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Effect and mechanism of (125)~I radioactive particles interposed radiotherapy between organizations on lung cancer
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作者 Jun Liang Jianwu Xi +3 位作者 Huijuan Pan Ying Qian Dan Xu Min Li 《The Chinese-German Journal of Clinical Oncology》 CAS 2013年第12期564-567,共4页
Objective:The aim of this study was to evaluate effect and mechanism of 125I radioactive particles interposed radiotherapy between organizations on lung cancer.Methods:Fourteen cases of patients diagnosed with non-sma... Objective:The aim of this study was to evaluate effect and mechanism of 125I radioactive particles interposed radiotherapy between organizations on lung cancer.Methods:Fourteen cases of patients diagnosed with non-small cell lung cancer(NSCLC),the use of the B-,CT-guided,according to preoperative imaging and treatment planning system(TPS) program for radioactive particles interposed 125I interstitial radiotherapy.Results:All patients were successfully 125I interstitial radioactive particles interposed radiotherapy.Postoperative local complete tumor remission in 9 cases,partial remission in 5 cases,the efficiency of 100%.No case of serious complications.After 3 to 4 weeks of chemotherapy after 11 cases.4 cases of lung cancer with bone metastases,pain completely disappeared after treatment.Up to now,five cases have died due to tumor progression,survival time of 12 to 16 months.Nine cases still under follow-up observation and treatment.Conclusion:125 I radioactive particles interposed radiotherapy between organizations of lung cancer,simple operation,trauma,fewer complications,conformal high,high local tumor dose,efficacy,and is a supplement of modern radiotherapy techniques for the treatment of lung cancer provides a comprehensive line of the method of effective. 展开更多
关键词 125i radioactive particles lung cancer RADIOTHERAPY
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A Study of Sediments and Radioactive Particles of the Yenisei River Using a Variety of Analytical Methods
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作者 A. Bolsunovsky M. Melgunov 《Journal of Geoscience and Environment Protection》 2014年第3期153-158,共6页
The Yenisei River, one of the largest rivers in the world, is contaminated with artificial radionuclides released by a Russian nuclear facility producing weapon-grade plutonium, which has been in operation for many ye... The Yenisei River, one of the largest rivers in the world, is contaminated with artificial radionuclides released by a Russian nuclear facility producing weapon-grade plutonium, which has been in operation for many years. Examination of Yenisei River sediment samples revealed the presence of artificial radionuclides typical of radioactive discharge from the Mining-and-Chemical- Combine (MCC) nuclear facility: isotopes of europium (152Eu, 154Eu, and 155Eu), cesium (137Cs and 134Cs), 60Co, 90Sr, and transuranium elements. The MCC is also a source of radioactive particles in the Yenisei. New data on radionuclide concentrations in sediments and radioactive particles in the Yenisei River were obtained using a wide range of analytical methods. Sequential extraction performed on samples of sediment cores showed different degrees of potential environmental availability of artificial radionuclides and uranium. In a few samples, 241Am was present in the unextractable form, which may be accounted for by the presence of microparticles of the reactor fuel. These microparticles were investigated using scanning electron microscopy, and their reactor origin was confirmed. 展开更多
