff0c\u76ee\u524d\u6709\u53d6\u4ee3\u4f20\u7edf\u9759\u6001\u548c\u52a8\u6001\u8c03\u5f3a\u6280\u672f\u7684\u8d8b\u52bf\uff0c\u5176\u4e34\u5e8a\u6548\u679c\u4e5f\u4e1a\u5df2\u7a33\u5b9a\uff0c\u7efc\u5408\u8bc4\u4ef7\u548c\u4f20\u7edf\u8c03\u5f3a\u6216\u8005TOMO \u76f8\u6bd4\u90fd\u4e0d\u76f8\u4e0a\u4e0b\u3002\u4f46\u662f\u5b83\u4e5f\u662f\u5bf9\u52a0\u901f\u5668\u8981\u6c42\u6700\u9ad8\u7684\u4e00\u79cd\u8c03\u5f3a\u6280\u672f\uff0c\u9664\u4e86\u52a8\u6001\u8c03\u5f3a\u5bf9\u53ef\u53d8\u5242\u91cf\u7387\u548c\u53f6\u7247\u7684\u8981\u6c42\uff0cVMAT\u8fd8\u8981\u6c42\u673a\u67b6\u7684\u53d8\u901f\u8f6c\u52a8\u80fd\u529b\uff0c\u6362\u53e5\u8bdd\u8bf4\uff0c\u5b83\u8981\u6c42\u901a\u8fc7\u6539\u53d8\u53f6\u7247\u901f\u5ea6\u3001\u5242\u91cf\u7387\u548c\u673a\u67b6\u8f6c\u901f\u6765\u5f97\u5230\u6700\u597d\u7684\u5242\u91cf\u5206\u5e03\u3002\u76ee\u524d\u533b\u79d1\u8fbe\u7684VMAT \u529f\u80fd\u8bbe\u5907\u5728\u6267\u884c\u8ba1\u5212\u65f6\u53ef\u4ee5\u6539\u53d8\u673a\u67b6\u8f6c\u901f\uff0c\u800c\u74e6\u91cc\u5b89\u66f4\u591a\u7684\u91c7\u7528\u6052\u5b9a\u673a\u67b6\u901f\u5ea6\u7684\u65b9\u5f0f\u3002\u53ef\u4ee5\u9884\u671f\uff0c\u672a\u6765\u66f4\u5148\u8fdb\u7684\u653e\u7597\u8bbe\u5907\u4e5f\u4e00\u5b9a\u4f1a\u4ee5VMAT \u4f5c\u4e3a\u57fa\u77f3\u529f\u80fd\u7684\u3002<\/span><\/p>\n
1.3\u3001\u5f71\u50cf\u5f15\u5bfc\u653e\u7597\u8981\u6c42\u548c\u6280\u672f&\u8bbe\u5907\u8981\u6c42<\/span><\/h2>\n
IGRT \u6280\u672f<\/span><\/strong>\u7684\u8fd0\u7528\u662f\u653e\u7597\u53d1\u5c55\u53f2\u4e0a\u7b2c\u4e8c\u4e2a\u91cc\u7a0b\u7891\uff0c\u57fa\u4e8e\u4eba\u4eec\u5bf9\u7cbe\u786e\u653e\u7597\u6280\u672f\u6ee1\u8db3\u4e86\u6253\u7684\u72e0\uff0c\u4f46\u65e0\u6cd5\u786e\u5b9a\u662f\u4e0d\u662f\u6253\u5f97\u51c6\u8fd9\u4e00\u62c5\u5fe7\uff0cIGRT \u5f00\u59cb\u88ab\u5f00\u53d1\u51fa\u6765\u5e76\u9010\u6e10\u8fdb\u5165\u4e34\u5e8a\u9636\u6bb5\u3002\u5f71\u50cf\u5f15\u5bfc\u653e\u7597\u7684\u4e3b\u8981\u8981\u6c42\u5982\u4e0b\uff1a<\/span><\/p>\n\n\n\n\n
\n
\u5f71\u50cf\u5f15\u5bfc\u653e\u7597\u9700\u6c42<\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n
\u5728\u6cbb\u7597\u524d\u786e\u8ba4\u5373\u5c06\u6295\u5c04\u7684\u4f4d\u7f6e\u548c\u8ba1\u5212\u4f4d\u7f6e\u76f8\u4e00\u81f4<\/span><\/td>\n\u5728\u5206\u6b21\u5185\u4fdd\u8bc1\u9776\u533a\u4f4d\u7f6e\u4e0d\u8d85\u51fa\u8ba1\u5212\u7684\u8303\u56f4<\/span><\/td>\n\u51cf\u5c0f\u5206\u6b21\u5185\u5668\u5b98\u547c\u5438\u8fd0\u52a8\u5bf9\u6cbb\u7597\u7684\u5f71\u54cd<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88685. \u5f71\u50cf\u5f15\u5bfc\u653e\u7597\u9700\u6c42<\/span><\/p>\n
\u76ee\u524d\u6211\u4eec\u5df2\u5f00\u53d1\u7684\u5f71\u50cf\u5f15\u5bfc\u653e\u7597\u7684\u6280\u672f\u4e3b\u8981\u5982\u4e0b\uff1a<\/span>
\n i. \u57fa\u4e8e\u63a2\u6d4bMV \u5c04\u7ebf\u7684EPID \u76842D \u6210\u50cf\u6280\u672f\uff1b<\/span>
\n ii. \u57fa\u4e8e\u63a2\u6d4bKV \u5c04\u7ebf\u7684 CBCT\uff08cone beam CT\uff09\u76843D \u5bb9\u79ef\u6210\u50cf\u6280\u672f\uff1b<\/span>
\n iii. \u57fa\u4e8eCBCT \u76844D \u6210\u50cf\u6280\u672f\uff1b<\/span>
\n iv. \u95e8\u5b54\u6280\u672f\uff0c\u53ef\u5206\u4e3a\u5c4f\u6c14\u5f0f\u548c\u81ea\u7531\u547c\u5438\u4e24\u79cd\u65b9\u5f0f\uff0c\u901a\u5e38\u901a\u8fc7\u7b2c\u4e09\u65b9\u8bbe\u5907\u5b8c\u6210\uff1b<\/span>
\n v. \u57fa\u4e8e6D \u5e8a\u7684\u81ea\u52a8\u4f4d\u7f6e\u6821\u6b63\u529f\u80fd\u3002<\/span><\/p><\/blockquote>\n
IGRT \u6280\u672f\u5c06\u5f71\u50cf\u6280\u672f\u548c\u6cbb\u7597\u7ed3\u675f\u8fdb\u884c\u4e86\u7ed3\u5408\uff0c\u4e5f\u91cd\u65b0\u5b9a\u4e49\u4e86\u533b\u7528\u52a0\u901f\u5668\u7684\u53d1\u5c55\u65b9\u5411\uff0c\u5982\u56fe3 \u6240\u793a\u3002\u5728\u5f71\u50cf\u6280\u672f\u5f15\u5165\u653e\u7597\u7cfb\u7edf\u4e4b\u524d\uff0c\u4ee5\u5fae\u6ce2\u5668\u4ef6\u7ec4\u6210\u7684\u5c04\u7ebf\u53d1\u751f\u88c5\u7f6e\u5360\u636e\u4e3b\u8981\u5730\u4f4d\uff1b\u7cbe\u786e\u653e\u7597\u6280\u672f\u7684\u5e94\u7528\u5927\u5927\u63d0\u5347\u4e86\u6cbb\u7597\u5934\u7684\u5730\u4f4d\uff0c\u5c24\u5176\u52a8\u6001\u8c03\u5f3a\u7684\u5e94\u7528\uff0c\u5c06MLC \u4ece\u4ee5\u901a\u8fc7\u9002\u5f62\u8c03\u8282\u5242\u91cf\u5206\u5e03\u53d8\u6210\u4e86\u9002\u5f62\u7ed3\u5408\u901f\u5ea6\u5171\u540c\u8c03\u8282\u5242\u91cf\u5206\u5e03\u7684\u8bbe\u5907\uff1b\u800c\u5f71\u50cf\u5f15\u5bfc\u7cfb\u7edf\u7684\u5f15\u5165\u5219\u5f7b\u5e95\u5c06\u653e\u7597\u8bbe\u5907\u4ece\u5355\u4e00\u7684\u5c04\u7ebf\u4ea7\u751f\u8bbe\u5907\u4e3a\u4e3b\u7684\u7cfb\u7edf\u53d8\u6210\u4e86\u4e00\u4e2a\u5f71\u50cf\u5f15\u5bfc\u4e0b\u7684\u7cbe\u786e\u6cbb\u7597\u7cfb\u7edf\u3002\u9ad8\u7cbe\u5ea6\u3001\u9ad8\u901f\u6cbb\u7597\u5934\u548c\u66f4\u597d\u7684\u6210\u50cf\u8bbe\u5907\u548c\u5c04\u7ebf\u53d1\u751f\u7cfb\u7edf\u53d6\u5f97\u4e86\u5e76\u91cd\u7684\u4f4d\u7f6e\u3002<\/span><\/p>\n
\"\u6355\u83b7\"<\/p>\n
Fig. 3 \u533b\u7528\u76f4\u7ebf\u52a0\u901f\u5668\u5404\u90e8\u5206\u6bd4\u91cd\u53d8\u8fc1<\/span><\/p>\n
\u9996\u5148\uff0c\u5e73\u677f\u578bEPID \u88ab\u5f00\u53d1\u51fa\u6765\u7528\u4e8e\u5728\u51fa\u675f\u524d\u5bf9\u9776\u533a\u57282D \u65b9\u5411\u4e0a\u505a\u4e00\u4e2a\u4f4d\u7f6e\u786e\u8ba4\uff0c\u4f7f\u7528\u548c\u6cbb\u7597\u5c04\u7ebf\u76f8\u540c\u7684\u5c04\u7ebf\u6e90\uff0c\u56e0\u6b64\u5b83\u63a2\u6d4b\u7684\u662fMV \u7ea7\u7684\u5c04\u7ebf\u3002MV \u7ea7\u56fe\u50cf\u8d28\u91cf\u4e00\u822c\uff0c\u65e0\u6cd5\u53cd\u6620\u51fa\u89e3\u5256\u56fe\u7684\u7ec6\u8282\uff0c\u56e0\u6b64\u8fd9\u7b97\u662f\u4e00\u79cd\u975e\u5e38\u521d\u7ea7\u7684\u56fe\u50cf\u624b\u6bb5\u3002\u4e0d\u8fc7\uff0c\u74e6\u91cc\u5b89\u5df2\u7ecf\u5bf9\u8fd9\u4e2a\u6280\u672f\u8fdb\u884c\u4e86\u8fdb\u4e00\u6b65\u7684\u5347\u7ea7\uff0c\u5b83\u5728\u6700\u65b0\u7684\u8bbe\u5907\u4e0a\u4f7f\u7528\u7ea62.5MV \u7684\u5c04\u7ebf\u8fdb\u884c\u6210\u50cf\uff0c\u76f8\u6bd4\u8f83\u5b8c\u5168\u4f7f\u7528\u6cbb\u7597\u5c04\u7ebf\uff0c\u5176\u6210\u50cf\u8d28\u91cf\u5df2\u7ecf\u6709\u4e86\u5927\u5e45\u7684\u63d0\u5347\uff0c\u4f46\u8fd9\u9700\u8981\u53ef\u53d8\u80fd\u91cf\u7684\u52a0\u901f\u7ba1\u3002\u6b64\u5916\uff0cEPID \u7684\u975e\u6676\u7845\u63a2\u6d4b\u5e73\u677f\u4e5f\u53ef\u4ee5\u7528\u4e8e\u8fdb\u884c\u5242\u91cf\u9a8c\u8bc1\u5de5\u4f5c\uff0c\u4f46\u8fd9\u9700\u8981\u5f00\u53d1\u5355\u72ec\u7684\u8f6f\u4ef6\u914d\u5408\u4f7f\u7528\uff0c\u76ee\u524d\u74e6\u91cc\u5b89\u548c\u533b\u79d1\u8fbe\u4ee5\u53ca\u4e00\u4e9b\u7b2c\u4e09\u65b9\u5382\u5546\u90fd\u53ef\u4ee5\u63d0\u4f9b\u8fd9\u6837\u7684\u89e3\u51b3\u65b9\u6848\uff0c\u8fd9\u53ef\u89c6\u4e3aEPID \u7684\u53e6\u4e00\u4e2a\u6709\u7528\u7684\u529f\u80fd\u3002EPID \u76f8\u6bd4\u8f83CBCT \u4e00\u4e2a\u6bd4\u8f83\u5927\u7684\u4f18\u52bf\u662f\uff0c\u6210\u50cf\u548c\u6cbb\u7597\u7684\u5c04\u7ebf\u6e90\u540c\u6e90\uff0c\u8fd9\u6837\u5f97\u5230\u7684\u56fe\u50cf\u53cd\u6620\u7684\u5c31\u662f\u6cbb\u7597\u7684\u5b9e\u9645\u4f4d\u7f6e\u3002<\/span>
