{"id":146,"date":"2012-04-17T23:20:21","date_gmt":"2012-04-17T14:20:21","guid":{"rendered":"\/sawamura\/wp\/?p=146"},"modified":"2025-02-25T12:46:27","modified_gmt":"2025-02-25T03:46:27","slug":"radiation","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/radiation\/","title":{"rendered":"\u8133\u816b\u760d\u306e\u653e\u5c04\u7dda\u6cbb\u7642 radiation therapy"},"content":{"rendered":"<h5>\u5c71\u672c\u54f2\u54c9\u3082\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059<\/h5>\n<h5>\u5927\u5207\u306a\u3053\u3068<\/h5>\n<div class=\"setumei\">\n<ul>\n<li>\u591a\u304f\u306e\u8133\u816b\u760d\u306b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u751f\u547d\u4e88\u5f8c\u304c\u6c7a\u307e\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\uff0c\u653e\u5c04\u7dda\u306e<span style=\"color: #000080;\"><strong>\u7dda\u91cf\uff08\u30b0\u30ec\u30a4\uff09\uff0c<\/strong><strong>\u5206\u5272\u56de\u6570<\/strong>\uff0c<strong>\u7bc4\u56f2\uff08\u7167\u5c04\u91ce\uff09<\/strong>\uff0c<strong>\u7167\u5c04\u65b9\u6cd5<\/strong><\/span>\uff08IMRT\u3068\u304b\u5b9a\u4f4d\u7167\u5c04\u3068\u304b\uff09\u3092\u9069\u5207\u306b\u6c7a\u3081\u308b\u3053\u3068\u306f\u7c21\u5358\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u6cbb\u7642\u3092\u3057\u3066\u304f\u3060\u3055\u308b\u533b\u5e2b\u306b\u3088\u3063\u3066\u3082\u6cbb\u7642\u6210\u7e3e\u306f\u9055\u3063\u3066\u304d\u307e\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u8133\u816b\u760d\u306b\u8a73\u3057\u3044\u653e\u5c04\u7dda\u6cbb\u7642\u533b<\/span><\/strong>\u306e\u3044\u308b\u65bd\u8a2d\u3067\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u3087\u3046<\/li>\n<li>\u65bd\u8a2d\u306b\u3088\u3063\u3066\u6301\u3063\u3066\u3044\u308b\u88c5\u7f6e\u304c\u7570\u306a\u308b\u305f\u3081\u306b\u6cbb\u7642\u6210\u7e3e\u304c\u9055\u3063\u3066\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u6700\u65b0\u306e\u6cbb\u7642\u8a08\u753b\u30b7\u30b9\u30c6\u30e0\uff08\u6280\u8853\uff09\u3068\u7167\u5c04\u88c5\u7f6e<\/strong><\/span>\u3092\u6301\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u305f\u305a\u306d\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306f\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u88c5\u7f6e\u306e\u5546\u54c1\u540d<\/span><\/strong>\u3067\u3057\u304b\u3042\u308a\u307e\u305b\u3093\u3057\uff0c<span style=\"color: #000080;\"><strong>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3067\u306f\u6cbb\u7642\u3067\u304d\u306a\u3044\u8133\u816b\u760d\u304c\u3068\u3066\u3082\u591a\u3044<\/strong><\/span>\u3053\u3068\u306b\u3082\u6c17\u3092\u3064\u3051\u3066\u4e0b\u3055\u3044<\/li>\n<li>\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3082\u540c\u69d8\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u5916\u79d1\u3068\u5b9a\u4f4d\u5206\u5272\u7167\u5c04\u306e\u4e21\u65b9\u304c\u3067\u304d\u308b<\/strong><\/span>\u88c5\u7f6e\u304c\u3042\u308b\u3068\uff0c\u3088\u308a\u9069\u5207\u306a\u65b9\u306e\u6cbb\u7642\u3092\u9078\u3076\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u6280\u8853\u7684\u306b\u306f\u4e09\u6b21\u5143\u7684\u306a\u6cbb\u7642\u8a08\u753b\u3092\u3064\u304b\u3063\u3066\uff0c\u539f\u4f53\u7167\u5c04 