2 サイバーナイフの構成・特徴など
Contents
1. 3 1 N4 2 1 1 1 8 11 152. QA http www mhlw go jp houdou 2003 03 h0328 4 html NN 1 A 69 21 64 55 2
3. 3cm Phantom Phantom GAE chromic film 1mm
4. 1009 Vol 6 Dose Statistics 7 Dose distribution 2000 6 1 2002 12 2 832 697 719 407 57 59 72 4 5 3 19
5. 2 Target 2 System TLS tt le Treatment Planning System TPS Silicon Graphics Workstation CT MRI CT MRI CT 1 2mm Axial Corona1 Sagitta1 RO1I
6. 20800BZY00937000 i VE RD OE RR 2 NR 2 8 2 2 03 1 oe 3 3 15 2 21
7. CT 2mm Conformal Planning Conformal Planning 100 12 1200 Plateau 50 100 Conformal Planning 1 2 Hot Spot Cold Spot 3
8. 5 1 2 1 2 1 3 0207027 2 3 14
9. A 0 2 CN 3 3 1 PO SA
10. 50 150 30 1 5 ed A CR i 0 X LED
11. 2 1 a lt PS 2 25 15 3 28 NN
12. 2003 46 ps 3 CyberKnife 13 60 6th International Stereotaotic Radiosurger Society Congre ss 6th International Stereotaotic Radiosurgery Visual impairment following Cyber Knife treatment for 6 Society Congre ss sellar and parasellar turmors ar Ne Gilioma A 62 CyberKnife MRS 11 12 11 21 23 89th Scientific Assembly and Annual Meeting in a ls 11 30 WS 1 16 Fi a 12 22 24 4
13. CyberKnifellI CE i OO 3 a 13 10mm 1 3 Uni Frame F Stereotactic Radio Surgery SRS Stereotactic Radio Therapy SRT
14. 2 1 1 69 3 0 EMR NG MI i 8 8 11 0 SEA 10 2 1
15. 3cm Framebased Stereotactic Radio Surgery X CyberKnife CyberKnife 100 Node 12 1200 8 6
16. 4 6 11 6 1 oyberKnife 1 6 15 6 20 21 6 20 21 CyberKnife 7 20 14 7 24 6 The accuracy of body treatment with cyberknife 7 26 11 CyberKnife 7 27 11
17. 35 145 69 3 15 2 21 87 1 7 8 11 15 2 7
18. 6D tracking system 7 7 43 9 21 43 CyberKnife 9 21 43 6D tracking system 9 21 8 GyberKnife 9 28 61 CyberKnife 10 4 Fiim CyberKnife 30 oyberknife 10 7 19 Radiation necrosis and brain edema assciated with CyberKnife treatrment CyberKnife radiosurgery of Glioblastoma rmultiforme 14
19. 70 1 0 0328001 200 1 10 PDE 372KB http www mhlw gojp houdou2003708 dlh0328 4a pdD 11 20
20. LED 9 6 3 CT MRI 200 4 4 30 1 Adler JR Hancock SL The Neurotron 1000 A system for frameless stereotactic radiosurgery Perspectives im Neurological Surgery 5 127 133 1994 2 Chang SD Murphy M Adler JR et al Clinical experience with image guided robotic radnosurgery the Cyberknife in the treatment of brain and spinal cord tumors Neurol Med Chir 38 11 780 3 1998 3 Adler JR Chang SD Murphy MJ et al The Cyberknife a frameless robotic system for radiosurgery Stereotact
21. 3D CyberKnife II EN 6D D 3D xyz A 1 CyberKnife II 6D EB 6D 10mm Fiducial Planning 2004 4 3 I Me
22. I 1 0 2mm n 1 Target Locating System TLS CT Digitally Reconstructed Radiography DRR 45 Xx DRR 3 CCD CyberKnife 3D 6D Fiducial 3 3D xyz3 10mm
23. 2 3 4 1 1mm 2 3 Single Center Planning 1 Axial image 69 5 5Dose 90 2 TumorSite DP 0 10 20 30 4 m TO S80 0 10 DVH Dose Volume Histogram ROI 4686mm 90 29 Vol 69 5 9 Dose 23Gy 23 0 695 33 1 33 1Gy TeTa E TmTirr 13 1 1 13 4Gy CT
24. 0 10 20 30 40 50 G0 70 80 90 100W 95 A 9 DVH 6 11482mm3 89 7 89 7 est 297158 2050 29 Vol 77 496 77 4 Dose Soft Tissrme 36d 88 33 nn 23Gy Marginal Dose 23Gy 23 0 774 a Se 29 7 29 7Gy 23Gy 11482x0 897 10299mm3 10 23Gy 20 5Gy DVH Dose Statistics 6 Tumor Site Min 7