\n \u4e3a\u4e86\u6ee1\u8db3\u57283D \u65b9\u5411\u4e0a\u5f97\u5230\u6e05\u6670\u56fe\u50cf\u7684\u9700\u6c42\uff0c\u4eba\u4eec\u53c8\u5f00\u53d1\u4e86\u57fa\u4e8eKV \u5c04\u7ebf\u7684CBCT \u7684\u6210\u50cf\u6280\u672f\u3002\u8fd9\u901a\u5e38\u9700\u8981\u5728\u81c2\u67b6\u4e0a\u5b89\u88c5\u4e00\u4e2aX \u5c04\u7ebf\u7403\u7ba1\u548c\u4e00\u4e2a\u5e73\u677f\u63a2\u6d4b\u5668\u6765\u5b9e\u73b0\uff0c\u4e5f\u88ab\u79f0\u4e3aon-board \u65b9\u5f0f\u3002\u7c7b\u4f3c\u4e8e\u87ba\u65cbCT \u6210\u50cf\u539f\u7406\uff0c\u5b83\u4eec\u9700\u8981\u8f6c\u52a8\u4e00\u5b9a\u7684\u5f27\u5ea6\u624d\u53ef\u5f97\u5230\u9776\u533a\u76843D \u56fe\u50cf\u3002CBCT \u4e3b\u8981\u7528\u4e8e\u5728\u6cbb\u7597\u524d\u83b7\u53d6\u9776\u533a\u56fe\u50cf\u548c\u8ba1\u5212\u7684\u56fe\u50cf\u8fdb\u884c\u914d\u51c6\u4ee5\u9a8c\u8bc1\u76ee\u524d\u7684\u6446\u4f4d\u662f\u5426\u6b63\u786e\u3002\u6b64\u5916\uff0c\u5b83\u8fd8\u53ef\u4ee5\u7528\u4e8e\u89c2\u5bdf\u4e00\u5b9a\u65f6\u95f4\u6cbb\u7597\u540e\u7684\u9776\u533a\u53d8\u5316\uff0c\u4e3a\u662f\u5426\u9700\u8981\u8c03\u6574\u8ba1\u5212\u63d0\u4f9b\u5224\u65ad\u5224\u636e\u3002KV \u7ea7CT \u56fe\u50cf\u7684\u8d28\u91cf\u76f8\u6bd4\u8f83MV \u7684EPID \u6709\u4e86\u8d28\u7684\u63d0\u5347\uff0c\u867d\u7136\u8ddd\u79bb\u8bca\u65ad\u7ea7CT \u7684\u56fe\u50cf\u8d28\u91cf\u8fd8\u6709\u4e00\u5b9a\u7684\u5dee\u8ddd\uff0c\u4f46\u662f\u7528\u4e8e\u9a8c\u8bc1\u4f4d\u7f6e\u5df2\u7ecf\u8db3\u591f\u597d\u4e86\u3002\u53e6\u5916\u4e09\u7ef4\u65b9\u5411\u4e0a\u7684\u9776\u533a\u7684\u56fe\u50cf\u5b9a\u4f4d\u4e5f\u8981\u6bd4\u4e8c\u7ef4\u51c6\u786e\u7684\u591a\uff0c\u56e0\u6b64\u53ef\u4ee5\u8bf4CBCT \u7684\u51fa\u73b0\u5f15\u9886\u653e\u7597\u8fdb\u5165\u4e86\u771f\u6b63\u7684\u56fe\u50cf\u5f15\u5bfc\u65f6\u4ee3\u3002<\/span><\/p>\n
4D \u6210\u50cf\u6280\u672f\u57283D \u6210\u50cf\u6280\u672f\u7684\u57fa\u7840\u4e0a\uff0c\u901a\u8fc7\u83b7\u53d6\u8fd0\u52a8\u5668\u5b98\u4e0d\u540c\u65f6\u76f8\u7684\u56fe\u50cf\u6765\u5224\u65ad\u5176\u6700\u5927\u6743\u91cd\u4f4d\u7f6e\uff0c\u8fd9\u6837\u53ef\u4ee5\u6709\u6548\u7f29\u5c0f\u9776\u533a\u5916\u653e\u7684\u8fb9\u754c\uff0c\u6709\u5229\u4e8e\u6b63\u5e38\u7ec4\u7ec7\u548c\u5371\u53ca\u5668\u5b98\u7684\u4fdd\u62a4\u3002<\/span><\/p>\n
6D \u5e8a\u662f\u57284D \u5e8a\uff08\u4e0a\u4e0b\u3001\u5de6\u53f3\u3001\u524d\u540e\uff0c\u7b49\u4e2d\u5fc3\u8f6c\u52a8\uff09\u7684\u57fa\u7840\u4e0a\uff0c\u5355\u72ec\u63d0\u4f9b\u4e00\u4e2a\u589e\u52a0\u4e86\u4fef\u4ef0\u548c\u7ffb\u6eda\u529f\u80fd\u7684\u5e8a\u9762\u3002\u5404\u79cd\u503e\u659c\u7684\u89d2\u5ea6\u4e0d\u4f1a\u5f88\u5927\uff0c\u4e3b\u8981\u7528\u4e8e\u5bf9\u6446\u4f4d\u8bef\u5dee\u7684\u5fae\u4fee\u6b63\u30026D \u5e8a\u901a\u5e38\u7528\u4e8e\u5728CBCT \u56fe\u50cf\u914d\u51c6\u5b8c\u6210\u540e\u7684\u6b65\u9aa4\uff0c\u5982\u679c\u63a7\u5236\u96c6\u6210\u505a\u7684\u51fa\u8272\uff0c\u53ef\u4ee5\u8fdb\u884c\u81ea\u52a8\u4fee\u6b63\u3002\u76ee\u524d\u533b\u79d1\u8fbe\u76846D \u5e8a\u8fd8\u9700\u8981\u5355\u72ec\u7684\u63a7\u5236\u7cfb\u7edf\u3002\u95e8\u63a7\u6280\u672f\u901a\u5e38\u662f\u5e94\u7528\u4e00\u4e2a\u5916\u7f6e\u7684\u95e8\u63a7\u8bbe\u5907\u6765\u63a7\u5236\u5c04\u7ebf\uff0c\u4f7f\u4e4b\u53ea\u5728\u5e73\u9759\u547c\u5438\u8fc7\u7a0b\u7684\u7279\u5b9a\u9636\u6bb5\u6216\u9884\u5148\u8bbe\u7f6e\u597d\u7684\u7a97\u53e3\u4e0b\u6253\u5f00\uff0c\u7136\u540e\u7ed9\u4e88\u7167\u5c04\u3002\u8fd9\u91cc\u5bf9\u8fd9\u4e2a\u6280\u672f\u5c31\u4e0d\u505a\u8fc7\u591a\u5c55\u5f00\u4e86\u3002<\/span><\/p>\n
\u4ee5\u4e0a\u8fd9\u4e9b\u624b\u6bb5\u7684\u4e3b\u8981\u76ee\u7684\u5176\u5b9e\u8fd8\u5728\u4e8e\u5bf9\u9776\u533a\u4f4d\u7f6e\u7684\u518d\u786e\u8ba4\uff0c\u7528\u4e8e\u7ea0\u6b63\u4eba\u5de5\u6446\u4f4d\u7684\u8bef\u5dee\u6216\u8ba4\u4e3a\u9519\u8bef\u3002IGRT \u7684\u6280\u672f\u5f00\u53d1\u5728\u7cbe\u786e\u653e\u7597\u4e4b\u540e\uff0c\u8fd9\u4e3b\u8981\u7531\u4e8e\u4eba\u4eec\u975e\u5e38\u62c5\u5fc3\u7cbe\u786e\u653e\u7597\u4e07\u4e00\u6253\u504f\u4e86\u800c\u4f1a\u4ea7\u751f\u7684\u5de8\u5927\u8d1f\u9762\u540e\u679c\uff0c\u56e0\u6b64\u5b83\u7684\u5e94\u7528\u5f80\u5f80\u548c\u8c03\u5f3a\u653e\u7597\u7ed3\u5408\u5728\u4e00\u8d77\u3002\u4f46\u8fd9\u91cc\u8c08\u5230\u7684IGRT \u53c8\u5e76\u975e\u4eba\u4eec\u60f3\u8c61\u7684\u770b\u7740\u9776\u533a\uff0c\u5f15\u5bfc\u5c04\u675f\u5b9e\u65f6\u5bf9\u51c6\uff0c\u8fbe\u5230\u90a3\u6837\u7684\u6c34\u5e73\u8fd8\u9700\u8981\u8bbe\u5907\u7684\u66f4\u5927\u8fdb\u6b65\u3002\u4f46\u6beb\u65e0\u7591\u95ee\uff0c\u76ee\u524d\u8c03\u5f3a\u6280\u672f\u548cIGRT\u5df2\u7ecf\u7ec4\u6210\u4e86\u73b0\u4ee3\u653e\u7597\u7684\u4e3b\u8981\u5185\u5bb9\uff0c\u6211\u4eec\u6240\u505a\u7684\u4e00\u5207\u90fd\u5728\u56f4\u7ed5\u7740\u5b83\u4eec\u8fdb\u884c\u8fdb\u4e00\u6b65\u63d0\u5347\u3002<\/span><\/p>\n
\u53e6\u5916\uff0c\u968f\u7740\u653e\u7597\u7cfb\u7edf\u8d70\u5411\u7efc\u5408\u6cbb\u7597\u5e73\u53f0\uff0c\u5bf9\u5404\u4e2a\u90e8\u5206\u7684\u63a7\u5236\u540c\u6b65\u3001\u4fe1\u53f7\u96c6\u6210\u4e5f\u63d0\u5347\u4e86\u8981\u6c42\u3002\u4ee5\u5f80\u7684\u8bbe\u5907\u7684\u63a7\u5236\u4e3b\u8981\u7528\u4e8e\u63a7\u5236\u675f\u6d41\uff0c\u5982\u80fd\u91cf\u3001\u5242\u91cf\u7387\u7b49\u53c2\u6570\uff0c\u4e5f\u53ef\u4ee5\u5bf9\u6cbb\u7597\u5934\u8fdb\u884c\u4e00\u4e9b\u8bbe\u5b9a\uff0c\u5e76\u4e0d\u9700\u8981\u5404\u4e2a\u90e8\u5206\u7684\u53ca\u65f6\u901a\u8baf\u8054\u7cfb\u3002\u81ea\u8c03\u5f3a\u6280\u672f\u7684\u5e7f\u6cdb\u5e94\u7528\u540e\uff0c\u5c24\u5176\u9488\u5bf9\u52a8\u6001\u8c03\u5f3a\uff0c\u9700\u8981\u675f\u6d41\u8f93\u51fa\u548cMLC \u7684\u914d\u5408\uff0c\u4f46\u6570\u636e\u4ea4\u6362\u91cf\u5e76\u4e0d\u592a\u5927\u3002\u800c\u57fa\u4e8eCBCT \u7684\u5f71\u50cf\u6280\u672f\u5219\u4e0d\u4ec5\u9700\u8981\u63a7\u5236\u7cfb\u7edf\u7684\u66f4\u8fdb\u4e00\u6b65\u96c6\u6210\uff0c\u800c\u4e14\u6570\u636e\u4ea4\u6362\u91cf\u53d1\u751f\u4e86\u8d28\u7684\u63d0\u5347\u3002\u56e0\u6b64\u672a\u6765\u653e\u7597\u8bbe\u5907\u7684\u63a7\u5236\u7cfb\u7edf\u9700\u8981\u66f4\u5bbd\u7684\u6570\u636e\u5e26\u5bbd\u624d\u80fd\u6ee1\u8db3\u5f71\u50cf\u6570\u636e\u7684\u4f20\u8f93\u3002\u76ee\u524d\u867d\u7136\u4e3b\u6d41\u653e\u7597\u8bbe\u5907\u5382\u5546\u90fd\u5f00\u653e\u4e86\u57fa\u4e8e\u6570\u5b57\u6280\u672f\u7684\u63a7\u5236\u5e73\u53f0\uff0c\u4f46\u662f\u5e76\u6ca1\u6709\u628a\u6700\u5148\u8fdb\u7684\u63a7\u5236\u6280\u672f\u5e94\u7528\u5230\u4ed6\u4eec\u7684\u4ea7\u54c1\u4e0a\uff0c\u56e0\u6b64\u63a7\u5236\u7cfb\u7edf\u7684\u96c6\u6210\u5ea6\u5e76\u4e0d\u9ad8\uff0c\u6bd4\u5982\u533b\u79d1\u8fbe\u76846D \u5e8a\u5c31\u9700\u8981\u5355\u72ec\u7684\u63a7\u5236\u5de5\u4f5c\u7ad9\uff0c\u5176\u5f71\u50cf\u7cfb\u7edf\u4e5f\u9700\u8981\u4e00\u4e2a\u5355\u72ec\u7684\u5de5\u4f5c\u7ad9\u505a\u5728\u7ebf\u56fe\u50cf\u5904\u7406\u7b49\u3002\u8fd9\u5c31\u9020\u6210\u4e86\u64cd\u4f5c\u6280\u5e08\u5728\u4f7f\u7528\u8bbe\u5907\u65f6\u611f\u89c9\u975e\u5e38\u4e0d\u65b9\u4fbf\uff0c\u64cd\u4f5c\u4f53\u9a8c\u4e0d\u4f1a\u592a\u597d\u3002\u53e6\u5916\uff0c\u901a\u8baf\u901f\u5ea6\u7684\u9650\u5236\u4e5f\u5236\u7ea6\u4e86\u5b9e\u65f6\u5c04\u7ebf\u8ffd\u8e2a\u6280\u672f\u7684\u53d1\u5c55\u3002\u4e00\u4e2a\u5f88\u663e\u800c\u6613\u89c1\u7684\u9053\u7406\uff1a\u592a\u957f\u7684\u901a\u8baf\u5ef6\u8fdf\u5982\u679c\u957f\u4e8e\u4eba\u4f53\u5668\u5b98\u7684\u81ea\u7136\u547c\u5438\u5468\u671f\uff0c\u90a3\u4e48\u5f00\u653e\u8fd9\u79cd\u6280\u672f\u662f\u6ca1\u6709\u610f\u4e49\u7684\u3002\u56e0\u6b64\uff0c\u73b0\u4ee3\u653e\u7597\u7cfb\u7edf\u5e94\u6539\u53d8\u4ee5\u524d\u5728\u4ee5\u52a0\u901f\u5668\u4e3a\u4e3b\u7684\u63a7\u5236\u57fa\u7840\u4e0a\u62d3\u5c55\u5176\u5b83\u90e8\u5206\u7684\u7406\u5ff5\uff0c\u5e94\u4ece\u6700\u521d\u5c31\u81f3\u5c11\u57fa\u4e8e\u5c04\u7ebf\u51fa\u675f\u90e8\u5206\u3001\u6cbb\u7597\u5934\u90e8\u5206\u3001\u548c\u5f71\u50cf\u90e8\u5206\u8fdb\u884c\u66f4\u5168\u9762\u7684\u8003\u8651\uff0c\u52a0\u5feb\u901a\u8baf\u548c\u6570\u636e\u5904\u7406\u7684\u901f\u5ea6\uff0c\u63d0\u5347\u7528\u6237\u7684\u64cd\u4f5c\u4f53\u9a8c\u3002\u4ece\u8fd9\u4e2a\u610f\u4e49\u4e0a\u6765\u8bf4\uff0cIGRT \u8d8a\u66f4\u65e0\u7f1d\u7684\u878d\u5165\u653e\u7597\u7cfb\u7edf\uff0c\u5219\u66f4\u9700\u8981\u63a7\u5236\u7cfb\u7edf\u7684\u63d0\u5347\u3002<\/span><\/p>\n
1.4\u3001\u5feb\u901f\u6cbb\u7597\u8981\u6c42\u548c\u6280\u672f&\u8bbe\u5907\u8981\u6c42<\/span><\/h2>\n
\n
\u5feb\u901f\u6cbb\u7597\u5e76\u4e0d\u4ec5\u4ec5\u6307\u63d0\u9ad8\u5355\u6b21\u6267\u884c\u7684\u901f\u5ea6\uff0c\u8fd8\u5305\u62ec\u5c3d\u91cf\u51cf\u5c11\u5e38\u89c4\u5206\u6b21\u7684\u6b21\u6570\uff0c\u5373\u4eba\u4eec\u7ecf\u5e38\u63d0\u5230\u7684SBRT\u3002<\/span><\/p>\n<\/blockquote>\n\n\n\n\n
\u5feb\u901f\u6cbb\u7597\u7684\u9700\u6c42<\/strong><\/span><\/td>\n<\/tr>\n
\u51cf\u5c11\u5e38\u89c4\u5206\u6b21\u6b21\u6570\uff0c\u52a0\u901f\u6574\u4e2a\u7597\u7a0b\u7684\u8fdb\u5ea6<\/span><\/td>\n\u52a0\u5feb\u4e00\u4e2a\u5206\u6b21\u7684\u6cbb\u7597\u901f\u5ea6\uff0c\u52a0\u5feb\u51fa\u675f\u65f6\u95f4\uff0c\u51cf\u5c11\u75c5\u4eba\u8eba\u5728\u6cbb\u7597\u5e8a\u4e0a\u7684\u65f6\u95f4<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88686. \u5feb\u901f\u6cbb\u7597\u7684\u9700\u6c42<\/span><\/p>\n
\u76ee\u524d\uff0c\u5df2\u7ecf\u5f00\u53d1\u7684\u5404\u79cd\u80fd\u591f\u52a0\u5feb\u6cbb\u7597\u7684\u4e3b\u8981\u6280\u672f\u5982\u4e0b\uff1a<\/span>
\n i. \u7acb\u4f53\u5b9a\u5411\u653e\u7597\uff08SBRT\uff09;<\/span>
\n ii. FFF\uff08flattering filter free\uff09;<\/span>
\n iii. VMAT\uff1b<\/span>
\n iv. \u9ad8\u901f\u5149\u6805\u3002<\/span><\/p><\/blockquote>\n
FFF \u6280\u672f\u5373\u53bb\u6389\u7528\u4e8e\u4fee\u6574\u5c04\u7ebf\u7684\u5747\u6574\u5757\uff0c\u4f7f\u7528\u542b\u6709\u5927\u91cf\u8f6f\u5c04\u7ebf\u7684\u6253\u9776\u540e\u7684\u539f\u59cb\u5c04\u7ebf\u6765\u4ee3\u66ff\u5e73\u5766\u7684\u5747\u6574\u540e\u7684\u5c04\u675f\uff0c\u8fd9\u6837\u5242\u91cf\u7387\u5c06\u663e\u8457\u63d0\u5347\uff0c\u901a\u5e38\u4f1a\u83b7\u5f97\u4e0a\u5343MU \u7684\u5242\u91cf\u7387\u3002\u914d\u5408\u9ad8\u901f\u5149\u6805\uff0c\u518d\u7ed3\u5408VMAT \u7684\u6280\u672f\u4f18\u52bf\uff0c\u8fd9\u4e09\u8005\u7684\u7ed3\u5408\u4f1a\u4f7f\u4e00\u6b21\u6cbb\u7597\u7684\u6548\u7387\u5927\u5927\u63d0\u9ad8\uff0c\u4ee5\u524d\u9700\u898110 \u51e0\u5206\u949f\u7684\u666e\u901a\u8c03\u5f3a\u6cbb\u7597\u53ef\u4ee5\u7f29\u77ed\u5230\u51e0\u5206\u949f\u5185\uff0c\u5e76\u4e14\u5e76\u4e0d\u727a\u7272\u6cbb\u7597\u7684\u8d28\u91cf\u3002\u8fd9\u5176\u4e2dFFF+\u9ad8\u901f\u5149\u6805\u8d77\u5230\u4e86\u81f3\u5173\u91cd\u8981\u7684\u4f5c\u7528\u3002\u5fc5\u987b\u4e24\u8005\u7684\u5408\u7406\u914d\u5408\u624d\u80fd\u53d1\u6325\u51fa\u6700\u5927\u7684\u5a01\u529b\uff0c\u53ef\u4ee5\u771f\u6b63\u63d0\u5347\u6cbb\u7597\u6548\u679c\u548c\u6548\u7387\uff0c\u589e\u5f3a\u6574\u4e2a\u653e\u7597\u7cfb\u7edf\u7684\u6027\u80fd\u3002<\/span><\/p>\n
SBRT \u8fd1\u6765\u91cd\u65b0\u56de\u5230\u4eba\u4eec\u7684\u89c6\u7ebf\u4e2d\uff0c\u4e00\u6765\u7531\u4e8e\u5176\u4e34\u5e8a\u4e0a\u7684\u4f18\u52bf\uff0c\u4e8c\u6765\u5c3d\u7ba1\u5355\u4e2a\u5206\u6b21\u7684\u6295\u5c04\u5242\u91cf\u53d8\u5927\uff0c\u4f46\u662f\u603b\u4e2a\u7597\u7a0b\u7684\u603b\u5242\u91cf\u5b9e\u9645\u51cf\u5c0f\uff0c\u5b9e\u9645\u6709\u5229\u4e8e\u6b63\u5e38\u5668\u5b98\u7684\u4fdd\u62a4\u3002\u4f46\u4e0d\u540c\u4e8e\u5e38\u89c4\u653e\u7597\u65f6\u4ee3\u7684SBRT\uff0c\u76ee\u524d\u666e\u904d\u8ba4\u4e3a\u53ea\u6709\u7ed3\u5408\u9ad8\u6027\u80fd\u7684\u8bbe\u5907\uff0c\u624d\u80fd\u6700\u5927\u9650\u5ea6\u7684\u53d1\u6325SBRT\u3002\u4f8b\u5982\uff0cSBRT \u4e3b\u8981\u901a\u8fc7\u63d0\u9ad8\u5355\u6b21\u6295\u653e\u5242\u91cf\u6765\u51cf\u5c11\u603b\u7167\u5c04\u6b21\u6570\uff0c\u800c\u5982\u679c\u4f7f\u7528\u5e38\u89c4\u5242\u91cf\u7387\u8bbe\u5907\uff0c\u5355\u6b21\u7167\u5c04\u65f6\u95f4\u4f1a\u5927\u5927\u589e\u52a0\uff0c\u800c\u75c5\u4eba\u5728\u957f\u65f6\u95f4\u7684\u7167\u5c04\u4e0b\u4f1a\u4e0d\u53ef\u907f\u514d\u7684\u4ea7\u751f\u8f83\u5927\u8303\u56f4\u7684\u547c\u5438\u6d3b\u52a8\uff0c\u8fd9\u5c31\u5fc5\u7136\u5bfc\u81f4\u6cbb\u7597\u6548\u679c\u7684\u964d\u4f4e\u3002\u800c\u4f7f\u7528FFF \u6a21\u5f0f\u4e0b\u7684\u9ad8\u5242\u91cf\u6863\u5219\u53ef\u4ee5\u907f\u514d\u51fa\u73b0\u4e0a\u8ff0\u7684\u95ee\u9898\u3002\u5e76\u4e14SBRT \u8981\u6c42\u7684\u6446\u4f4d\u7cbe\u5ea6\u4e5f\u9ad8\u4e8e\u4e00\u822c\u7684\u653e\u7597\u6280\u672f\uff0c\u56e0\u6b64\u5f71\u50cf\u624b\u6bb5\u4e5f\u4e0d\u53ef\u907f\u514d\u88ab\u7528\u5230\u3002<\/span><\/p>\n