关键词 Yenisei RIVER SEDIMENTS Artificial and Natural Radionuclides radioactive particles Sequential Extraction RADIONUCLIDE Composition and SPECIATION Analytical Methods
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Effects of combined treatment of bronchial arterial chemoembolization and radioactive particle implantation on tumor markers and T lymphocyte subsets in locally advanced non-small cell lung cancer
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作者 Tao Wang Cheng Liu +2 位作者 Bo Li Jin-Hua Song Jian-Ping Gu 《Journal of Hainan Medical University》 2017年第16期86-89,共4页
Objective: To investigate the effects of bronchial arterial chemoembolization combined with radioactive particle implantation on the level of serum tumor markers and T lymphocyte subsets in patients with locally advan... Objective: To investigate the effects of bronchial arterial chemoembolization combined with radioactive particle implantation on the level of serum tumor markers and T lymphocyte subsets in patients with locally advanced non-small cell lung cancer. Methods: A total of 91 cases of locally advanced non-small cell lung cancer patients according to the random data table were divided into the control group (n=45) and observation group (n=46) according to the random data table. Patients in the control group was treated with bronchial arterial chemoembolization, on the basis of the control group, patients in the observation group were treated with radioactive particle implantation, the serum tumor markers and T lymphocyte subsets of the two groups were compared before and after treatment. Results: The levels of CEA, NSE, CA125, CD4+, CD8+, CD4+/CD8+ and NK in the two groups before the treatment were not statistically significant. Compared with the group before treatment, levels of CEA, NSE, CA125and CD8+ of the two groups after treatment were significantly decreased, and after treatment the level of CEA, NSE, CA125and CD8+ in the observation group was significantly lower than those of the control group;The levels of CD4+, CD4+/CD8+ and NK in the two groups after treatment were significantly higher than those in the group before treatment, and the observation group levels were significantly higher than those of the control group. Conclusion: Bronchial artery embolization combined with radioactive particle implantation for locally advanced non-small cell lung cancer, can effectively reduce the serum tumor markers level, improve the level of T cell subsets of patients, has important clinical value. 展开更多
关键词 Local advanced non-small cell lung cancer radioactive particle IMPLANTATION BRONCHIAL artery CHEMOEMBOLIZATION Serum tumor markers T lymphocyte subsets
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STUDY ON Ni_(25)Ti_(50)Cu_(25) SHAPE MEMORY PARTICLE/Al MATRIX COMPOSITE
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作者 L.S.Cui M.Qi +2 位作者 P.Shi F.X.Chen D.Z.Yang 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 1996年第6期589-594,共6页
