淋巴瘤靶区勾画和计划设计指南

Guideline of target delineation and treatment planning for lymphoma radiotherapy

放疗是淋巴瘤综合治疗的重要组成,在不同病理亚型、不同化疗反应患者中可以实施根治性、巩固性或姑息性放疗。随着化疗演进和对放疗长期不良反应的研究,近10年淋巴瘤放疗靶区和剂量发生巨大变革。本指南针对中国发病率较高的淋巴瘤亚型,选择放疗科最常见的淋巴瘤放疗情形,结合国内外研究数据、当今国内外指南和专家意见,以当前最优化的放疗实施流程为目标,建立从体位固定、靶区勾画、处方剂量到计划制订和评估的标准操作流程,以推动临床应用、提高医疗质量、提高临床疗效并减少不良反应。

Radiotherapy is an important component of combined treatment modality for lymphoma.Radical,consolidation and palliative radiotherapy are recommended in patients with different pathological subtypes and chemotherapy responses.With the development of novel systemic treatment and better understanding of long-term adverse effect with radiotherapy over the past 10 years,tremendous changes have taken place in the target delineation and dose prescription of radiotherapy.This guideline aims at establishing a standardized process in radiotherapy administration,including simulation,target delineation,dose prescription and plan evaluation for common lymphoma subtypes in China based on research evidence and expert opinions,with the purpose of promoting clinical application,improving treatment quality and efficacy as well as reducing adverse effects.