目的:比较局部晚期宫颈癌采用标准三管施源器的腔内后装(tandem and ovoid)与腔内结合组织间插植后装的剂量学差异。方法:CT引导下的三维适形近距离治疗局部晚期宫颈癌患者20例,间隔采用三管式腔内后装与腔内结合组织间插植共72次。按...目的:比较局部晚期宫颈癌采用标准三管施源器的腔内后装(tandem and ovoid)与腔内结合组织间插植后装的剂量学差异。方法:CT引导下的三维适形近距离治疗局部晚期宫颈癌患者20例,间隔采用三管式腔内后装与腔内结合组织间插植共72次。按照施源器的不同分成2个组,每组36次,对靶区剂量、危及器官等进行比较。结果:在给予A点相同处方剂量的情况下,HR-CTV D90、D100在三管式腔内后装组与腔内结合组织间插植后装组中分别为(590.0±46.4)cGy、(471.2±66.2)cGy,(502.8±67.7)cGy、(335.9±46.0)cGy,P<0.05),膀胱、直肠、乙状结肠D2cc均相近(P=0.85、0.28、0.53)。结论:采用腔内结合插植后装治疗局部晚期宫颈癌比三管式腔内后装可获得更高的靶区剂量,但长期疗效及晚期反应仍需进一步研究。展开更多
In order to solve the so-called ＂bull-eye＂ problem caused by using a simple bilinear interpolation as an observational mapping operator in the cost function in the multigrid three-dimensional variational （3DVAR） d...In order to solve the so-called ＂bull-eye＂ problem caused by using a simple bilinear interpolation as an observational mapping operator in the cost function in the multigrid three-dimensional variational （3DVAR） data assimilation scheme, a smoothing term, equivalent to a penalty term, is introduced into the cost function to serve as a means of troubleshooting. A theoretical analysis is first performed to figure out what on earth results in the issue of ＂bull-eye＂, and then the meaning of such smoothing term is elucidated and the uniqueness of solution of the multigrid 3DVAR with the smoothing term added is discussed through the theoretical deduction for one-dimensional （1D） case, and two idealized data assimilation experiments （one- and two-dimensional （2D） cases）. By exploring the relationship between the smoothing term and the recursive filter theoretically and practically, it is revealed why satisfied analysis results can be achieved by using such proposed solution for the issue of the multigrid 3DVAR.展开更多
文摘目的:比较局部晚期宫颈癌采用标准三管施源器的腔内后装(tandem and ovoid)与腔内结合组织间插植后装的剂量学差异。方法:CT引导下的三维适形近距离治疗局部晚期宫颈癌患者20例,间隔采用三管式腔内后装与腔内结合组织间插植共72次。按照施源器的不同分成2个组,每组36次,对靶区剂量、危及器官等进行比较。结果:在给予A点相同处方剂量的情况下,HR-CTV D90、D100在三管式腔内后装组与腔内结合组织间插植后装组中分别为(590.0±46.4)cGy、(471.2±66.2)cGy,(502.8±67.7)cGy、(335.9±46.0)cGy,P<0.05),膀胱、直肠、乙状结肠D2cc均相近(P=0.85、0.28、0.53)。结论:采用腔内结合插植后装治疗局部晚期宫颈癌比三管式腔内后装可获得更高的靶区剂量,但长期疗效及晚期反应仍需进一步研究。
基金The National Basic Research Program of China under contract No. 2013CB430304the National High-Tech R&D Program of China under contract No. 2013AA09A505the National Natural Science Foundation of China under contract Nos 41030854,40906015,40906016,41106005 and 41176003
文摘In order to solve the so-called ＂bull-eye＂ problem caused by using a simple bilinear interpolation as an observational mapping operator in the cost function in the multigrid three-dimensional variational （3DVAR） data assimilation scheme, a smoothing term, equivalent to a penalty term, is introduced into the cost function to serve as a means of troubleshooting. A theoretical analysis is first performed to figure out what on earth results in the issue of ＂bull-eye＂, and then the meaning of such smoothing term is elucidated and the uniqueness of solution of the multigrid 3DVAR with the smoothing term added is discussed through the theoretical deduction for one-dimensional （1D） case, and two idealized data assimilation experiments （one- and two-dimensional （2D） cases）. By exploring the relationship between the smoothing term and the recursive filter theoretically and practically, it is revealed why satisfied analysis results can be achieved by using such proposed solution for the issue of the multigrid 3DVAR.
