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移动式术中电子束加速器临床使用中限光筒的选择策略
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作者 周含 吴天聪 +4 位作者 景生华 沈泽天 袁喜 朱锡旭 李兵 《中国医学装备》 2018年第12期57-61,共5页
目的:探讨移动式电子束术中放射治疗(IORT)技术在使用过程中限光筒的选择以及使用方法。方法:测试IORT设备垂直于水模体表面中心轴百分深度剂量和平行于水模体表面的射野离轴比、输出因子、限光筒外漏射剂量、铅挡块对电子束的衰减、输... 目的:探讨移动式电子束术中放射治疗(IORT)技术在使用过程中限光筒的选择以及使用方法。方法:测试IORT设备垂直于水模体表面中心轴百分深度剂量和平行于水模体表面的射野离轴比、输出因子、限光筒外漏射剂量、铅挡块对电子束的衰减、输出量校准、电离辐射质以及各个限光筒的平坦度与对称性等物理性能,以及在手术中对限光筒的选择。结果:在能量相同的情况下,随着限光筒的变大,辐射束轴上最大吸收剂量的80%点的平面所在的深度(R_(80))逐渐增大;当射野大小及能量相同的情况下,随着角度的增加,R_(80)减少。对于肿瘤切缘比较平整患者,选择0°限光筒时,一般选择大于肿瘤切缘1 cm左右的限光筒。对于选择角度的限光筒的患者,使用时需要结合肿瘤后缘深度(d_后),以及各个能量的R_(80)特性确定角度、能量及限光筒大小的选择。结论:移动式术中电子束加速器放射治疗系统的使用中,限光筒、能量以及角度的选择有一定的策略,需要临床外科医生、放射治疗医生及放射治疗物理师共同确定。 展开更多
关键词 术中放射治疗 限光筒 肿瘤切缘 物理性能
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Carnosic acid enhances the anti-lung cancer effect of cisplatin by inhibiting myeloid-derived suppressor cells 被引量:13
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作者 LIU Wen wu tian-cong +4 位作者 HONG Dong-Mei HU Yue FAN Ting GUO Wen-Jie XU Qiang 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2018年第12期907-915,共9页
Cisplatin and other platinum-based drugs are used frequently for treatment of lung cancer. However, their clinical performance are usually limited by drug resistance or toxic effects. Carnosic acid, a polyphenolic dit... Cisplatin and other platinum-based drugs are used frequently for treatment of lung cancer. However, their clinical performance are usually limited by drug resistance or toxic effects. Carnosic acid, a polyphenolic diterpene isolated from Rosemary(Rosemarinus officinalis), has been reported to have several pharmacological and biological activities. In the present study, the combination effect of cisplatin plus carnosic acid on mouse LLC(Lewis lung cancer) xenografts and possible underlying mechanism of action were examined. LLC-bearing mice were treated with intraperitoneal injection with cisplatin, oral gavage with carnosic acid, or combination with cisplatin and carnosic acid, respectively. Combination of carnosic acid and cisplatin yielded significantly better anti-growth and pro-apoptotic effects on LLC xenografts than drugs alone. Mechanistic study showed that carnosic acid treatment boosted the function of CD8^+T cells as evidenced by higher IFN-γ secretion and higher expression of FasL, perforin as well as granzyme B. In the meantime, the proportion of MDSC(myeloid-derived suppressor cells) in tumor tissues were reduced by carnosic acid treatment and the mRNA levels of iNOS2, Arg-1, and MMP9, which are the functional markers for MDSC, were reduced. In conclusion, our study proved that the functional suppression of MDSC by carnosic acid promoted the lethality of CD8^+T cells, which contributed to the enhancement of anti-lung cancer effect of cisplatin. 展开更多
关键词 LUNG cancer Carnosic acid CISPLATIN MDSC CD8+T cell
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