Ni_(25)Ti_(50)Cu_(25) shape memory particle/Al matrix composite was prepared by hot pressing and further extrusion.The Ni_(25)Ti_(50)Cu_(25) particles embeded in Al matrix still keep B19 and B19 structure,and have a g... Ni_(25)Ti_(50)Cu_(25) shape memory particle/Al matrix composite was prepared by hot pressing and further extrusion.The Ni_(25)Ti_(50)Cu_(25) particles embeded in Al matrix still keep B19 and B19 structure,and have a good thermal-elastic martensitic transition with 6K thermal hysteresis,the phase transition temperatures remaining constant during cycling. The scratching force of Ni_(25)Ti_(50)Cu_(25) particle is two times that of Al matrix,When the scratching force is larger than 4.2N, the Ni_(25)Ti_(50)Cu_(25) particle is separated from Al matrix. 展开更多
关键词 Ni_(25)Ti_(50)Cu_(25) shape memory particle Al matrix composite thermal-elastic martensitic transformation.
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Measurement of neutron and charged particle fluxes toward earthquake prediction 被引量:1
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作者 Asatulla U.Maksudov Mars A.Zufarov 《Earthquake Science》 CSCD 2017年第5期283-288,共6页
In this paper, we describe a possible method for predicting the earthquakes, which is based on simultaneous recording of the intensity of fluxes of neutrons and charged particles by detectors, commonly used in nuclear... In this paper, we describe a possible method for predicting the earthquakes, which is based on simultaneous recording of the intensity of fluxes of neutrons and charged particles by detectors, commonly used in nuclear physics. These low-energy particles originate from radioactive nuclear processes in the Earth's crust. The variations in the particle flux intensity can be the precursor of the earth- quake. A description is given of an electronic installation that records the fluxes of charged particles in the radial direction, which are a possible response to the accumulated tectonic stresses in the Earth's crust. The obtained results showed an increase in the intensity of the fluxes for 10 or more hours before the occurrence of the earthquake. The previous version of the installation was able to indicate for the possibility of an earthquake (Maksudov et al. in Instrum Exp Tech 58:130-131, 2015), but did not give information about the direction of the epicenter location. In this regard, the installation was modified by adding eight directional detectors. With the upgraded setup, we have received both the predictive signals, and signals determining the directions of the location of the forthcoming earthquake, starting 2-3 days before its origin. 展开更多
关键词 DETECTOR Neutron flux·Charged particles ·radioactive decay EARTHQUAKE
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Heuristic techniques for maximum likelihood localization of radioactive sources via a sensor network
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作者 Assem Abdelhakim 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2023年第8期174-193,共20页