1.5\u3001\u5c04\u7ebf\u8ffd\u8e2a\u6cbb\u7597\u8981\u6c42\u548c\u6280\u672f&\u8bbe\u5907\u8981\u6c42<\/span><\/h2>\n
\u5728\u653e\u7597\u8fdb\u5165\u5f71\u50cf\u5f15\u5bfc\u65f6\u4ee3\u540e\uff0c\u4eba\u4eec\u5c31\u59cb\u7ec8\u65e0\u6cd5\u56de\u907f\u4e00\u4e2a\u95ee\u9898\uff0c\u4e3a\u4ec0\u4e48\u4e0d\u80fd\u201c\u770b\u201d\u7740\u9776\u533a\u6295\u5c04\u5c04\u7ebf\uff0c\u5e76\u4e14\u6839\u636e\u9776\u533a\u7684\u53d8\u5316\u6307\u6325\u5c04\u7ebf\u8fdb\u884c\u76f8\u5e94\u7684\u8c03\u6574\u3002\u5c3d\u7ba1\u76ee\u524d\u7684\u6280\u672f\u65e0\u6cd5\u652f\u6301\u8fd9\u6837\u7684\u9700\u6c42\uff0c\u4f46\u662f\u53ef\u4ee5\u8bf4\u8fd9\u662f\u76ee\u524d\u80fd\u770b\u5230\u7684\u653e\u7597\u8bbe\u5907\u53d1\u5c55\u7684\u7ec8\u70b9\u3002\u4e0d\u4ec5\u8981\u6709\u8bbe\u5907\u786c\u4ef6\u4e0a\u7684\u63d0\u5347\uff0c\u8fd8\u8981\u6c42\u8f6f\u4ef6\u4e0a\u4e00\u6837\u53d6\u5f97\u5de8\u5927\u7684\u8fdb\u6b65\u3002\u6bd4\u5982\uff1aTPS\u7684\u5728\u7ebf\u4f18\u5316\u529f\u80fd\uff0c\u800c\u4e14\u662f\u591a\u76ee\u6807\u7684\u4f18\u5316\uff0c\u89e3\u51b3\u9776\u533a\u7531\u4e8e\u5668\u5b98\u8fd0\u52a8\u4ea7\u751f\u5f62\u53d8\u7684\u5f39\u6027\u914d\u51c6\u7b49\u529f\u80fd\u3002\u5c3d\u7ba1\u6211\u4eec\u79bb\u6700\u7ec8\u76ee\u6807\u8fd8\u6709\u5f88\u5927\u7684\u8ddd\u79bb\uff0c\u4f46\u8fd8\u662f\u53d6\u5f97\u4e86\u4e00\u4e9b\u9636\u6bb5\u6027\u7684\u6210\u679c\u3002<\/span><\/p>\n\n\n\n\n
\u5c04\u7ebf\u8ffd\u8e2a\u6cbb\u7597\u7684\u9700\u6c42<\/strong><\/span><\/td>\n<\/tr>\n
\u5206\u6b21\u5185\u5f71\u50cf\u5f15\u5bfc\u529f\u80fd\uff0c\u5373\u6cbb\u7597\u65f6\u80fd\u591f\u201c\u770b\u201d\u5230\u5668\u5b98\u7684\u8fd0\u52a8\u60c5\u51b5<\/span><\/td>\n\u5668\u5b98\u7684\u4f4d\u7f6e\u8d85\u51fa\u8ba1\u5212\u8303\u56f4\u65f6\u53ef\u4ee5\u4e2d\u6b62\u6cbb\u7597\uff0c\u6216\u8005\u5f15\u5bfc\u5c04\u675f\u5b9e\u65f6\u79fb\u52a8\u5230\u65b0\u7684\u4f4d\u7f6e<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u88687. \u5c04\u7ebf\u8ffd\u8e2a\u7684\u9700\u6c42<\/span><\/p>\n
\u5c04\u7ebf\u8ffd\u8e2a\u6cbb\u7597\u7684\u4e3b\u8981\u6280\u672f\u5982\u4e0b\uff1a<\/span>
\n i. \u5206\u6b21\u5185\u5f71\u50cf\u5f15\u5bfc\u6280\u672f\uff1a\u6b63\u4ea4\u5e73\u677f\u6210\u50cf\u6280\u672f\uff0cCBCT \u6210\u50cf\u6280\u672f\uff0c\u8d85\u58f0\u6210\u50cf\u6280\u672f\uff0c\u5c04\u9891\u8ffd\u8e2a\u6280\u672f\uff0c\u78c1\u5171\u632f\u5f15\u5bfc\u6280\u672f\uff08\u7814\u53d1\u4e2d\u5373\u5c06\u5b8c\u6210\uff09\uff1b<\/span>
\n ii. \u5e8a\u7684\u5b9e\u65f6\u79fb\u52a8\u4fee\u6b63\u80fd\u529b\uff0cMLC \u53f6\u7247\u5b9e\u65f6\u4fee\u6b63\u80fd\u529b\u3002<\/span><\/p><\/blockquote>\n
\u76ee\u524d\u6bd4\u8f83\u6210\u719f\u7684\u5f71\u50cf\u5f15\u5bfc\u6280\u672f\u5e76\u4e0d\u80fd\u63d0\u4f9b\u5b9e\u65f6\u6210\u50cf\uff0c\u800c\u653e\u7597\u754c\u5bf9\u7cbe\u786e\u5b9a\u4f4d\u7684\u8981\u6c42\u5219\u65e5\u76ca\u63d0\u5347\uff0c\u6700\u7ec8\u5e0c\u671b\u80fd\u591f\u505a\u5230\u201c\u770b\u201d\u7740\u9776\u533a\u6253\u3002\u6240\u4ee5\u5206\u6b21\u5185\u7684\u5f71\u50cf\u5f15\u5bfc\u6280\u672f\u88ab\u63d0\u4e0a\u65e5\u7a0b\uff0c\u4ee5\u74e6\u91cc\u5b89trilogy \u7cfb\u5217\u4e3a\u57fa\u7840\u5f00\u53d1\u7684Novalis \u548cCyberknife \u63d0\u51fa\u4e86\u4e00\u79cd\u4ea4\u53c9\u6210\u50cf\u7684\u6280\u672f\uff0c\u5373\u5c06\u4e00\u5bf9X \u5c04\u7ebf\u7403\u7ba1\u548c\u4e00\u5bf9\u5e73\u677f\u63a2\u6d4b\u5668\u6b63\u4ea4\u6446\u653e\u3002\u4f46\u5176\u7acb\u4f53\u6210\u50cf\u80fd\u529b\u6709\u9650\uff0c\u53ea\u80fd\u63d0\u4f9b\u51e0\u4e2a\u6807\u8bb0\u70b9\u7684\u4f4d\u7f6e\uff0c\u65e0\u6cd5\u5448\u73b0\u4e00\u6574\u4e2a\u5668\u5b98\u7684\u8fd0\u52a8\u56fe\u50cf\u3002CBCT \u5bf9\u4e8e\u5448\u73b0\u6bd4\u8f83\u6e05\u6670\u7684\u5668\u5b98\u7acb\u4f53\u56fe\u50cf\u5177\u6709\u5f88\u5927\u7684\u4f18\u52bf\uff0c\u4f46\u9700\u8981\u8f6c\u52a8\u4e00\u6bb5\u5f27\u5ea6\u624d\u53ef\u4ee5\u5b8c\u6210\u6210\u50cf\u8fc7\u7a0b\uff0c\u56e0\u6b64\u533b\u79d1\u8fbe\u63d0\u51fa\u7684\u89e3\u51b3\u65b9\u6848\u662f\u7b2c\u4e00\u4e2a\u5f27\u6210\u50cf\uff0c\u7b2c\u4e8c\u4e2a\u5f27\u6267\u884c\u8ba1\u5212\u65f6\u5bf9\u7b2c\u4e00\u4e2a\u5f27\u7684\u56fe\u50cf\u7ed3\u679c\u505a\u51fa\u9776\u533a\u4f4d\u7f6e\u4fee\u6b63\uff0c\u5e94\u8be5\u8bf4\u8fd9\u53ea\u662f\u4e00\u79cd\u8fd1\u4f3c\u7684\u5b9e\u65f6\u6982\u5ff5\u3002\u8d85\u58f0\u6210\u50cf\u53ef\u4ee5\u505a\u5230\u5b9e\u65f6\u76d1\u6d4b\u5668\u5b98\u8fd0\u52a8\uff0c\u4f46\u9002\u5e94\u75c7\u975e\u5e38\u6709\u9650\uff0c\u76ee\u524d\u6bd4\u8f83\u6210\u719f\u7684\u4e34\u5e8a\u65b9\u6848\u662f\u9488\u5bf9\u524d\u5217\u817a\u7684\u3002\u800c\u4e14\u5b83\u505a\u4e3a\u4e00\u4e2a\u72ec\u7acb\u7684\u7b2c\u4e09\u65b9\u88c5\u7f6e\uff0c\u9700\u8981\u548c\u52a0\u901f\u5668\u63a7\u5236\u8fdb\u884c\u901a\u8baf\u6c9f\u901a\u3002RF \u63a2\u6d4b\u6280\u672f\u9996\u5148\u9700\u8981\u5728\u4eba\u4f53\u7684\u9776\u533a\u91cc\u9762\u690d\u5165\u4e00\u4e9b\u5c04\u9891\u4fe1\u53f7\u6e90\uff0c\u901a\u8fc7\u4f53\u5916\u7684\u63a2\u6d4b\u5668\u6536\u96c6\u5b83\u4eec\u53d1\u51fa\u7684\u4fe1\u53f7\u6765\u76d1\u63a7\u9776\u533a\u7684\u79fb\u52a8\u60c5\u51b5\u3002MRI \u56fe\u50cf\u5f15\u5bfc\u6280\u672f\u76ee\u524d\u8fd8\u5728\u7814\u53d1\u4e2d\uff0c\u74e6\u91cc\u5b89\u7ed9\u51fa\u4e86\u5206\u4f53\u65b9\u6848\uff0c\u533b\u79d1\u8fbe\u7ed9\u51fa\u4e86\u4e00\u4f53\u65b9\u6848\uff0c\u770b\u6765\u533b\u79d1\u8fbe\u7684\u65b9\u6848\u66f4\u53d7\u5230\u4e1a\u754c\u7684\u6b22\u8fce\uff0c\u800c\u4e14\u5176\u8bbe\u8ba1\u76ee\u6807\u662f\u5e0c\u671b\u5728MRI \u5f15\u5bfc\u4e0b\u5b9e\u73b0\u771f\u6b63\u7684\u3001\u8f6f\u786c\u4ef6\u9ad8\u5ea6\u96c6\u6210\u914d\u5408\u81ea\u9002\u5e94\u653e\u7597\u6280\u672f\u3002<\/span><\/p>\n
