惡性腫瘤的微創治療.ppt

左咽隐窝、岩骨前后区域颅底破裂孔—粒子植入术后 Basicranial Foramina Lacerum of Left Pharyngeal Recess and Petrosum Region —— Post-particle Implantation 三维立体重建图 3D Reconstruction 左咽隐窝、岩骨前后区域颅底破裂孔——粒子植入术 Basicranial Foramina Lacerum of Left Pharyngeal Recess and Petrosum Region —— Particle Implantation 动态图 Dynamic Picture 治疗前 治疗后一月复查 右上颌窦癌（多学科综合治疗） 80岁，男性患者 患者2009年12月因右耳道排液确诊为“右上颌窦低分化鳞癌伴右耳道转移”，患者拒绝外科手术 颌内动脉化疗灌注抑制肿瘤的生长和转移 三维适形放疗治疗右耳道转移灶 粒子植入术前PET-CT 粒子植入术后2月PET-CT Thoracic Neoplasm胸部腫瘤 Case BAI therapeutic effect for lung cancer肺癌BAI治療效果 右肺上葉腫瘤BAI治療1個月、2個月後明顯縮小 1 month after BAI treatment for the upper lobe of right lung tumor, 2 months later the tumor has obvious reduced. Sebelum BAI 1 bulan setelah BAI 2 bulan setelah BAI 乳腺癌内乳动脉化疗栓塞术 Internal mammary artery -TACE 乳腺癌区域动脉化疗灌注术 乳腺癌 Breast cancer Abdominal Neoplasm腹部腫瘤 肝轉移癌、腹腔廣泛轉移粒子植入 Case Liver metastasis, extensive metastasis in abdominal cavity. Particle implantation 肝轉移癌、腹腔廣泛轉移粒子植入 Liver metastasis , extensive implantation of metastatic particles in abdominal cavity 肝癌门静脉癌栓 Portal vein tumor thrombus 癌栓放射性粒子植入术中 Radioactive seed implantation 粒子植入术后复查PET-CT After implantation PET-CT Case 肝轉移癌介入治療 interventional therapy for liver metastasis cancer 2000-7-31 介入治疗前 before interventional therapy Radiofrequency ablation (RFA) 射頻消融治療（RFA） Post RFA Normal tissues 正常組織 Coagulation necrosis 凝固性壞死 Acute thermal coagulation 急性熱凝固 肝癌肺轉移，CT示左下肺轉移。 the lung metastasis of liver cancer,CT showed the metastasis of bottom of left lung. America RITA? Radiofrequency ablation 美國RITA?射頻消融 Reexamination 3 week after RF, lesion in the bottom of left lung was further reduced, no obvious change was observed in enhanced scanning. RF治療後3 周複查,左下肺病灶進一步縮小,增強掃描無明顯強化 放射性粒子近距離治療腫瘤 The brachytherapy for tumors with Radioactive seeds 微創、無痛 Minimally invasive, Painless I 125 持續、低能量x和γ射線半衰期可達60天 Continuous, Low-energy, X-ray and γ-ray half-life up to 60 days. 電腦三維計畫系統 Treatment plan system TPS CT实时導向