Maximum likelihood estimation(MLE)is an effective method for localizing radioactive sources in a given area.However,it requires an exhaustive search for parameter estimation,which is time-consuming.In this study,heuri... Maximum likelihood estimation(MLE)is an effective method for localizing radioactive sources in a given area.However,it requires an exhaustive search for parameter estimation,which is time-consuming.In this study,heuristic techniques were employed to search for radiation source parameters that provide the maximum likelihood by using a network of sensors.Hence,the time consumption of MLE would be effectively reduced.First,the radiation source was detected using the k-sigma method.Subsequently,the MLE was applied for parameter estimation using the readings and positions of the detectors that have detected the radiation source.A comparative study was performed in which the estimation accuracy and time consump-tion of the MLE were evaluated for traditional methods and heuristic techniques.The traditional MLE was performed via a grid search method using fixed and multiple resolutions.Additionally,four commonly used heuristic algorithms were applied:the firefly algorithm(FFA),particle swarm optimization(PSO),ant colony optimization(ACO),and artificial bee colony(ABC).The experiment was conducted using real data collected by the Low Scatter Irradiator facility at the Savannah River National Laboratory as part of the Intelligent Radiation Sensing System program.The comparative study showed that the estimation time was 3.27 s using fixed resolution MLE and 0.59 s using multi-resolution MLE.The time consumption for the heuristic-based MLE was 0.75,0.03,0.02,and 0.059 s for FFA,PSO,ACO,and ABC,respectively.The location estimation error was approximately 0.4 m using either the grid search-based MLE or the heuristic-based MLE.Hence,heuristic-based MLE can provide comparable estimation accuracy through a less time-consuming process than traditional MLE. 展开更多
关键词 radioactive source Maximum likelihood estimation Multi-resolution MLE k-sigma Firefly algorithm particle swarm optimization Ant colony optimization Artificial bee colony
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Development of a dose-adjustable α-particle irradiation facility for radiobiological studies
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作者 HUBu-Rong WUJie-Feng HANWei WANGXu-Fei WULi-Jun YUZeng-Liang 《Nuclear Science and Techniques》 SCIE CAS CSCD 2005年第2期102-107,共6页
Bystander effects induced by low-dose or low dose-rate radiation have put a great challenge to the tradi- tional model for radiation protection. In order to get a better assessment of the adverse effects of radiation,... Bystander effects induced by low-dose or low dose-rate radiation have put a great challenge to the tradi- tional model for radiation protection. In order to get a better assessment of the adverse effects of radiation, especially the low-dose radiation risk in environment, a radioactive irradiation facility, by which the dose and dose-rate to the biological targets can be controlled by rotating the sample bracket and changing the space between the radioactive source and the targets, was developed. The energy of our α-radioactive source (241Am) is measured averagely 3.5 MeV at the position of the irradiated sample. The dose rate was measured by using a silicon surface barrier detector and a CR39 particle track detector. A dose rate ranging from 0.045 cGy/s to 1.07 cGy/s can be obtained by changing the space length from the radioactive source to the sample dish. 展开更多
