术中放射治疗 (IORT)

概述

术中放射治疗（IORT）是一种在手术过程中进行的放射治疗。

IORT 将辐射导向靶区，同时尽可能地不影响周围组织。IORT 用于治疗在手术过程中难以清除的癌细胞以及肉眼可能看不到的微量癌细胞残留。

术中电子线放射疗法是妙佑医疗国际最常用的 IORT 类型。IORT 通常与标准放射疗法结合使用。而标准放射疗法通常在手术前进行。

IORT 的辐射剂量通常高于标准放射疗法。标准放射疗法并非总是能够使用如此高的剂量，因为辐射可能影响附近的器官。IORT 有助于避免辐射到附近的器官。

目的

Intraoperative radiation therapy, also called IORT, can be used to treat many types of cancer. It's particularly useful for cancers that are hard to completely remove during surgery and cancers located close to sensitive structures and organs. Examples include cancers in the pelvis and the belly. IORT also can be helpful in areas where cancer has come back after other treatment.

风险

As with most medical procedures, there are risks to intraoperative radiation therapy, also called IORT. IORT typically is safe, but the most common side effects include:

• Problems with the surgical incision as it heals.
• Injury and scarring to tissue around the treatment area, called fibrosis.
• Nerve damage, called neuropathy.
• Narrowing of passages in the body near the treatment area. For example, the intestines or the tubes that carry urine from the kidneys to the bladder, called ureters, may narrow due to IORT. This narrowing is called stenosis.
• An unusual opening or hole that forms between two parts of the body, called a fistula.

如何进行准备

Preparing for intraoperative radiation therapy, also called IORT, often involves having imaging tests. These tests may include ultrasound, computerized tomography (CT) or magnetic resonance imaging (MRI) scans.

The images from these tests are used to make detailed pictures of the area to be treated. The healthcare team, including the surgeon and the radiation oncologist, uses those pictures to plan the surgery and IORT. This planning allows high doses of radiation to be delivered to the cancer while lowering the amount of radiation that reaches healthy tissue.

可能出现的情况

Intraoperative radiation therapy, also called IORT, happens during surgery. Many people who get IORT also have standard radiation therapy before surgery. Then during surgery, IORT is used to deliver a higher dose of radiation directly to the cancer than is possible with standard radiation therapy. Based on the treatment planning, radiation therapy delivered with IORT is carefully focused on the specific area that needs treatment.

结果

After intraoperative radiation therapy, you may have follow-up appointments to monitor the results. These appointments may include imaging tests to check if the cancer is gone. Talk with your healthcare team about your follow-up care.