\u5f53\u7136\u4ec5\u4ec5\u80fd\u591f\u770b\u5230\u9776\u533a\u8fd0\u52a8\u662f\u4e0d\u591f\u7684\uff0c\u4e34\u5e8a\u9700\u8981\u5728\u770b\u5230\u540e\u80fd\u591f\u6709\u4e0b\u4e00\u6b65\u7684\u52a8\u4f5c\uff0c\u76ee\u524d\u80fd\u591f\u505a\u5230\u7684\u5c31\u662f\u5728\u9776\u533a\u79fb\u51fa\u8ba1\u5212\u8303\u56f4\u540e\u4e2d\u6b62\u5c04\u7ebf\u3002\u4f46\u66f4\u5438\u5f15\u4eba\u7684\u65b9\u6848\u662f\u5c04\u675f\u80fd\u591f\u505a\u51fa\u5b9e\u65f6\u8c03\u6574\uff0c\u5373\u5c04\u7ebf\u5b9e\u65f6\u8ddf\u8e2a\u9776\u533a\uff08tracking\uff09\u3002\u76ee\u524d\u7ed9\u51fa\u7684\u65b9\u6cd5\u4e00\u4e2a\u662f\u901a\u8fc7\u79fb\u52a8\u5e8a\u6765\u5f25\u8865\u4f4d\u7f6e\u4e0a\u7684\u504f\u5dee\uff0c\u4f46\u8fd9\u4e2a\u65b9\u6848\u53ea\u662f\u5904\u4e8e\u5927\u5b66\u5b9e\u9a8c\u5ba4\u7814\u7a76\u9636\u6bb5\uff0c\u53e6\u4e00\u4e2a\u53ef\u80fd\u66f4\u5feb\u7528\u4e8e\u4e34\u5e8a\u6cbb\u7597\u662fMLC \u53f6\u7247\u4fee\u6b63\uff0c\u5373\u7528MLC \u53f6\u7247\u7684\u4f4d\u7f6e\u6765\u8865\u507f\u5668\u5b98\u79fb\u52a8\u6216\u5f62\u53d8\u56e0\u6b64\u7684\u504f\u5dee\u3002<\/span><\/p>\n
\u5b9e\u65f6\u5c04\u7ebf\u6700\u7ec8\u6280\u672f\u9700\u8981\u56fe\u50cf\u5f15\u5bfc\u548c\u52a0\u901f\u5668\u51fa\u675f\u7684\u65e0\u7f1d\u914d\u5408\u624d\u53ef\u8fbe\u6210\uff0c\u9700\u8981\u63a7\u5236\u7cfb\u7edf\u7684\u9ad8\u5ea6\u96c6\u6210\uff0c\u76ee\u524d\u7684\u4e3b\u6d41\u52a0\u901f\u5668\u7684\u63a7\u5236\u67b6\u6784\u5f88\u53ef\u80fd\u90fd\u9700\u8981\u505a\u51fa\u8f83\u5927\u7684\u4fee\u6539\u3002\u56e0\u6b64\u8fc4\u4eca\u4e3a\u6b62\u4e24\u4e2a\u4e3b\u8981\u4f9b\u5e94\u5546\u90fd\u6ca1\u6709\u5728\u8fd9\u4e2a\u65b9\u5411\u4e0a\u505a\u51fa\u91cd\u5927\u7a81\u7834\uff0c\u8fd9\u4e5f\u6210\u4e3a\u653e\u7597\u8bbe\u5907\u7684\u201c\u5929\u82b1\u677f\u201d\u3002<\/span><\/p>\n
2\u3001\u653e\u7597\u8bbe\u5907\u7684\u5e02\u573a\u5206\u6790<\/span><\/h1>\n
2.1\u3001\u4e2d\u56fd\u5e02\u573a\u73b0\u72b6\u56de\u987e\uff1a<\/span><\/h2>\n
\u4e2d\u56fd\u5e02\u573a\u76ee\u524d\u5df2\u6709\u533b\u7528\u76f4\u7ebf\u52a0\u901f\u5668\u51712000 \u53f0\u5de6\u53f3\uff0c\u6709\u56fd\u9645\u5382\u5546\u548c\u56fd\u4ea7\u5382\u5546\uff0c\u9ad8\u7aef\u673a\u578b100%\u88ab\u56fd\u9645\u5382\u5546\u5360\u9886\uff0c\u4e3b\u8981\u662f\u74e6\u91cc\u5b89\u3001\u533b\u79d1\u8fbe\u3001\u897f\u95e8\u5b50\u548c\u8fd1\u5e74\u6765\u6536\u8d2d\u4e86tomotherapy \u7684accuray\uff0c\u5c3d\u7ba1accuray \u603b\u662f\u5ba3\u79f0\u5176\u65d7\u4e0b\u7684tomotherapy \u548ccyberknife \u4e0d\u5c5e\u4e8e\u5e38\u7528\u7684\u533b\u7528\u76f4\u7ebf\u52a0\u901f\u5668\uff0c\u4f46\u5b9e\u9645\u4e0a\u8fd8\u662f\u5e94\u8be5\u5f52\u4e8e\u8fd9\u7c7b\u4ea7\u54c1\u3002\u56fd\u5185\u5382\u5546\u4e3b\u8981\u6709\u5c71\u4e1c\u65b0\u534e\u533b\u7597\u96c6\u56e2\u548c\u6c88\u9633\u4e1c\u8f6f\u533b\u7597\u96c6\u56e2\uff0c\u8fd9\u4e24\u5bb6\u5382\u5546\u4ece\u89c4\u6a21\u4e0a\u5e76\u4e0d\u5c0f\uff0c\u5176\u5b9e\u5177\u6709\u548c\u56fd\u9645\u5382\u5546\u8f83\u91cf\u7684\u57fa\u7840\uff0c\u4f46\u662f\u653e\u7597\u4e8b\u4e1a\u90e8\u5728\u4e24\u5bb6\u516c\u53f8\u7684\u5185\u90e8\u90fd\u5c5e\u4e8e\u975e\u4e3b\u6d41\u4e1a\u52a1\u90e8\uff0c\u56e0\u6b64\u6ca1\u6709\u5f97\u5230\u5f88\u597d\u7684\u8d44\u6e90\u652f\u6301\uff0c\u6240\u4ee5\u76ee\u524d\u4ed6\u4eec\u7684\u4ea7\u54c1\u4e3b\u8981\u662f\u4f4e\u7aef\u52a0\u901f\u5668\u3002<\/span><\/p>\n
\"\u56fe\u72474\"<\/p>\n
Fig. 4 \u4e2d\u56fd\u52a0\u901f\u5668\u5e02\u573a\u5360\u6709\u7387\uff08\u622a\u81f3\u81f32014 \u5e74\uff09<\/span><\/p>\n
\u5982\u56fe4 \u6240\u793a\uff0c\u76ee\u524d\u5728\u4e2d\u56fd\u5e02\u573a\u5982\u679c\u6309\u7167\u88c5\u673a\u53f0\u6570\u6765\u7b97\uff0c\u5360\u636e\u4e3b\u6d41\u7684\u65e0\u7591\u662f\u4e09\u5bb6\u5382\u5546\u533b\u79d1\u8fbe\u3001\u74e6\u91cc\u5b89\u548c\u897f\u95e8\u5b50\uff0c\u4e0d\u8fc7\u897f\u95e8\u5b50\u5df2\u7ecf\u4e8e2012 \u5e74\u9000\u51fa\u8fd9\u4e00\u9886\u57df\uff0c\u4f46\u662f\u5176\u4f9d\u7136\u5b58\u5728\u4e00\u5b9a\u91cf\u7684\u8bbe\u5907\u4ecd\u5728\u8fd0\u884c\uff0c\u5176\u5ba2\u6237\u4e5f\u4e0d\u4e4f\u975e\u5e38\u4f18\u8d28\u7684\u533b\u9662\uff0c\u6bd4\u5982\u5317\u4eac\u5927\u5b66\u80bf\u7624\u533b\u9662\u548c\u5317\u4eac\u534f\u548c\u533b\u9662\uff0c\u4f9d\u7136\u6709\u897f\u95e8\u5b50\u7684\u8bbe\u5907\u4ecd\u5728\u4e34\u5e8a\u4e2d\u3002\u800c\u533b\u79d1\u8fbe\u7531\u4e8e\u6536\u8d2d\u4e86\u539f\u5317\u4eac\u533b\u7597\u5668\u68b0\u7814\u7a76\u6240\u800c\u81ea\u7136\u7ee7\u627f\u4e86\u5b83\u7684\u8fd1200 \u591a\u5bb6\u7528\u6237\uff0c\u52a0\u4e0a\u5b83\u5df2\u6709\u7684\u5ba2\u6237\u7fa4\u4ece\u800c\u6210\u4e3a\u4e2d\u56fd\u5e02\u573a\u5360\u6709\u7387\u6700\u9ad8\u7684\u5382\u5546\u3002\u74e6\u91cc\u5b89\u4f5c\u4e3a\u653e\u7597\u884c\u4e1a\u6700\u5927\u7684\u5382\u5546\u5728\u4e2d\u56fd\u4e00\u76f4\u4fdd\u6709\u4e00\u4e2a\u975e\u5e38\u7a33\u5b9a\u7684\u5ba2\u6237\u7fa4\u4f53\uff0c\u5176\u5ba2\u6237\u5b8c\u5168\u56ca\u62ec\u4e86\u4e2d\u56fd\u6700\u4f18\u79c0\u7684\u533b\u9662\uff0c\u6bd4\u5982\u6700\u5927\u7684\u7efc\u5408\u6027\u533b\u9662\uff08\u5317\u4eac\u534f\u548c\u533b\u9662\u3001\u4e2d\u56fd\u4eba\u6c11\u89e3\u653e\u519b\u603b\u533b\u9662\u7b49\uff09\uff0c\u6700\u5927\u7684\u80bf\u7624\u4e13\u79d1\u533b\u9662\uff08\u4e2d\u56fd\u533b\u5b66\u79d1\u5b66\u9662\u80bf\u7624\u533b\u9662\u3001\u4e0a\u6d77\u80bf\u7624\u533b\u9662\u3001\u5e7f\u5dde\u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\u7b49\uff09\uff0c\u5c3d\u5feb\u4ece\u5360\u6709\u7387\u4e0a\u4f4e\u4e8e\u533b\u79d1\u8fbe\uff0c\u4f46\u662f\u5176\u7b2c\u4e00\u7684\u54c1\u724c\u5f62\u8c61\u6beb\u65e0\u7591\u95ee\u4ecd\u7136\u5904\u4e8e\u4e0d\u53ef\u52a8\u6447\u7684\u4f4d\u7f6e\u3002Accuray \u6700\u8fd1\u51ed\u501f\u536b\u751f\u90e8\u7532\u7c7b\u4ea7\u54c1\u914d\u7f6e\u8bc1\u7684\u7ba1\u63a7\u6210\u4e3a\u6700\u5927\u8d62\u5bb6\uff0c\u4e00\u822c\u7533\u8bf7\u5230\u7532\u7c7b\u914d\u7f6e\u8bc1\u7684\u533b\u9662\u4f1a\u9996\u5148\u9009\u62e9\u5b83\u7684tomotherapy \u548ccyberknife\u3002\u4f46\u662f\u5c3d\u7ba1\u5982\u6b64\u5b83\u4ecd\u7136\u65e0\u6cd5\u548c\u533b\u79d1\u8fbe\u4ee5\u53ca\u74e6\u91cc\u5b89\u7684\u9500\u552e\u89c4\u6a21\u76f8\u6bd4\u8f83\uff0c\u4ecd\u7136\u5904\u4e8e\u653e\u7597\u7684\u4e00\u4e2a\u7ec6\u5206\u5e02\u573a\u4e2d\u3002<\/span><\/p>\n
\"\u56fe\u72475\"<\/p>\n
Fig. 5 \u4e2d\u56fd\u4f4e\u80fd\u52a0\u901f\u5668\u7684\u5e02\u573a\u5360\u6709\u7387\uff08\u622a\u81f3\u81f32014 \u5e74\uff09<\/span><\/p>\n