关键词 α-粒子辐射 调节方法 Bystander效应 低频辐射源 放射性防护
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^(125)I放射性粒子植入治疗腹膜后转移瘤患者的临床疗效观察
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作者 李新豪 罗保平 +4 位作者 曾鹏 袁琴 卢曰红 田雪 闵凡 《北京医学》 CAS 2024年第9期718-722,共5页
目的探讨^(125)I放射性粒子植入治疗腹膜后转移瘤患者的临床疗效。方法选取2020年1月至2023年12月湖北中医药大学附属医院(湖北省中医院)的腹膜后转移瘤患者26例,根据随机数字表法,将患者分为观察组和对照组,每组13例。观察组接受盐酸... 目的探讨^(125)I放射性粒子植入治疗腹膜后转移瘤患者的临床疗效。方法选取2020年1月至2023年12月湖北中医药大学附属医院(湖北省中医院)的腹膜后转移瘤患者26例,根据随机数字表法,将患者分为观察组和对照组,每组13例。观察组接受盐酸羟考酮缓释片联合^(125)I粒子植入治疗,其中^(125)I粒子剂量10183.9~13296.1 cGy,平均(12485.7±405.2)cGy;对照组仅接受盐酸羟考酮缓释片镇痛治疗,两组均治疗3个月。分别采用疼痛数字评价量表(numeric rating scale,NRS)和欧洲癌症研究与治疗组织生命质量测量量表核心30项(the European Organization for Re⁃search and Treatment of Cancer Quality of Life Questionnaire-Core 30,EORTCQLQ-C30)评估患者的疼痛情况和生命质量。比较治疗前后两组疼痛情况、每日镇痛药需求量、生活质量以及不良反应的发生率。结果26例患者中男16例、女10例,年龄52~71岁,平均(56.1±5.9)岁。治疗后1个月、2个月、3个月,与对照组相比,观察组NRS评分和每日镇痛药需求量较低;治疗后3个月,与对照组相比,观察组疼痛缓解率较高、不良反应发生率较低,EORTCQLQ-C30总分较高,差异均有统计学意义(P<0.05)。结论^(125)I放射性粒子植入治疗可有效缓解腹膜后转移瘤患者疼痛情况,并改善生活质量,安全性高。 展开更多
关键词 放射性粒子植入 腹膜后转移瘤 癌性疼痛
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CT引导下碘125放射性粒子治疗肺癌的剂量学评估
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作者 钟智辉 曾家欢 刘源 《中国CT和MRI杂志》 2024年第10期44-47,共4页
目的 探讨CT引导下碘125(^(125)I)放射性粒子治疗肺癌的剂量学评估。方法研究纳入2022年1月至2023年8月中山大学附属肿瘤医院介入科接受CT引导下^(125)I放射性粒子植入治疗的30例晚期肺癌患者。所有患者术前均行胸部CT增强扫描,^(125)I... 目的 探讨CT引导下碘125(^(125)I)放射性粒子治疗肺癌的剂量学评估。方法研究纳入2022年1月至2023年8月中山大学附属肿瘤医院介入科接受CT引导下^(125)I放射性粒子植入治疗的30例晚期肺癌患者。所有患者术前均行胸部CT增强扫描,^(125)I放射性粒子植入术前计划,穿刺及^(125)I放射性粒子植入,放射性活度0.8mCi,处方剂量120Gy。比较CT引导下^(125)I放射性粒子植入术前计划和术后粒子数、临床靶区体积(CTV)、90%靶体积的吸收剂量(D_(90))、100%靶体积的吸收剂量(D_(100))、150%处方剂量覆盖的体积占靶体积的百分比(V_(150))、适形指数(CI)、靶区外体积指数(EI)和均匀性指数(HI)等剂量学参数;Bland-Altman法分析CT引导下^(125)I放射性粒子植入术前计划和术后验证剂量参数的一致性。结果晚期肺癌患者CT引导下^(125)I放射性粒子植入术前计划和术后植入的粒子数、CTV、D_(90)、D_(100)无显著差异(P>0.05);术后V_(150)低于术前计划,差异有统计学意义(P<0.05);患者术后CI较术前减小,EI较术前增高,差异有统计学意义(P<0.05);术前HI与术后比较,差异无统计学意义(P>0.05);经Bland-Altman一致性分析,CT引导下^(125)I放射性粒子植入术前粒子数、CTV和HI的一致性良好,D_(90)、D_(100)、V_(150)、CI、EI的一致性不佳。结论CT引导下^(125)I放射性粒子植入治疗肺癌主要剂量学参数在治疗前后基本吻合,可较好地实现术前计划,满足临床需求。 展开更多
关键词 肺癌 CT引导 碘125放射性粒子 剂量学 靶体积变化
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碘125放射性粒子植入治疗结直肠癌肝转移的安全性与短期疗效研究
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作者 张灵芝 刘磊 赵立峰 《中国处方药》 2024年第10期99-102,共4页
目的分析碘125放射性粒子植入治疗结直肠癌肝转移的临床安全性与短期治疗效果。方法选取某院2021年1月~2023年4月收治的40例结直肠癌肝转移患者为研究对象,根据随机数字表法分为两组。对照组(20例)采用全身化疗(Folfox或Folfiri方案),... 目的分析碘125放射性粒子植入治疗结直肠癌肝转移的临床安全性与短期治疗效果。方法选取某院2021年1月~2023年4月收治的40例结直肠癌肝转移患者为研究对象,根据随机数字表法分为两组。对照组(20例)采用全身化疗(Folfox或Folfiri方案),研究组(20例)采用全身化疗联合微创介入手术植入碘125放射性粒子治疗。比较两组患者粒子植入过程中及植入后的安全性、短期的治疗效果(2个月)、影像学评价、术后生活质量指数、实验室指标。结果两组并发症发生情况比较,差异无统计学意义(P>0.05);研究组总有效率(65.00%)显著高于对照组(25.00%)(P<0.05);治疗前两组肿瘤体积比较,差异无统计学意义(P>0.05),治疗后研究组肿瘤体积小于对照组(P<0.05);治疗前两组胃肠道生活质量指数(GIQLI)比较,差异无统计学意义(P>0.05),治疗后1个月、2个月研究组GIQLI高于对照组(P<0.05);治疗前两组CA125、CA19-9、CEA比较,差异无统计学意义(P>0.05),治疗后研究组CA125、CA19-9、低于对照组(P<0.05)。结论碘125放射性粒子植入治疗结直肠癌肝转移的短期治疗效果较好,可改善患者生活质量,缩小肿瘤体积,降低肿瘤标志物水平,且具有与单独全身化疗相似的安全性。 展开更多
关键词 碘125放射性粒子植入治疗 结直肠癌肝转移 安全性 短期治疗效果
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经导管肝动脉栓塞术联合I 125粒子导管植入治疗原发性肝癌合并门静脉癌栓的疗效分析