conformal RT\uff0c\u5f37\u5ea6\u5909\u8abf\u653e\u5c04\u7dda\u6cbb\u7642 IMRT\uff0c\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642 SRT \u304c\u3067\u304d\u308b\u3053\u3068\u304c\u826f\u3044\u6761\u4ef6\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u4e09\u6b21\u5143\u6cbb\u7642\u8a08\u753b\u3067\u6d77\u99ac\u306e\u88ab\u66dd\u3092\u907f\u3051\u3066\u3002\u6cbb\u7642\u5f8c\u306e\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3092\u5c11\u306a\u304f\u3059\u308b\u3068\u3044\u3046\u65b9\u5411\u6027\u3082\u3042\u308a\u307e\u3059 <span style=\"color: #000080;\"><strong>HA-WBRT (hippocampus-avoidance whole-brain radiation therapy)<\/strong><\/span><\/li>\n<li><strong><span style=\"color: #000080;\">\u6b63\u5e38\u306e\u8133\u304c\u3069\u306e\u304f\u3089\u3044\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u8010\u3048\u308b\u306e\u304b<\/span><\/strong>\uff08\u653e\u5c04\u7dda\u8010\u6027\uff09\u306f\u3068\u3066\u3082\u8907\u96d1\u3067\u3053\u3053\u306b\u306f\u304b\u3051\u307e\u305b\u3093\u306e\u3067\uff0c\u4e00\u756a\u6700\u5f8c\u306e\u3068\u3053\u308d\u3092\u8aad\u3093\u3067\u4e0b\u3055\u3044<\/li>\n<li><span style=\"color: #000080;\"><strong>\u826f\u6027\u816b\u760d\u3067\u306f\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3082\u8133\u5916\u79d1\u306e\u624b\u8853\u3068\u540c\u3058\u3088\u3046\u306b\uff0c\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u3092\u805e\u304d\u307e\u3057\u3087\u3046<\/strong><\/span><\/li>\n<li>\u3057\u304b\u3057\uff0c\u60aa\u6027\u816b\u760d\u306e\u5834\u5408\uff0c\u8853\u5f8c\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u6025\u3050\u306e\u3067\u3042\u307e\u308a\u6642\u9593\u3092\u304b\u3051\u3066\u306f\u3044\u3089\u308c\u307e\u305b\u3093<\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\"><strong>\u8133\u816b\u760d\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u306f\uff0c\u3055\u307e\u3056\u307e\u306a\u65b9\u6cd5\u3068\u88c5\u7f6e\u304c\u3042\u3063\u3066\uff0c\u305d\u308c\u3092\u3069\u306e\u3088\u3046\u306b\u9078\u3076\u306e\u304b\uff0c\u751f\u304d\u6b8b\u308b\u305f\u3081\u306b\u306f\u91cd\u8981\u306a\u9078\u629e\u306b\u306a\u308a\u307e\u3059<\/strong><\/span><\/h5>\n<h5>\u653e\u5c04\u7dda\u6cbb\u7642\u533b radiation oncologist \u306f\uff0c\u8907\u96d1\u306a\u5f62\u306e\u816b\u760d\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u8a08\u753b\uff08\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff09\u3092\u3059\u308b\u305f\u3081\u306b\uff15\u6642\u9593\u3082\uff16\u6642\u9593\u3082\u304b\u3051\u307e\u3059\uff0c\u5834\u5408\u306b\u3088\u3063\u3066\u306f\uff0c\u571f\u65e5\u306e\u4f11\u307f\u306b\u5fb9\u591c\u3067\u6cbb\u7642\u8a08\u753b\u3092\u7acb\u3066\u305f\u308a\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3000\uff08\u3054\u304f\u308d\u3046\u3055\u3093\uff0c&lt;m(__)m&gt;\uff09<\/h5>\n<hr \/>\n<\/div>\n<h1><strong><a href=\"\/sawamura\/braintumors\/%e7%b2%92%e5%ad%90%e7%b7%9a%e6%b2%bb%e7%99%82-particle-radiation\/\"><span style=\"color: #ff0000;\">\u7c92\u5b50\u7dda\uff08\u967d\u5b50\u7dda\uff0c\u91cd\u7c92\u5b50\u7dda\uff0c\u4e2d\u6027\u5b50\uff09<\/span><span style=\"color: #333333;\">\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/span><\/a><\/strong><\/h1>\n<h1><a href=\"\/sawamura\/pediattumor\/radiationchild\/\"><span style=\"color: #ff0000;\">\u5c0f\u5150\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642<\/span>\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/h1>\n<hr \/>\n<h5>\u4ee5\u4e0b\u306b\u306f\u666e\u901a\u306e\u653e\u5c04\u7dda\uff08\u30ac\u30f3\u30de\u7dda photon\uff09\u6cbb\u7642\u306b\u3064\u3044\u3066\u66f8\u304d\u307e\u3059<\/h5>\n<hr \/>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10944\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1-550x559.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1.jpg 567w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><br \/>\n\u653e\u5c04\u7dda\u6cbb\u7642\u8a08\u753b\u306e<strong><span style=\"color: #ff0000;\">\u7b49\u7dda\u91cf\u66f2\u7dda<\/span><\/strong> isodose curves \u3067\u3059<br \/>\n\u816b\u760d\u3068\u305d\u306e\u5468\u8fba\u306b\u3069\u306e\u7a0b\u5ea6\u306e\u7dda\u91cf\uff08\u30b0\u30ec\u30a4\uff09\u3092\u5f53\u3066\u308b\u304b\u3092\u8a08\u753b\u3057\u307e\u3059<br \/>\n\u8d64\u7d2b\u306e\u7dda\u3067\u56f2\u308f\u308c\u305f\u90e8\u5206\u304c\uff0c\u5b9f\u969b\u306b\u8a08\u753b\u7dda\u91cf\u3092\u304b\u3051\u308b\u90e8\u5206\uff08\u7167\u5c04\u91ce\uff0cPTV\uff09\u3067\u3059<\/p>\n<p>\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u306f\uff0cMRI\u3067\u307f\u3048\u3066\u3044\u308b\u816b\u760d\u7bc4\u56f2\u3088\u308a\u304b\u306a\u308a\u5e83\u3044\u9818\u57df\u306e\u6b63\u5e38\u8133\u306b\u3082\u653e\u5c04\u7dda\u304c\u304b\u304b\u308a\u307e\u3059<\/p>\n<div class=\"setumei\">\n<h4><span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b\u7bc4\u56f2\uff08radiation portals)\u3068\u305d\u308c\u304c\u4f7f\u308f\u308c\u308b\u4ee3\u8868\u7684\u306a\u8133\u816b\u760d<\/strong><\/span><\/h4>\n<ul>\n<li><strong><span style=\"color: #ff0000;\">\u8133\u810a\u9ac4<\/span><\/strong> (craniospinal, whole CNS) \uff1a\u64ad\u7a2e\u3057\u3066\u3057\u307e\u3063\u305f\u816b\u760d\uff0c\u9ac4\u82bd\u816b\uff0cAT\/RT\uff0c\u60aa\u6027\u80da\u7d30\u80de\u816b\u760d\u306a\u3069\u64ad\u7a2e\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u60aa\u6027\u8133\u816b\u760d<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u5168\u8133<\/span><\/strong> (whole brain) \uff1a\u60aa\u6027\u30ea\u30f3\u30d1\u816b\uff0c\u591a\u767a\u6027\u8133\u8ee2\u79fb<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u5168\u8133\u5ba4<\/span><\/strong> (whole ventricle) \uff1a\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u62e1\u5927\u5c40\u6240<\/span><\/strong> (extended focal , generous