\u56fe5 \u663e\u793a\u4e86\u5728\u4e2d\u56fd\u4f4e\u80fd\u52a0\u901f\u5668\u7684\u5360\u6709\u7387\u60c5\u51b5\uff0c\u4f4e\u80fd\u52a0\u901f\u5668\u901a\u5e38\u6307\u4f4e\u80fd\uff086MV\uff09\u5355\u5149\u5b50\u8f93\u51fa\u7684\u52a0\u901f\u5668\uff0c\u6709\u7684\u5177\u5907\u7cbe\u786e\u653e\u7597\u7684\u80fd\u529b\uff0c\u6709\u7684\u5219\u4ec5\u4ec5\u53ea\u80fd\u4ece\u4e8b\u5e38\u89c4\u653e\u7597\u3002\u76ee\u524d\u4ecd\u5728\u4e2d\u56fd\u5e02\u573a\u8fd0\u884c\u7684\u4f4e\u80fd\u52a0\u901f\u5668\u4ec5\u4ec5\u6709600 \u591a\u53f0\uff0c\u4e0d\u5230\u603b\u657030%\uff0c\u5e94\u8be5\u6ce8\u610f\u5230\u7684\u662f\uff0c\u8fd9\u91cc\u9762\u5305\u62ec\u5927\u91cf\u4ee5\u524d\u7684\u5317\u7814\u6240\u751f\u4ea7\u7684BJ6\uff0c\u800c\u8fd9\u4e00\u578b\u53f7\u5df2\u7ecf\u4e8e2013 \u5e74\u5f7b\u5e95\u505c\u4ea7\u4e86\u3002\u76ee\u524d\u5e02\u573a\u4e0a\u5b58\u5728\u7684\u51e0\u6b3e\u4f4e\u80fd\u52a0\u901f\u5668\u662f\u533b\u79d1\u8fbe\u7684Compact \u548cPrecise\u00a06MV\uff0c\u74e6\u91cc\u5b89\u7684600C\/D\uff0c6Ex\uff0cUnique\uff0c\u897f\u95e8\u5b50\u7684primus 6MV\uff0c\u65b0\u534e\u7684XHA600\u7cfb\u5217\u548c\u4e1c\u8f6f\u7684neulife\u3002\u533b\u79d1\u8fbe\u81eaBJ6 \u505c\u4ea7\u4ee5\u540e\uff0c\u5176Compact \u5e76\u6ca1\u6709\u8fdb\u4e00\u6b65\u6269\u5927\u5e02\u573a\u5360\u9886\u7387\uff0c\u56e0\u6b64\u53ef\u4ee5\u9884\u89c1\u5230\u672a\u6765\u51766MV \u5e02\u573a\u4efd\u989d\u4f1a\u8fdb\u4e00\u6b65\u840e\u7f29\u3002\u800c\u4e14\u5f88\u591a\u5355\u80fd\u673a\u7528\u6237\u5728\u672a\u6765\u66ff\u6362\u65f6\u4e5f\u4f1a\u66f4\u591a\u8003\u8651\u9ad8\u80fd\u4ea7\u54c1\uff0c\u8fd9\u4e9b\u90fd\u4f1a\u8fdb\u4e00\u6b65\u9020\u6210\u4f4e\u80fd\u673a\u5e02\u573a\u7684\u840e\u7f29<\/span><\/strong>\u3002<\/span><\/p>\n
\u76ee\u524d\u4f4e\u80fd\u673a\u7684\u4e3b\u8981\u7528\u6237\u6765\u81ea\u4e8e\u4e09\u4e2a\u65b9\u5411\uff1a<\/span>
\n 1\u3001 \u53bf\u7ea7\u533b\u9662\u6216\u6bd4\u8f83\u5dee\u7684\u5730\u5e02\u7ea7\u533b\u9662\uff1b<\/span>
\n 2\u3001 \u79c1\u4eba\u6295\u8d44\u5546\uff1b<\/span>
\n 3\u3001 \u5927\u578b\u80bf\u7624\u4e2d\u5fc3\u3002<\/span><\/p><\/blockquote>\n
\u524d\u4e24\u8005\u4e3b\u8981\u53d7\u6709\u9650\u7684\u9884\u7b97\u5f71\u54cd\uff0c\u6216\u8005\u5bf9\u8d44\u91d1\u7684\u98ce\u9669\u7ba1\u7406\u6bd4\u8f83\u4e25\u683c\uff0c\u56e0\u6b64\u4f1a\u9009\u62e9\u6295\u8d44\u989d\u6bd4\u8f83\u5c0f\u7684\u4f4e\u80fd\u4ea7\u54c1\u3002\u800c\u5927\u578b\u80bf\u7624\u4e2d\u5fc3\u901a\u5e38\u6709\u6570\u91cf\u4f17\u591a\u7684\u8bbe\u5907\uff0c\u9ad8\u80fd\u673a\u7684\u7535\u5b50\u7ebf\u6216\u8005\u9ad8\u80fdX \u5c04\u7ebf\u5e76\u4e0d\u592a\u5e38\u7528\uff0c\u56e0\u6b64\u4e00\u5b9a\u91cf\u7684\u4f4e\u80fd\u673a\u5bf9\u4e8e\u4ed6\u4eec\u6765\u8bf4\u5176\u5b9e\u5f88\u4e00\u79cd\u5f88\u597d\u7684\u8865\u5145\uff0c\u4f46\u662f\u4ed6\u4eec\u901a\u5e38\u5bf9\u529f\u80fd\u8981\u6c42\u6bd4\u8f83\u9ad8\u3002\u56e0\u6b64\u6211\u4eec\u5c31\u89c1\u5230\u4e86\u50cf\u74e6\u91cc\u5b89Unique\u8fd9\u6837\u7684\u8bbe\u5907\uff0c\u867d\u7136\u662f\u4f4e\u80fd\u673a\uff0c\u4f46\u662f\u5b83\u7684\u529f\u80fd\u5e76\u4e0d\u4f4e\uff0c\u53ef\u4ee5\u505a\u8c03\u5f3a\u6cbb\u7597\uff0c\u53ef\u4ee5\u505aVMAT \u6cbb\u7597\uff0c\u53ef\u4ee5\u914d120 \u7247\u7684MLC\uff1b\u5b83\u7684\u4ef7\u4f4d\u4e5f\u5927\u5927\u9ad8\u4e8e\u4e00\u822c\u7684\u4f4e\u80fd\u8bbe\u5907\u3002\u5f88\u591a\u5927\u578b\u80bf\u7624\u4e2d\u5fc3\u90fd\u91c7\u8d2d\u4e86Unique\uff0c\u6bd4\u5982\u4e2d\u56fd\u533b\u5b66\u79d1\u5b66\u9662\u80bf\u7624\u533b\u9662\u3002\u603b\u4e4b\uff0c\u672a\u6765\u4f4e\u80fd\u673a\u7684\u53d1\u5c55\u5e76\u4e0d\u80fd\u50cf\u4ee5\u524d\u90a3\u6837\u5b9a\u4f4d\u6210\u4e00\u4e2a\u53ea\u5177\u5907\u57fa\u672c\u529f\u80fd\u7684\u5e38\u89c4\u653e\u7597\u8bbe\u5907\uff0c\u56e0\u4e3a\u8fd9\u5b8c\u5168\u4e0d\u7b26\u5408\u672a\u6765\u653e\u7597\u7684\u53d1\u5c55\u65b9\u5411\uff0c\u66f4\u591a\u7684\u53ef\u80fd\u662f\u5177\u5907\u8f83\u5168\u529f\u80fd\u7684\u4f4e\u80fd\u673a\u3002\u4f46\u662f\uff0c\u53ef\u4ee5\u9884\u671f\u5176\u5c31\u7b97\u8fd9\u6837\u5176\u672a\u6765\u7684\u5e02\u573a\u4efd\u989d\u4e5f\u4e0d\u4f1a\u6709\u5f88\u5927\u7684\u589e\u957f\uff0c\u9664\u975e\u653f\u7b56\u6027\u7684\u5f71\u54cd\u3002\u56e0\u4e3a\u76ee\u524d\u4e2d\u56fd\u533b\u9662\u5e76\u4e0d\u592a\u53d7\u6cbb\u7597\u5ba4\u9762\u79ef\u7684\u9650\u5236\uff0c\u4f4e\u80fd\u7684\u5c3a\u5bf8\u4f18\u52bf\u4e0d\u592a\u7a81\u51fa\uff1b\u800c\u4e14\u957f\u671f\u4ee5\u6765\u5728\u653e\u7597\u9886\u57df\uff0c\u4eba\u4eec\u7684\u5370\u8c61\u5c31\u662f\u4f4e\u80fd\u673a\u4ee3\u8868\u4f4e\u7aef\u8bbe\u5907\uff0c\u5382\u5546\u63a8\u5e7f\u7684\u52a8\u529b\u5c31\u4e0d\u662f\u5f88\u5927\uff1b\u6b64\u5916\u5927\u591a\u6570\u533b\u9662\u7531\u4e8e\u653e\u7597\u6536\u76ca\u8f83\u597d\uff0c\u5bf9\u6210\u672c\u5e76\u4e0d\u662f\u975e\u5e38\u654f\u611f\uff0c\u5bf9\u4e8e\u9009\u53d6\u9ad8\u7aef\u8bbe\u5907\u5177\u6709\u5f88\u5927\u7684\u52a8\u529b\u3002\u6240\u4ee5\u4f4e\u80fd\u673a\u7684\u5e02\u573a\u4efd\u989d\u4f1a\u5728\u8f83\u957f\u65f6\u95f4\u5185\u4fdd\u6301\u8f83\u4f4e\u7684\u4efd\u989d\uff0c\u751a\u81f3\u4f1a\u840e\u7f29\u3002<\/span><\/p>\n
\u7efc\u4e0a\u6240\u8ff0\uff0c\u6211\u4eec\u7b80\u5355\u56de\u987e\u4e86\u76ee\u524d\u4e2d\u56fd\u5e02\u573a\u7684\u60c5\u51b5\uff0c\u53ef\u4ee5\u770b\u51fa\uff1a<\/span>
\n 1\u3001 \u56fd\u9645\u5382\u5546\u5360\u636e\u7edf\u6cbb\u5730\u4f4d\uff0c\u56fe4 \u7684\u5e02\u573a\u4efd\u989d\u7edf\u8ba1\u662f\u6309\u7167\u88c5\u673a\u6570\u76ee\uff0c\u5982\u679c\u6309\u7167\u9500\u552e\u989d\u7edf\u8ba1\uff0c\u56fd\u9645\u5382\u5546\u5360\u6709\u7387\u4f1a\u66f4\u9ad8\uff0c\u4fdd\u5b88\u4f30\u8ba1\u4e5f\u8981\u8d85\u8fc790%\u3002<\/span>
\n 2\u3001 \u4f4e\u80fd\u673a\u7684\u88c5\u673a\u91cf\u4f1a\u8fdb\u4e00\u6b65\u840e\u7f29\uff0c\u9ad8\u80fd\u673a\u5c06\u6210\u4e3a\u5e02\u573a\u7684\u4e3b\u6d41\u673a\u578b\uff0c\u5168\u529f\u80fd\u7684\u8bbe\u5907\u5c06\u9010\u6e10\u53d6\u4ee3\u5355\u4e00\u529f\u80fd\u7684\u8bbe\u5907\uff0c\u8fd9\u4e00\u70b9\u548c\u653e\u7597\u6280\u672f\u7684\u53d1\u5c55\u662f\u76f8\u543b\u5408\u7684\u3002<\/span><\/p><\/blockquote>\n
2.2 \u4e2d\u56fd\u5e02\u573a\u7684\u9884\u671f<\/span><\/h2>\n