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作者 袁叶菊 徐成臣 +3 位作者 陶新光 李瑞 陈挺松 谢应海 《齐齐哈尔医学院学报》 2024年第18期1718-1722,共5页
目的探讨经导管肝动脉栓塞术联合I125粒子导管植入治疗原发性肝癌合并门静脉癌栓的疗效分析及安全性。方法回顾性分析2022年1月—2023年1月在上海市某医院就诊的30例原发性肝癌合并门脉癌栓患者的临床资料,30例均行TAE联合I125粒子导管... 目的探讨经导管肝动脉栓塞术联合I125粒子导管植入治疗原发性肝癌合并门静脉癌栓的疗效分析及安全性。方法回顾性分析2022年1月—2023年1月在上海市某医院就诊的30例原发性肝癌合并门脉癌栓患者的临床资料,30例均行TAE联合I125粒子导管植入治疗。每例患者植入粒子数量20~60粒,平均(32.67±12.66)粒,粒子活度为0.8 mCi/粒,长度约为5 mm、直径约0.8 mm,射线有效半径为17 mm,半衰期为59.6 d。植入粒子条1条16例,植入粒子条2条14例。评价指标包括手术成功率、术后并发症、癌栓术前术后对比,甲胎蛋白及肝功能指标术前术后对比,患者总生存期及治疗有效率、累计生存率。结果30例患者手术均获成功,术后10例患者感疼痛,5例患者出现发热,3例患者出现恶心呕吐,对症处理均缓解。癌栓长径术前平均(61.05±12.64)mm,术后平均(42.09±10.92)mm,癌栓明显缩小,差异有统计学意义(P<0.05)。患者术前及术后肝功能指标差异无统计学意义(P>0.05)。30例患者术后3个月、6个月和1年的累计生存率分别86.67%(26/30)、63.34%(19/30)和33.34%(11/30)。随访期内有10例患者接受再次TAE治疗(累计24例次),19例患者死亡。其中最长生存15个月,目前11例患者仍生存,平均中位生存时间为(8.37±3.59)个月。结论TAE联合I125粒子导管植入治疗原发性肝癌合并门脉癌栓安全可行,能有效延长患者生存期。 展开更多
关键词 经导管肝动脉栓塞术 原发性肝癌 门静脉癌栓 放射性粒子
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^(125)I放射性粒子植入治疗对老年非小细胞肺癌患者癌性疼痛的影响
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作者 李广 刘勇 +2 位作者 郭贺贺 石山领 陈亚飞 《癌症进展》 2024年第13期1444-1447,共4页
目的探讨^(125)I放射性粒子植入治疗对老年非小细胞肺癌患者癌性疼痛的影响。方法将110例老年非小细胞肺癌患者根据治疗方式的不同分为化疗组(n=54)和粒子植入组(n=56)。化疗组患者采取紫杉醇+顺铂化疗方案,粒子植入组患者在化疗组的基... 目的探讨^(125)I放射性粒子植入治疗对老年非小细胞肺癌患者癌性疼痛的影响。方法将110例老年非小细胞肺癌患者根据治疗方式的不同分为化疗组(n=54)和粒子植入组(n=56)。化疗组患者采取紫杉醇+顺铂化疗方案,粒子植入组患者在化疗组的基础上采取^(125)I放射性粒子植入治疗。比较两组患者的临床疗效、疼痛程度[视觉模拟评分法(VAS)]、衰弱情况[Fried衰弱表型量表(FFP)]、肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC]及不良反应发生情况。结果粒子植入组患者总有效率高于化疗组,差异有统计学意义(P﹤0.05)。治疗后,两组患者VAS、FFP评分均较治疗前降低,FVC、FEV1及FEV1/FVC均较治疗前升高,且粒子植入组患者VAS、FFP评分均低于化疗组,FVC、FEV1及FEV1/FVC均高于化疗组,差异均有统计学意义(P﹤0.05)。两组患者不良反应总发生率比较,差异无统计学意义(P﹥0.05)。结论^(125)I放射性粒子植入治疗老年非小细胞肺癌患者,可以扭转衰弱,抑制癌性疼痛,提高肺功能,且较为安全,疗效确切。 展开更多
关键词 非小细胞肺癌 癌性疼痛 ^(125)I放射性粒子植入 肺功能
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标准化护理在碘125放射性粒子植入术治疗恶性肿瘤中的应用效果
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作者 葛影 周慧赟 谢波 《中国标准化》 2024年第6期289-292,共4页
目的:分析对接受碘125放射性粒子植入术治疗的恶性肿瘤患者应用标准化护理的效果。方法:选取2022年1月至2023年12月间蚌埠医科大学第一附属医院收治的72例恶性肿瘤患者,均接受碘125放射性粒子植入术治疗,随机均分为两组,参照组36例采取... 目的:分析对接受碘125放射性粒子植入术治疗的恶性肿瘤患者应用标准化护理的效果。方法:选取2022年1月至2023年12月间蚌埠医科大学第一附属医院收治的72例恶性肿瘤患者,均接受碘125放射性粒子植入术治疗,随机均分为两组,参照组36例采取常规护理,观察组36例采取标准化护理干预,分析患者护理满意度、心理状态与生存质量等指标。结果:护理后,观察组的护理满意度更高,心理状态与生存质量等较优,与参照组相比,结果存在显著差异(P<0.05)。结论:对接受碘125放射性粒子植入术治疗的恶性肿瘤患者进行标准化护理,可以减轻患者的心理压力,提升生存质量,提高护理满意度。 展开更多
关键词 碘125放射性粒子植入术治疗 护理效果 标准化护理 恶性肿瘤 生存质量
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肝门部恶性梗阻性黄疸应用多支架联合^(125)I放射性粒子腔内照射治疗的效果观察
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作者 孙勋 邢斌 +5 位作者 高佳 吴兆瑞 刘艳丽 孙继雷 成静静 刘静 《中国实用医药》 2024年第12期9-12,共4页
目的 分析肝门部恶性梗阻性黄疸(MOJ)应用多支架联合^(125)I放射性粒子腔内照射治疗的临床效果。方法 30例肝门部MOJ患者为研究对象,所有患者均接受多支架联合^(125)I放射性粒子腔内照射治疗。分析患者手术一般情况、术中并发症发生率;... 目的 分析肝门部恶性梗阻性黄疸(MOJ)应用多支架联合^(125)I放射性粒子腔内照射治疗的临床效果。方法 30例肝门部MOJ患者为研究对象,所有患者均接受多支架联合^(125)I放射性粒子腔内照射治疗。分析患者手术一般情况、术中并发症发生率;对比患者手术前后总胆红素水平、恶性梗阻性黄疸患者特异性条目池(QLQ-MOJ11)评分及术后不同时间总胆红素缓解率、黄疸缓解率、生存率、胆道再次梗阻发生率。结果 30例患者均一次性顺利置入支架,共置入支架55枚,术后影像学检查明确胆道狭窄处得以改善,术后患者黄疸逐渐消退,肝功能逐渐好转。患者术后1、3个月总胆红素水平分别为(39.35±13.96)、(21.30±10.63)μmol/L,均显著低于术前的(144.62±63.73)μmol/L(P<0.05);患者术后3个月总胆红素水平显著低于术后1个月(P<0.05)。患者术后3个月总胆红素、黄疸缓解率分别为100.00%、100.00%,高于术后1个月的76.67%、73.33%(P<0.05)。30例患者均未出现大出血、休克、心脏血管意外等并发症。患者术后6、12、16个月生存率及胆道再次梗阻发生率对比差异均无统计学意义(P>0.05)。患者术后3个月黄疸、瘙痒、消瘦、消化异常的QLQ-MOJ11评分分别为(26.35±3.85)、(27.42±5.63)、(43.67±6.93)、(22.63±3.27)分,均低于术前的(35.32±4.23)、(36.18±6.72)、(53.93±6.67)、(30.41±5.71)分(P<0.05)。结论 多支架联合^(125)I放射性粒子腔内照射治疗肝门部MOJ能显著提升其临床效果,改善总胆红素水平,降低胆道再梗阻率,提升患者生活质量,其安全性也较高,具有较高的应用价值。 展开更多