25. 2 2 S 11 1 EMH 11 17 11 25 http www mhlw go jp houdou 2003 02 h0207 2 html 14 1 5 2 7 1 1 1 4 1 3 od F 9 8 6 1 4 1 20800BZY00937000 8 1 1 15
26. 6 15 15 Olfactory Neuroblastoma 8 31 a 42 Gafchromic Film _ 9 2 24 a Ce a RE 0 CT 9 23 24 Congress of Neurological Surgeons Accuray CyberKnife treatment of skull base tumors Kengo Sato 10 2 NRA 13 10 5 7 10 12 10 12 10 13
27. 10 24 CyberKnife 11 23 CyberKnife CyberKnife 12 7 Vol 19 No1 2002 1 48 53 2000 14 CyberKnife 9 8 2 CyberKnife 9 9 3 CyberKnife Met 9 9 13 CyberKnife 1 1 13
28. 10 11 13 Brain Edema 2002 11 13 11 15 2nd International CyberKnife user s Meeting and QA 15 CyberKnife 1 2 15 11 21 23 15 CyberKnife 11 22 CyberKnife radiation necrosis 11 23 2002 28 1 186 191 2002 CyberKnife 2002 6 584 50 591 57 2001 13 2001 Mebio 2001 12
29. 2mm CT MR I CT CyberKnife CyberKnife 40cm
30. 76 82 19 CyberKnife 11 CyberKnife 9 ti Japanese Body Stereotactis CyberKnife Treatment for Cervical Lesion Kyokuto Sato 2 6 rradiation Meeting Hospital CyberKnife LR GAF Fim 4 7 a 2001 Accuray CyberKnife User s Meeting CyberKnife Experenceyats Okayvamahyokuto Kyokuto Kengo Sato 4 6 Carmel Hospital Hospital 5 19 1 15 19 1 10 CyberKn
31. PDE 399KB http www mhlw go jp houdow2003 03 d h0328 4b pdf 21 28 PDF 341KB http www mhlw go jp houdou 2003703 dl h0328 4c pd 2 H SA 3 Se 2 i RT 15 4 25 2763 15 3 28 2 3 14 35
32. 1 0 Single Center Planning p8 2 Conformal Shape Planning p9 p10 3 0 1 Linac 2 WE
33. 11 13 The accuracy of dose delivery of the cyberknife 6 22 26 6 23 26 10 2 4 _2003 49 1 p4 8 2003 CyberKnife 79 2003 CyberKnife 15 139 144 2003 CyberKnife 15 177 185 2003 2002 12 CyberKnife 5 6 4 4
34. 2 72 5 Vac Lok Toyo Medic 1 11 1 719 12
35. 4 1 2 3 Conformal Planning 1 77 4 Dose 89 7 Yol Tumor Region 0 10 20 30 50 60 TO S80 90 100 Marginal Dose 90 23Gy 23 0 774 29 7 Gy 23Gy 11482x0 897 10299mm 20 5Gy 10 6 Marginal Dose 909 PTV planning target volume CTV clinical target Volume GTV gross tumor volume 77 4 Dose 89 7 Vol mon Ego 909
36. Funct Neurosurg 69 124 8 1997 4 Kai J Shiomi H Inoue T et al A 3D optical head motion measurement system and its application in stereotactic radiosurgery Medical Imaging Technology 17 155 164 1999 5 CyberKnife 8 89 95 1999 Shiomi H Inoue Ta Inoue To et al Quality assuramce for an image gunded frameless radiosurgery system using radiochromic film Radiat Med 18 2 107 113 2000 Murphy MJ Adler Jr JR Bodduluri M et al Image guided radiosurgery for the spine and pancreas Comput Aided Surg 5 278 88 2000 8 Schweikard A Glosser G Bodduluri M et al Robotic motion compensation for respiratory movement during radiosurgery Comput Aided Surg 5 4 263 77 2000 9 CyberKnife 21 1 11 15 2001 Key word Stereotactic Radniotherapy Robotic Tracking CyberKnife Single Center Planning Single Center Planning 100 1
37. 145 70 1 0207027 64 MD 15 2 7 87 1 9 lt 2 21 23 18 1 1 6 0 1 f
38. 4 2 Linac Target Locating et TLS Treatment Planning System TPS Linac 6 MV X 400cGy min X band RF 150kg Collimator 5mm 60mm 12 X narrow beam 6 Linac 0 2mm 80cm 10 0 Node 12 1200 50 200
39. ife 6 2 6 21 23 6 21 23 25 CyberKnife 6 21 4 7 21 4 7 21 4 10 5 10 gt 10 al 10 CyberKnife 96
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