\u76ee\u524d\uff0c\u5c31\u653e\u7597\u8bbe\u5907\u7684\u9500\u552e\u6765\u8bf4\uff0c\u653e\u5728\u5168\u7403\u7684\u8303\u56f4\u5185\uff0c\u4e2d\u56fd\u5e02\u573a\u65e0\u8bba\u4ece\u5e74\u9500\u552e\u989d\uff0c\u88c5\u673a\u6570\u91cf\u90fd\u5df2\u8d85\u8fc7\u65e5\u672c\uff0c\u6210\u4e3a\u4ec5\u6b21\u4e8e\u7f8e\u56fd\u7684\u5168\u7403\u7b2c\u4e8c\u5927\u5355\u4e00\u5e02\u573a\uff0c\u5e74\u9500\u552e\u989d\u572850 \u4ebf\u4eba\u6c11\u5e01\u5de6\u53f3\u3002\u74e6\u91cc\u5b89\u5728\u4e2d\u56fd\u5e02\u573a\u7684\u9500\u552e\u4efd\u989d\u8d85\u8fc7\u4e8610%\uff0c\u6392\u540d\u4ec5\u6b21\u4e8e\u5176\u7f8e\u56fd\u7684\u4ea7\u503c\uff0c\u533b\u79d1\u8fbe\u4e2d\u56fd\u90e8\u95e8\u8d21\u732e\u7684\u4efd\u989d\u66f4\u9ad8\uff0c\u4e5f\u5728\u516c\u53f8\u5185\u90e8\u6392\u540d\u7b2c\u4e8c\u3002\u56e0\u6b64\u4e24\u4e2a\u516c\u53f8\u90fd\u52a0\u5927\u4e86\u5bf9\u4e2d\u56fd\u5e02\u573a\u7684\u6295\u8d44\u529b\u5ea6\u3002\u4ece\u589e\u957f\u7387\u6765\u770b\uff0c\u4e2d\u56fd\u5e02\u573a\u572809 \u5e74\u5f00\u59cb\u51fa\u73b0\u5e74\u590d\u5408\u589e\u957f\u7387\u8d85\u8fc720%\u7684\u9ad8\u901f\u589e\u957f\uff0c\u81f312 \u5e74\u7ed3\u675f\uff0c\u76ee\u524d\u5904\u4e8e\u6bd4\u8f83\u7a33\u5b9a\u7684\u65f6\u671f\uff0c\u5e74\u9500\u552e\u53f0\u6570\u7ea6200 \u53f0\u5de6\u53f3\u3002\u622a\u81f32014 \u5e74\uff0c\u5168\u56fd\u88c5\u673a\u6570\u91cf\u7ea62000 \u53f0\u5de6\u53f3\u3002<\/span><\/p>\n
\"\u56fe\u72477\"<\/p>\n
Fig. 6 \u533b\u7528\u52a0\u901f\u5668\u8fd1\u51e0\u5e74\u7684\u9500\u552e\u60c5\u51b5<\/span><\/p>\n
\u5c3d\u7ba1\u7ecf\u8fc7\u4e86\u4e00\u6bb5\u8fc5\u731b\u7684\u589e\u957f\uff0c\u4f46\u7531\u4e8e\u4e2d\u56fd\u5de8\u5927\u7684\u4eba\u53e3\u57fa\u6570\u548c\u51f6\u731b\u7684\u764c\u75c7\u53d1\u75c5\u7387\uff0c\u653e\u7597\u8bbe\u5907\u7684\u6570\u91cf\u4ecd\u7136\u65e0\u6cd5\u6ee1\u8db3\u533b\u7597\u9700\u6c42\u3002\u636e\u4e2d\u56fd\u764c\u75c7\u5e74\u9274\u516c\u5e03\u7684\u6570\u636e\uff0c\u6bcf\u5e74\u764c\u75c7\u65b0\u589e\u75c5\u60a3\u8005\u6570\u76ee\u7ea6300 \u4e07\u5de6\u53f3\uff0c\u800c\u9884\u671f\u867d\u7740\u73af\u5883\u6076\u5316\u7684\u6ede\u540e\u6548\u5e94\u548c\u4eba\u53e3\u8001\u9f84\u5316\u8d8b\u52bf\uff0c\u8fd9\u4e00\u6570\u76ee\u8fd8\u6709\u53ef\u80fd\u5927\u5e45\u63d0\u5347\u3002\u800c\u6309\u7167\u4e16\u754c\u5e73\u4ef7\u6c34\u5e73\u6765\u770b\uff0c50%\u7684\u75c5\u60a3\u8005\u5e94\u8be5\u63a5\u53d7\u653e\u5c04\u6cbb\u7597\uff0c\u4f46\u6309\u7167\u76ee\u524d\u6211\u56fd\u76ee\u524d\u7684\u88c5\u673a\u73b0\u72b6\uff0c\u4ec5\u6709\u7ea660 \u4e07\u4eba\uff0c\u537320%\u5de6\u53f3\u7684\u75c5\u4eba\u63a5\u53d7\u4e86\u6cbb\u7597\uff0c\u8fd9\u4e3b\u8981\u662f\u88c5\u673a\u6570\u91cf\u7684\u4e0d\u8db3\u9020\u6210\u7684\u3002\u4e16\u754c\u536b\u751f\u7ec4\u7ec7WTO\u66fe\u7ecf\u5bf9\u6bcf\u767e\u4e07\u4eba\u53e3\u7684\u653e\u7597\u8bbe\u5907\u7ed9\u51fa\u4e86\u4e00\u4e2a\u5efa\u8bae\u503c\uff0c\u5982\u4e0b\u56fe\u6240\u793a\u3002WTO \u5efa\u8bae\u6bcf\u767e\u4e07\u4eba\u53e3\u653e\u7597\u8bbe\u5907\u6570\u91cf\u4e3a2~3 \u53f0\uff0c\u6211\u4eec\u9009\u53d6\u4e86\u4e00\u4e9b\u53d1\u5c55\u4e2d\u56fd\u5bb6\u548c\u4e2d\u7b49\u53d1\u8fbe\u56fd\u5bb6\u4f5c\u4e3a\u5bf9\u7167\uff0c\u53d1\u73b0\u6211\u56fd\u548c\u5df4\u897f\u76f8\u4eff\uff0c\u5dee\u4e8e\u4fc4\u7f57\u65af\u3002\u800c\u82f1\u3001\u7f8e\u3001\u65e5\u7b49\u53d1\u8fbe\u56fd\u5bb6\u7684\u6bcf\u767e\u4e07\u4eba\u53e3\u52a0\u901f\u5668\u62e5\u6709\u91cf\u90fd\u8d85\u8fc77~8 \u53f0\u6216\u66f4\u9ad8\u3002\u4ece\u6b64\u53ef\u4ee5\u770b\u51fa\u6211\u56fd\u88c5\u673a\u6570\u91cf\u7684\u5de8\u5927\u5dee\u8ddd\u3002\u5373\u4fbf\u6211\u56fd\u8fbe\u5230WTO \u7684\u89c4\u5b9a\uff0c\u4ecd\u7136\u6709\u81f3\u5c111000 \u53f0\u5de6\u53f3\u7684\u7f3a\u53e3\u9700\u8981\u5f25\u8865\uff0c\u800c\u8fbe\u5230\u4e00\u4e2a\u4e2d\u7b49\u53d1\u8fbe\u56fd\u5bb6\u7684\u6c34\u5e73\u5219\u9700\u8981\u6211\u56fd\u62e5\u67096000 \u53f0\u4ee5\u4e0a\u7684\u533b\u7528\u52a0\u901f\u5668\uff0c\u6309\u7167\u73b0\u6709\u7684\u6570\u76ee\u5219\u9700\u8981\u5f25\u88654000 \u53f0\u5de6\u53f3\u7684\u5de8\u5927\u7f3a\u53e3\u3002\u56e0\u6b64\uff0c\u5728\u53ef\u9884\u671f\u7684\u672a\u6765\uff0c\u653e\u7597\u8bbe\u5907\u5728\u4e2d\u56fd\u7684\u53d1\u5c55\u4ecd\u7136\u5177\u6709\u5f88\u5927\u7684\u5e02\u573a\u7a7a\u95f4\u3002<\/span><\/strong><\/span><\/p>\n
\"\u56fe\u72472\"<\/p>\n
Fig. 7 \u6bcf\u767e\u4e07\u4eba\u53e3\u52a0\u901f\u5668\u62e5\u6709\u6570\u76ee<\/span><\/p>\n
2.3 \u4e2d\u56fd\u5e02\u573a\u7684\u673a\u578b\u53d1\u5c55\u8d8b\u52bf\uff1a<\/span><\/h2>\n
\u00a0 \u6211\u4eec\u9009\u53d6\u4e00\u4e3b\u6d41\u8bbe\u5907\u5382\u5546\u7684\u6570\u636e\u8fdb\u884c\u4e00\u4e9b\u7b80\u5355\u7684\u7edf\u8ba1\u5de5\u4f5c\u6765\u9884\u6d4b\u4e00\u4e0b\u4e2d\u56fd\u672a\u6765\u8bbe\u5907\u7684\u53d1\u5c55\u8d8b\u52bf\u3002\u9996\u5148\u6211\u4eec\u53ef\u4ee5\u628a\u8bbe\u5907\u6309\u7167\u73b0\u6709\u7684\u9500\u552e\u5b9a\u4f4d\u4f53\u7cfb\u5206\u6210\u5982\u4e0b\u51e0\u6863\uff1a<\/span>
\n 1\u3001 \u4f4e\u7aef\u673a\uff1a\u901a\u5e38\u662f\u4f4e\u80fd\u673a\uff0c\u4ec5\u4ec5\u80fd\u505a\u5e38\u89c4\u653e\u7597\uff1b<\/span>
\n 2\u3001 \u4e2d\u4f4e\u7aef\u673a\uff1a\u4f4e\u80fd\u673a\u4f46\u53ef\u4ee5\u505a\u7cbe\u786e\u653e\u7597\u548c\u9ad8\u80fd\u673a\uff08\u5177\u6709\u4e00\u686310MV X \u5c04\u7ebf\u548c\u82e5\u5e72\u6863\u7535\u5b50\u7ebf\uff09\u4e5f\u53ef\u505a\u7cbe\u786e\u653e\u7597\uff1b<\/span>
\n 3\u3001 \u4e2d\u7aef\u673a\uff1a\u53ef\u914d\u5907KV \u7ea7CBCT \u7684\u9ad8\u80fd\u673a\uff0c\u5177\u6709\u7cbe\u786e\u653e\u7597\u548cIGRT \u529f\u80fd\uff1b<\/span>
\n 4\u3001 \u4e2d\u9ad8\u7aef\u673a\uff1a\u6807\u914dKV \u7ea7CBCT \u7684\u9ad8\u80fd\u673a\uff0c\u5177\u6709VMAT \u529f\u80fd\u548cIGRT \u529f\u80fd\uff1b<\/span>
\n 5\u3001 \u9ad8\u7aef\u673a\uff1a\u5177\u6709VMAT \u529f\u80fd\u30014D IGRT \u529f\u80fd\u3001FFF \u529f\u80fd\uff0c\u914d\u5907\u9ad8\u7cbe\u5ea6\u5149\u6805\uff0c\u53ef\u4ee5\u505a\u7acb\u4f53\u5b9a\u5411\u653e\u7597\uff08SBRT\uff09\uff0c\u4ee5\u53ca\u96c6\u6210\u5404\u79cd\u7b2c\u4e09\u65b9\u8bbe\u5907\uff0c\u5177\u6709\u5404\u79cd\u5f15\u5bfc\u529f\u80fd\u548c\u652f\u6301\u5c16\u7aef\u653e\u7597\u7814\u7a76\u7684\u80fd\u529b\u3002<\/span><\/p><\/blockquote>\n
\u5f53\u6309\u7167\u8fd9\u6837\u7684\u5206\u7c7b\u5206\u6790\u76ee\u524d\u67d0\u4e00\u5382\u5546\u5e02\u573a\u6240\u6709\u8bbe\u5907\u7684\u6bd4\u4f8b\u65f6\uff0c\u6211\u4eec\u53ef\u4ee5\u5f97\u5230\u5982\u4e0b\u8868\u683c\uff1a<\/span><\/p>\n
\"\u56fe\u72473\"<\/p>\n