关键词 肝门部 恶性梗阻性黄疸 多支架 ^(125)I放射性粒子 腔内照射
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放射性碘125粒子植入联合旁路手术治疗晚期胰腺癌的效果
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作者 吕旭 王建 +1 位作者 沈一辰 龚伟达 《临床医学研究与实践》 2024年第31期71-74,共4页
目的探讨放射性碘125粒子植入联合旁路手术治疗晚期胰腺癌的临床效果。方法选择2016年1月至2021年1月我院治疗的43例晚期胰腺癌患者作为研究对象,根据不同治疗方法将其分为对照组(n=22,实施单纯旁路手术)和联合组(n=21,采用放射性碘125... 目的探讨放射性碘125粒子植入联合旁路手术治疗晚期胰腺癌的临床效果。方法选择2016年1月至2021年1月我院治疗的43例晚期胰腺癌患者作为研究对象,根据不同治疗方法将其分为对照组(n=22,实施单纯旁路手术)和联合组(n=21,采用放射性碘125粒子植入联合旁路手术)。比较两组的手术效果。结果术后3个月,两组的糖类抗原19-9(CA19-9)水平比较,差异无统计学意义(P=0.24);术后3个月,联合组的疼痛评分低于术前及对照组,差异具有统计学意义(P<0.05)。术后两组患者的黄疸症状均改善,且均未出现感染、胰瘘、胆瘘、肠瘘、胃肠梗阻和放射性肠炎等并发症。联合组的生存时间显著长于对照组,差异具有统计学意义(P<0.05)。结论放射性碘125粒子植入联合旁路手术是晚期胰腺癌患者可选择的一种治疗方式,且具有较好的安全性。 展开更多
关键词 晚期胰腺癌 旁路手术 放射性碘125粒子植入
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125I Radioactive Particles Drive Protective Autophagy in Hepatocellular Carcinoma by Upregulating ATG9B 被引量:1
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作者 Yunhua Xiao Jing Yuan +7 位作者 Chongshuang Yang Junru Xiong Liangyu Deng Qinghua Liang Chuang He Liangshan Li Fengtian He Xuequan Huang 《Journal of Clinical and Translational Hepatology》 SCIE 2023年第2期360-368,共9页
Background and Aims:125I radioactive particles implantation have demonstrated efficacy in eradicating hepatocellular carcinoma(HCC).However,progressive resistance of HCC to 125I radioactive particles has limited its w... Background and Aims:125I radioactive particles implantation have demonstrated efficacy in eradicating hepatocellular carcinoma(HCC).However,progressive resistance of HCC to 125I radioactive particles has limited its wide clinical application.Methods:We investigated the cellular responses to 125I radioactive particles treatment and autophagy-related 9B(ATG9B)silencing in HCC cell lines and Hep3B xenografted tumor model using Cell Counting Kit-8 reagent,western blotting,immunofluorescence,flow cytometry,transmission electron microscopy and immunohistochemistry.Results:In this study,we demonstrated that 125I radioactive particles induced cell apoptosis and protective autophagy of HCC in vitro and in vivo.Inhibition of autophagy enhanced the radiosensitivity of HCC to 125I radioactive particles.Moreover,125I radioactive particles induced autophagy by upregulating ATG9B,with increased expression level of LC3B and decreased expression level of p62.Furthermore,ATG9B silencing downregulated LC3B expression and upregulated p62 expression and enhanced radiosensitivity of HCC to 125I radioactive particles in vitro and in vivo.Conclusions:Inhibition of ATG9B enhanced the antitumor effects of 125I particle radiation against HCC in vitro and in vivo.Our findings suggest that 125I particle radiation plus chloroquine or/and the ATG9B inhibitor may be a novel therapeutic strategy for HCC. 展开更多
关键词 125i radioactive particles Hepatocellular carcinoma AUTOPHAGY ATG9B
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原发性肝癌及肝外转移瘤的^(125)I粒子植入治疗 被引量:12
