目的:报道23例全身照射患者的照射方法,并对照射中的实时监测结果进行剂量学分析.方法:采用6MV X线对23例患者行前后对穿野分次全身照射治疗,并在照射中用多通道半导体剂量计对晶体、肺、腹部、睾丸、膝五个部位进行剂量实时监测.结果:晶体、肺、腹部、睾丸、膝五个部位的平均受照剂量分别为445.28 cGy、614.26 cGy、799.71cGy、210.21 cGy、840.74 cGy,所有患者的肺实际受照剂量均在限制剂量以内,5例患者腹部实测剂量和处方剂量的剂量偏差超出了5％.结论:患者实际受照剂量与处方剂量会存在一定偏差,为了保证患者的安全,在照射过程中进行剂量实时监测是十分必要的.%Objective: To report the irradiation method of 23 patients received total body irradiation and to analyze the dosimetry characteristics according to the result of real-time dose monitoring by semiconductor dosimeter. Methods: Fractionated-Total body irradiation by 6 MV X-Ray with anterior-posterior fields was given to 23 patients and the multi-channel semiconductor dosimeter was used for real-time monitoring to lens.lung, abdomen, testicle and knee during total body irradiation. Results: The mean actual dose of lens,lung, abdomen, testicle and knee was 445.28 cGy,614.26 cGy,799.71 cGy,210.21 cGy,840.74 cGy, respectively. The actual lung dose of all patients was within the limited dose, the deviation of the measured dose of abdomen and prescription dose of 5 patients exceeded 5%. Conclusions: There are some deviations between the actual irradiation dose of the patients and the prescription dose, so it is necessary to monitor the real-time dose in the course of irradiation to ensure the patient safety.
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