Fig.8 \u5404\u4e2a\u6863\u6b21\u8bbe\u5907\u7684\u5360\u6bd4\uff08\u4ee5\u4e0a\u6570\u636e\u622a\u81f3\u52302014 \u5e74\uff09<\/span><\/p>\n
\u53ef\u4ee5\u770b\u51fa\uff0c\u8fd9\u4e2a\u516c\u53f8\u9500\u552e\u7684\u7b2c\u4e09\u6863\u4ee5\u4e0a\u7684\u8bbe\u5907\u5360\u6bd4\u8d85\u8fc7\u4e8640%\uff0c\u548c\u7b2c\u4e8c\u6863\u7684\u8bbe\u5907\u6301\u5e73\uff0c\u800c\u7b2c\u4e00\u6863\u7684\u8bbe\u5907\u4ec5\u4ec5\u5360\u670910%\u591a\u4e00\u70b9\u7684\u5e02\u573a\u4efd\u989d\u3002\u53ef\u4ee5\u8bf4\u76ee\u524d\u7cbe\u786e\u653e\u7597\u8bbe\u5907\u5df2\u7ecf\u5360\u636e\u5e02\u573a\u7684\u7edd\u5bf9\u7edf\u6cbb\u5730\u4f4d\uff0c\u800c\u5177\u6709IGRT \u529f\u80fd\u7684\u8bbe\u5907\u5c06\u5f88\u5feb\u6210\u4e3a\u5e02\u573a\u7684\u4e3b\u6d41\u3002\u800c\u4ee5\u524d\u4ee5\u4e3aVMAT \u4e3a\u95e8\u69db\u7684\u9ad8\u7aef\u8bbe\u5907\u5360\u6bd4\u4e5f\u5df2\u7ecf\u8fbe\u5230\u4e8620%\uff0c\u6700\u9ad8\u7aef\u7684\u7efc\u5408\u6027\u653e\u7597\u7cfb\u7edf\u9500\u552e\u5360\u6bd4\u8fbe\u5230\u4e86\u8fd15%\u3002<\/span><\/p>\n
\u5982\u679c\u6211\u4eec\u4ec5\u4ec5\u7edf\u8ba1\u8fd1\u4e09\u5e74\uff082012 ~ 2014\uff09\u7684\u6570\u636e\uff0c\u5982\u4e0b\u8868\u6240\u793a<\/span><\/p>\n
\"\u56fe\u72474\"<\/p>\n
Fig 9. 2012~2014 \u5e74\u5404\u4e2a\u6863\u6b21\u8bbe\u5907\u5360\u6bd4<\/span><\/p>\n
\u4ece\u8fd1\u4e09\u5e74\u7684\u9500\u552e\u6570\u636e\u6211\u4eec\u53ef\u4ee5\u53d1\u73b0\uff0c\u7b2c\u4e09\u6863\u4ee5\u4e0a\u7684\u8bbe\u5907\u5360\u6bd4\u8fbe\u5230\u4e8646.1%\uff0c\u6309\u7167\u8fd9\u4e2a\u53d1\u5c55\u901f\u5ea6\uff0c\u52302017 \u5e74\uff0c\u5728\u4e2d\u56fd\u9500\u552e\u7684\u4e00\u534a\u4ee5\u4e0a\u7684\u8bbe\u5907\u90fd\u5177\u6709IGRT \u529f\u80fd\uff0c\u7b2c\u4e8c\u6863\u7684\u8bbe\u5907\u7684\u5e02\u573a\u4efd\u989d\u5f00\u59cb\u840e\u7f29\uff0c\u7531\u4e8e\u7b2c\u4e00\u6863\u8bbe\u5907\u7684\u5e02\u573a\u5360\u6bd4\u6ca1\u6709\u53d8\u5316\uff0c\u5219\u7b2c\u4e8c\u6863\u7684\u8bbe\u5907\u76ee\u6807\u7528\u6237\u5f00\u59cb\u5411\u7b2c\u4e09\u6863\u4ee5\u4e0a\u8f6c\u79fb\u3002\u800c\u7b2c\u4e09\u6863\u548c\u7b2c\u56db\u6863\u7684\u5ba2\u6237\u660e\u663e\u5411\u7b2c\u4e94\u6863\u53d1\u751f\u4e86\u8f6c\u79fb\u3002\u5373\u6211\u4eec\u53ef\u4ee5\u770b\u51fa\uff0c\u4e2d\u56fd\u5ba2\u6237\u7684\u9700\u6c42\u5c06\u9010\u6e10\u5411\u9ad8\u7aef\u8bbe\u5907\u8f6c\u79fb\u3002\u9ad8\u7aef\u8bbe\u5907\u5c06\u5360\u636e\u8d8a\u6765\u8d8a\u5927\u7684\u5e02\u573a\u4efd\u989d\u3002<\/span><\/p>\n
 \u56e0\u6b64\uff0c\u53ef\u4ee5\u770b\u51fa\u672a\u6765\u4e2d\u56fd\u5e02\u573a\u7684\u9500\u552e\u60c5\u51b5\u5c06\u5177\u6709\u5982\u4e0b\u7279\u70b9\uff1a<\/span>\r\n 1\u3001 \u8c03\u5f3a\u529f\u80fd\u5c06\u6210\u4e3a\u8fdb\u5165\u5e02\u573a\u7684\u57fa\u672c\u95e8\u69db\uff1b<\/span>\r\n 2\u3001 \u5177\u6709IGRT \u529f\u80fd\u7684\u8bbe\u5907\u5360\u6bd4\u5c06\u8d85\u8fc7\u603b\u6570\u7684\u4e00\u534a\uff0c\u9500\u552e\u989d\u5360\u6bd4\u8fbe\u523060%~70%\uff0c\u751a\u81f3\u66f4\u9ad8\uff1b<\/span>\r\n 3\u3001 \u6700\u9ad8\u7aef\u8bbe\u5907\u7684\u5e02\u573a\u4efd\u989d\u4e5f\u5c06\u8fdb\u4e00\u6b65\u6269\u5927\uff1b<\/span>\r\n 4\u3001 \u66f4\u5c16\u7aef\u7684\u8bbe\u5907\u51fa\u73b0\u5c06\u8ba9\u8fdb\u4e00\u6b65\u5c06\u73b0\u6709\u6280\u672f\u6c34\u5e73\u7684\u8bbe\u5907\u6ed1\u5411\u4f4e\u7aef\u5e02\u573a\uff1b<\/span>\r\n 5\u3001 \u4e2d\u56fd\u5e02\u573a\u5c06\u8d8a\u6765\u8d8a\u5177\u6709\u53d1\u8fbe\u5e02\u573a\u7684\u7279\u5f81\uff0c\u5355\u53f0\u8bbe\u5907\u7684\u552e\u4ef7\u5c06\u4e0d\u65ad\u964d\u4f4e\uff0c\u5229\u6da6\u7a7a\u95f4\u4f1a\u8fdb\u4e00\u6b65\u6536\u7a84\u3002<\/span><\/strong><\/span><\/span><\/pre>\n
\u672c\u6587\u5199\u4e8e2016\u5e74\u521d\uff0c\u6b63\u503c\u76f4\u7ebf\u52a0\u901f\u5668\u884c\u4e1a\u53d7\u5230\u5341\u4e09\u4e94\u8ba1\u5212\u9f13\u52b1\u4e4b\u65f6\uff0c\u6587\u7ae0\u7cfb\u7edf\u7684\u8bf4\u660e\u4e86\u653e\u7597\u884c\u4e1a\u6574\u4f53\u73b0\u72b6\u3001\u5305\u62ec\u4e34\u5e8a\u5e94\u7528\u3001\u6280\u672f\u60c5\u51b5\u3001\u5e02\u573a\u60c5\u51b5\u548c\u73b0\u6709\u7684\u7ade\u4e89\u683c\u5c40\uff0c\u662f\u6295\u8d44\u52a0\u901f\u5668\u7814\u53d1\u5236\u9020\u3001\u653e\u7597\u4e2d\u5fc3\u7684\u7edd\u4f73\u54a8\u8be2\u6750\u6599\uff0c\u5982\u9700\u8054\u7cfb\u4f5c\u8005\uff0c\u8bf7\u76f4\u63a5\u56de\u590d\u6587\u7ae0\u5373\u53ef\uff0c\u7ba1\u7406\u5458\u4ee3\u4e3a\u8f6c\u8fbe\u3002\u53ef\u4ee5\u8f6c\u53d1\u5e26\u6709rf-engineers.cn\u7684\u672c\u6587\u94fe\u63a5\uff0c\u4f46\u8bf7\u52ff\u4ee5\u4efb\u4f55\u5f62\u5f0f\u8f6c\u8f7d\uff01<\/span><\/strong><\/span><\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"
\u672c\u62a5\u544a\u662f\u8d44\u6df1\u653e\u7597\u5e02\u573a\u4eba\u58eb\u7ed9\u6295\u8d44\u5546\u505a\u8bc4\u4f30\u4f7f\u7528\u7684\uff0c\u4ec5\u9650rf-engineers.cn\u8f6c\u8f7d\uff0c\u7981\u6b62\u4efb\u4f55\u4eba\u4f7f\u7528\u5728\u4efb\u4f55\u5176\u4ed6\u5730\u65b9\u3002 \u672c\u62a5\u544a\u5c06\u4ece\u4e0b\u9762\u4e24\u4e2a\u4e3b\u8981\u65b9\u9762\u5bf9\u653e\u7597\u5e02\u573a\u65b9\u5411\u8fdb\u884c\u5206\u6790 \u7b2c\u4e00\u3001\u4ece\u4e34\u5e8a\u9700\u6c42\u51fa\u53d1\u6765\u5f97\u5230\u5bf9\u653e\u7597\u8bbe\u5907\u7684\u8981\u6c42\u3002 \u7b2c\u4e8c\u3001\u4ece\u5e02\u573a\u7edf\u8ba1\u7684\u6570\u636e\u5f97\u5230…<\/p>\n","protected":false},"author":1,"featured_media":187,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63],"tags":[37,38,39,16,5,18,34,17,35,11],"topic":[],"class_list":["post-155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-share","tag-elekta","tag-varian","tag-39","tag-16","tag-5","tag-18","tag-34","tag-17","tag-35","tag-11"],"_links":{"self":[{"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=\/wp\/v2\/posts\/155","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=155"}],"version-history":[{"count":0,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=\/wp\/v2\/posts\/155\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=\/wp\/v2\/media\/187"}],"wp:attachment":[{"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=155"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=155"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=155"},{"taxonomy":"topic","embeddable":true,"href":"http:\/\/www.rf-engineers.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftopic&post=155"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}