local)\uff1a\u81a0\u82bd\u816b\u306a\u3069\u60aa\u6027\u5ea6\u306e\u9ad8\u3044\u69d8\u3005\u306a\u795e\u7d4c\u81a0\u816b<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u5c40\u6240<\/span><\/strong> (focal)\uff1a\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\uff0c\u4e4f\u7a81\u8d77\u81a0\u816b\uff0c\u4f4e\u60aa\u6027\u5ea6\u4e0a\u8863\u816b<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u9650\u5c40\u5c0f\u7167\u5c04\u91ce\u3042\u308b\u3044\u306f\u5b9a\u4f4d\u7167\u5c04\u00a0<\/span><\/strong>(strict focal or stereotactic) \uff1a\u8ee2\u79fb\u6027\u8133\u816b\u760d\uff0c\u8074\u795e\u7d4c\u816b\u760d\uff0c\u795e\u7d4c\u9798\u816b\uff0c\u9ac4\u819c\u816b\uff0c\u4e0b\u5782\u4f53\u817a\u816b \uff0c\u982d\u84cb\u54bd\u982d\u816b<\/li>\n<\/ul>\n<div>\n<h4><span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b\u91cf\u3068\u56de\u6570<\/strong><\/span><\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>1\u56de\u7167\u5c04<\/strong><\/span>\u3068<span style=\"color: #000080;\"><strong>\u5206\u5272\u7167\u5c04<\/strong><\/span>\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">1\u56de (single-fraction SRS) \u304b\u3089\uff15\u56de (multiple session, fractionated SRS) \u306e\u7167\u5c04\u306f\uff0c<\/span><\/strong><strong><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642 SRS\u00a0<\/span><\/strong>\u3068\u547c\u3070\u308c\u307e\u3059<\/li>\n<li>SRS\u306f\uff0c\u7dda\u91cf\u7387\u304c\u9ad8\u3044\u5f37\u529b\u306a\u653e\u5c04\u7dda\u6cbb\u7642\u30921\u56de\u3060\u3051\u306e\u7167\u5c04\u3067\u3059\u307e\u305b\u3066\u3057\u307e\u3046\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u764c\u306e\u8133\u8ee2\u79fb\u306e\u6cbb\u7642\u306a\u3069\u306b\u7528\u3044\u3089\u308c\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u5916\u79d1<\/strong><\/span>\uff08\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30ea\u30cb\u30a2\u30c3\u30af\u30e1\u30b9\uff09\u306e\u9069\u5fdc\u306b\u306a\u308b\u3082\u306e\u306f\u5c11\u306a\u3044\u3067\u3059<\/li>\n<li>\u4f55\u56de\u304b\u306b\u6cbb\u7642\u3092\u5206\u3051\u3066\u3059\u308b\u3053\u3068\u3092<span style=\"color: #000080;\"><strong>\u5206\u5272\u7167\u5c04<\/strong><span style=\"color: #333333;\">\u3068\u3044\u3044\u307e\u3059<\/span><\/span><\/li>\n<li>\u307b\u3068\u3093\u3069\u306e<strong><span style=\"color: #ff0000;\">\u539f\u767a\u6027\u8133\u816b\u760d\u306f\u5206\u5272\u7167\u5c04\u3067\u6cbb\u7642\u3055\u308c\u307e\u3059<\/span><\/strong><\/li>\n<li>\u5206\u5272\u3068\u3044\u3063\u3066\u3082\uff0c\uff13\u56de\uff0c\uff15\u56de\uff0c\uff17\u56de\uff0c10\u56de\uff0c&#8212;&#8212;&#8211; 28\u56de\uff0c30\u56de, 34\u56de\u3068\u3044\u3063\u305f\u3050\u3042\u3044\u306b\u56de\u6570\u306f\u3055\u307e\u3056\u307e\u3067\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u91cf\u306f<span style=\"color: #ff0000;\"><strong>\u30b0\u30ec\u30a4<\/strong><\/span>\u3068\u3044\u3046\u5358\u4f4d\u3067\u8868\u3057\u307e\u3059<\/li>\n<li><strong style=\"color: #ff0000;\">\u7dcf\u7dda\u91cf<\/strong>\u306f<strong><span