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作者 李奎 张福君 +5 位作者 吴沛宏 黄金华 范卫君 卢鸣剑 吴月霞 焦德超 《中国肿瘤临床》 CAS CSCD 北大核心 2007年第23期1351-1353,共3页
目的:评价CT导向下125I粒子植入术治疗原发性肝癌及肝外转移瘤的临床价值及疗效。方法:本组病例31例,病灶总数为65个,平均直径为3.5cm,其中肝内病灶20个,肺转移瘤25个,淋巴结转移15个,骨转移瘤5个。全部病例经CT、MRI检查或病理穿刺活... 目的:评价CT导向下125I粒子植入术治疗原发性肝癌及肝外转移瘤的临床价值及疗效。方法:本组病例31例,病灶总数为65个,平均直径为3.5cm,其中肝内病灶20个,肺转移瘤25个,淋巴结转移15个,骨转移瘤5个。全部病例经CT、MRI检查或病理穿刺活检证实。术前采用治疗计划系统(TPS)计算布源,术中将活度为0.8mCi的125I粒子在CT导向下植入肿瘤内。粒子按照0.5~1.0cm平面插植。肿瘤周边匹配剂量(MPD)100~150Gy。结果:2个月后CT复查,完全缓解(CR)4例;部分缓解(PR)18例;无变化(NC)3例;进展(PD)6例,总有效率71.1%(22/31),疼痛缓解率72.7%(8/11)。65个病灶中完全缓解(CR)18个;部分缓解(PR)35个;无变化(NC)8个;进展(PD)4个,局部控制率81.5%(53/65)。2例患者死于远处转移,3例死于肝功能衰竭。2个月随访过程中发现8颗粒子在肝脏内游走,5颗粒子迁徙至肺内;2例出现气胸,肺压缩在30%以下,术后2例患者出现轻度白细胞下降,白细胞计数≥3.0×109/L,经保守治疗后均恢复正常。所有手术均顺利完成,未见放射性肺炎、大出血、胆汁瘘、胰瘘等严重并发症。结论:125I粒子植入术治疗原发性肝癌及肝外转移瘤疗效确切,创伤小,并发症少。 展开更多
关键词 原发性肝癌 转移瘤 近距离组织间放疗 放射性粒子评价研究
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^(125)I放射性粒子植入联合区域性动脉灌注化疗对中晚期胰腺癌的作用 被引量:8
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作者 高飞 范卫君 +3 位作者 顾仰葵 黄金华 张亮 李文全 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2008年第4期459-464,共6页
【目的】本研究旨在探讨125I放射性粒子植入联合区域性动脉灌注化疗治疗中晚期胰腺癌的临床价值。【方法】将23例中晚期胰腺癌患者分为两组,实验组12例采用125I放射性粒子植入联合区域性动脉灌注化疗,对照组11例采用单纯区域性动脉灌注... 【目的】本研究旨在探讨125I放射性粒子植入联合区域性动脉灌注化疗治疗中晚期胰腺癌的临床价值。【方法】将23例中晚期胰腺癌患者分为两组,实验组12例采用125I放射性粒子植入联合区域性动脉灌注化疗,对照组11例采用单纯区域性动脉灌注化疗,对比两组患者治疗后疗效、疼痛缓解程度、生存期、不良反应。【结果】实验组(CR+PR)比例75.0%明显高于对照组27.3%;实验组患者的6个月、9个月生存率分别为83.3%、75.0%,与对照组72.7%、45.5%无统计学差异,实验组12个月生存率50.0%(中位生存期13.1个月)明显高于对照组9.1%(中位生存期8.7个月);实验组比对照组能够较大程度改善患者的疼痛症状,两组的不良反应比例除125I放射性粒子植入所致并发症外无统计学差异。【结论】I125放射性粒子植入联合区域性动脉灌注化疗是治疗中晚期胰腺癌有效的综合治疗方法。 展开更多
关键词 胰腺癌 放射性粒子 灌注化疗
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^(125)I粒子条联合胆道支架植入治疗恶性梗阻性黄疸22例疗效分析 被引量:30
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作者 韩成龙 马亦龙 +2 位作者 欧盛秋 赵昌 蒙志斌 《介入放射学杂志》 CSCD 北大核心 2015年第2期141-145,共5页
目的研究和探讨125I粒子条联合胆道支架植入治疗恶性梗阻性黄疸的临床疗效。方法2011年6月—2013年9月收治恶性梗阻性黄疸患者40例。行胆道支架植入术治疗患者18例,为对照组;采用125I粒子条联合胆道支架植入患者22例,为观察组。两组均... 目的研究和探讨125I粒子条联合胆道支架植入治疗恶性梗阻性黄疸的临床疗效。方法2011年6月—2013年9月收治恶性梗阻性黄疸患者40例。行胆道支架植入术治疗患者18例,为对照组;采用125I粒子条联合胆道支架植入患者22例,为观察组。两组均采用经皮肝穿刺胆道引流(PTCD)并胆道支架植入。结果观察组与对照组的平均胆道开通时间分别为(8.7±0.7)和(6.2±0.4)个月,两组比较差异有统计学意义(P<0.05)。观察组与对照组术后平均生存时间分别为(11.4±0.8)和(8.7±0.5)个月,生存时间的差异有统计学意义(P<0.05)。术后近期疗效及并发症两组之间的比较无明显差异(P>0.05),但是远期疗效有显著差异(P<0.05)。结论与对照组相比,观察组的术后生存时间及胆道开通时间明显延长,对于125I粒子条联合支架治疗恶性梗阻性黄疸值得进一步临床研究。 展开更多
关键词 恶性梗阻性黄疸 经皮肝胆道穿刺引流术 胆道支架植入术 I125放射性粒子
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放射性^(125)Ⅰ粒子支架治疗中、晚期食管癌的疗效观察 被引量:12
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作者 赵鹏 崔红凯 +1 位作者 杨瑞民 张希中 《介入放射学杂志》 CSCD 北大核心 2011年第6期448-451,共4页
目的探讨携带放射性^(125)Ⅰ子食管支架治疗高龄中、晚期食管癌的初步疗效。方法总结2009年9月-2010年12月新乡医学院第一附属医院食管支架治疗的43例中、晚期食管癌老年患者,根据是否自愿接受^(125)Ⅰ粒子支架分为A、B两组。A组为^(125... 目的探讨携带放射性^(125)Ⅰ子食管支架治疗高龄中、晚期食管癌的初步疗效。方法总结2009年9月-2010年12月新乡医学院第一附属医院食管支架治疗的43例中、晚期食管癌老年患者,根据是否自愿接受^(125)Ⅰ粒子支架分为A、B两组。A组为^(125)Ⅰ粒子支架治疗组,18例;B组为普通支架治疗对照组,25例。两组患者的年龄、病变长度、狭窄程度以及分期差异无统计学意义(患者均未做放疗及化疗)。术中、术后观察、统计并随访支架置入成功率、吞咽困难缓解率、并发症发生率及生存期。结果 A、B两组支架置入成功率均为100%,短期吞咽困难缓解率100%。A组的平均生存期为9.8个月,B组的平均生存期为4.8个月,两组间差异有统计学意义(P<0.01)。支架置入后疼痛、食管再狭窄等并发症发生率分别为27.8%及28.0%,两组间差异无统计学意义(P>0.05)。结论根据短期临床观察,125I粒子食管支架治疗中晚期食管癌能明显延长患者生存期。临床初步应用是安全、可行、有效的。治疗中、晚期食管癌放射性^(125)Ⅰ粒子支架优于传统支架。 展开更多
关键词 食管癌 放射性^(125)Ⅰ粒子 食管支架 治疗
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