WEKO3
アイテム
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In-room computed tomography-based brachytherapy for uterine cervical cancer: results of a 5-year retrospective study.
https://repo.qst.go.jp/records/48314
https://repo.qst.go.jp/records/48314b65828f2-0ad3-40f1-ab5d-07e1bc9767c3
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-08-21 | |||||
タイトル | ||||||
タイトル | In-room computed tomography-based brachytherapy for uterine cervical cancer: results of a 5-year retrospective study. | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
著者 |
Ohno, Tatsuya
× Ohno, Tatsuya× Noda, Shin-Ei× Okonogi, Noriyuki× Murata, Kazutoshi× Shibuya, Kei× Kiyohara, Hiroki× Tamaki, Tomoaki× Ando, Ken× Oike, Takahiro× Ohkubo, Yu× Wakatsuki, Masaru× Saitoh, Jun-Ichi× Nakano, Takashi× 大野 達也× 小此木 範之× 渋谷 圭× 清原 浩樹× 若月 優× 中野 隆史 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Herein, we investigate the long-term clinical outcomes for cervical cancer patients treated with in-room computed tomography-based brachytherapy. Eighty patients with Stage IB1-IVA cervical cancer, who had undergone treatment with combined 3D high-dose rate brachytherapy and conformal radiotherapy between October 2008 and May 2011, were retrospectively analyzed. External beam radiotherapy (50 Gy) with central shielding after 20-40 Gy was performed for each patient. Cisplatin-based chemotherapy was administered concurrently to advanced-stage patients aged ≤75 years. Brachytherapy was delivered in four fractions of 6 Gy per week. In-room computed tomography imaging with applicator insertion was performed for treatment planning. Information from physical examinations at diagnosis, and brachytherapy and magnetic resonance imaging at diagnosis and just before the first brachytherapy session, were referred to for contouring of the high-risk clinical target volume. The median follow-up duration was 60 months. The 5-year local control, pelvic progression-free survival and overall survival rates were 94%, 90% and 86%, respectively. No significant differences in 5-year local control rates were observed between Stage I, Stage II and Stage III-IVA patients. Conversely, a significant difference in the 5-year overall survival rate was observed between Stage II and III-IVA patients (97% vs 72%; P = 0.006). One patient developed Grade 3 late bladder toxicity. No other Grade 3 or higher late toxicities were reported in the rectum or bladder. In conclusion, excellent local control rates were achieved with minimal late toxicities in the rectum or bladder, irrespective of clinical stage. | |||||
書誌情報 |
Journal of radiation research 巻 58, 号 4, p. 543-551, 発行日 2016-12 |
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出版者 | ||||||
出版者 | Oxford University Press | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1349-9157 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 27986859 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1093/jrr/rrw121 |