style=\"color: #ff0000;\">1\u65e5\u7dda\u91cf\u3068\u56de\u6570<\/span><\/strong>\u3067\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li>\u3064\u307e\u308a\uff0c<span style=\"color: #000080;\"><strong>\u7dcf\u7dda\u91cf\u30b0\u30ec\u30a4=\uff11\u65e5\u7dda\u91cf\u30b0\u30ec\u30a4 x \u56de\u6570<\/strong><\/span><\/li>\n<li>54\u30b0\u30ec\u30a4\u304b\u3051\u305f\u3068\u3044\u3063\u3066\u3082\uff0c1\u65e5\u7dda\u91cf\u304c1.8\u30b0\u30ec\u30a4\u3067\u3059\u306830\u56de\uff0830\u5206\u5272\uff09\u306b\u306a\u308a\u307e\u3059\u304c\uff0c1\u65e5\u7dda\u91cf\u304c2\u30b0\u30ec\u30a4\u3067\u3059\u306827\u56de\uff0827\u5206\u5272\uff09\u306b\u306a\u308a\u307e\u3059\uff0c\u5f8c\u8005\u306e<span style=\"color: #000080;\"><strong>1\u65e5\u7dda\u91cf\u304c\u9ad8\u3044\u65b9\u304c\u5f37\u3044\u7167\u5c04<\/strong><\/span>\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u540c\u3058\u30b0\u30ec\u30a4\uff08\u7dcf\u7dda\u91cf\uff09\u3067\u3082\u5206\u5272\u56de\u6570\u3067<strong><span style=\"color: #ff0000;\">\u6669\u671f\u53cd\u5fdc<\/span><\/strong>\uff08\u5f8c\u304b\u3089\u51fa\u308b\u653e\u5c04\u7dda\u306e\u5f71\u97ff\uff09\u304c\u304b\u308f\u308a\u307e\u3059<\/li>\n<li>\u305f\u3068\u3048\u3070\uff0c34\u30b0\u30ec\u30a48\u5206\u5272\uff081\u65e5\u7dda\u91cf4.25\u30b0\u30ec\u30a4\uff09\u3067\u3059\u3068\uff0c50\u30b0\u30ec\u30a425\u5206\u5272\uff081\u65e5\u7dda\u91cf2\u30b0\u30ec\u30a4\uff09\u3068\u540c\u3058\u304f\u3089\u3044\u306e\u6669\u671f\u53cd\u5fdc\u304c\u3067\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u3053\u306e\u5834\u5408\u306f54\u30b0\u30ec\u30a4\u306834\u30b0\u30ec\u30a4\u306e\u653e\u5c04\u7dda\u306e\u5f37\u3055\u304c\u540c\u3058\u304f\u3089\u306b\u3044\u306a\u308b\u306e\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>1\u65e5\u7dda\u91cf\u304c\u5c11\u3057\u3067\u3082\u591a\u304f\u306a\u308b\u3068\u304b\u306a\u308a\u5f37\u3044\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u306a\u308b<\/strong><\/span>\u3068\u8003\u3048\u3066\u4e0b\u3055\u3044<\/li>\n<li>\u4e00\u822c\u7684\u306b1\u65e5\u7dda\u91cf\u304c\u4f4e\u3044\u65b9\u304c\uff0c\u3059\u306a\u308f\u3061<strong><span style=\"color: #ff0000;\">\u5206\u5272\u56de\u6570\u304c\u591a\u3044\u65b9\u304c\u8133\u3084\u795e\u7d4c\u306b\u3084\u3055\u3057\u3044\u653e\u5c04\u7dda\u6cbb\u7642<\/span><\/strong>\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u305f\u3068\u3048\u3070\uff0c1\u6b73\u5150\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u6642\u306b\u306f\uff0c1\u65e5\u7dda\u91cf1\u30b0\u30ec\u30a4\u3068\u3044\u3046\u304f\u3089\u3044\u306e\u3059\u3054\u304f\u4f4e\u30441\u65e5\u7dda\u91cf\u3092\u7528\u3044\u307e\u3059<\/li>\n<li>\u5c0f\u5150\u306b\u306f\uff0c1\u65e5\u7dda\u91cf1.6\u30b0\u30ec\u30a4\u3068\u304b1.8\u30b0\u30ec\u30a4\u3068\u304b\u304c\u4f7f\u7528\u3055\u308c\u307e\u3059<\/li>\n<li>\u6210\u4eba\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u306f1\u65e5\u7dda\u91cf\u304c1.8 &#8211; 2\u30b0\u30ec\u30a4\u306e\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u52b9\u304d\u306b\u304f\u3044\u816b\u760d\u3068\u826f\u304f\u52b9\u304f\u816b\u760d\uff08\u4e0a\u304b\u3089\u9806\u756a\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u52b9\u304d\u6613\u3044\uff0c\u3067\u3082\u518d\u767a\u3059\u308b\u304b\u3069\u3046\u304b\u306f\u5225\u3067\u3059\uff09<\/h4>\n<ol>\n<li>\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de<\/li>\n<li>\u4e2d\u67a2\u795e\u7d4c\u539f\u767a\u30ea\u30f3\u30d1\u816b\uff08\u60aa\u6027\u30ea\u30f3\u30d1\u816b\uff09<\/li>\n<li>\u9ac4\u82bd\u816b<\/li>\n<li>\u80ce\u5150\u6027\u816b\u760d\uff0c\u4e0a\u8863\u816b\u30b0\u30ec\u30fc\u30c93<\/li>\n<li>\u795e\u7d4c\u9798\u816b\uff08\u8074\u795e\u7d4c\u816b\u760d\uff09<\/li>\n<li>\u9ac4\u819c\u816b<\/li>\n<li>\u4e4f\u7a81\u8d77\u7d30\u80de\u7cfb\u816b\u760d\uff08\u4e4f\u7a81\u8d77\u81a0\u816b\uff0c\u9000\u5f62\u6210\u6027\u4e4f\u7a81\u8d77\u81a0\u816b\uff09<\/li>\n<li>\u982d\u84cb\u54bd\u982d\u816b<\/li>\n<li>\u661f\u7d30\u80de\u7cfb\u816b\u760d\uff08\u661f\u7d30\u80de\u816b\u30b0\u30ec\u30fc\u30c92\u30683 \uff09<\/li>\n<li>\u81a0\u82bd\u816b<\/li>\n<\/ol>\n<p>\u30ea\u30f3\u30d1\u816b\u3084\u9ac4\u82bd\u816b\u306f\u4e00\u5ea6\u306f\u6d88\u3048\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u304b\u306a\u308a\u9ad8\u7387\u306b\u518d\u767a\u3057\u307e\u3059\u3002\u9006\u306b\uff0c\u8074\u795e\u7d4c\u816b\u760d\u306a\u3069\u306e\u795e\u7d4c\u9798\u816b\u306f\u4f55\u5e74\u3082\u304b\u304b\u3063\u3066\u5c0f\u3055\u304f\u306a\u308b\u306e\u3067\u3059\u304c\u518d\u5897\u5927\u3059\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002\u4e4f\u7a81\u8d77\u81a0\u816b\u306f\u305f\u3068\u3048\u6d88\u3048\u306a\u304f\u3066\u3082\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3067\u305a\u30fc\u3068\u304b\u308f\u3089\u306a\u3044\u306e\u306b\u5bfe\u3057\u3066\uff0c\u661f\u7d30\u80de\u7cfb\u816b\u760d\u3067\u306f\u4e00\u5ea6\u5c0f\u3055\u304f\u306a\u3063\u3066\u3082\u518d\u71c3\u30fb\u518d\u5897\u5927\u3057\u3066\u3057\u307e\u3046\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\u81a0\u82bd\u816b\u306f\uff0c\u5168\u8eab\u306e\u30ac\u30f3\u306e\u4e2d\u3067\u3082\u6700\u3082\u653e\u5c04\u7dda\u6cbb\u7642\u62b5\u6297\u6027\u306e\u816b\u760d\u3068\u3057\u3066\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u65b9\u6cd5\u3068\u88c5\u7f6e<\/h4>\n<h5><span style=\"color: #000080;\"><strong>\u5bfe\u5411\uff12\u9580\u7167\u5c04\uff0c\u56fa\u5b9a\u591a\u9580\u7167\u5c04\uff0c<\/strong><\/span>\u539f\u4f53\u7167\u5c04\uff0c\u56de\u8ee2\u7167\u5c04<\/h5>\n<h5><strong><span style=\"color: #ff0000;\">\u4e09\u6b21\u5143\u539f\u4f53\u7167\u5c04<\/span><\/strong> (non-coplanar, 3-D conformal, 3DCRT)<br \/>\n<strong><span style=\"color: #ff0000;\">\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642<\/span><\/strong>\u00a0(stereotactic)<\/h5>\n<h5><strong><span style=\"color: #ff0000;\">\u5f37\u5ea6\u5909\u8abf\u653e\u5c04\u7dda\u6cbb\u7642 (IMRT)<\/span><\/strong><\/h5>\n<ul>\n<li>\u304b\u3064\u3066\u306f\u5bfe\u5411\u4e8c\u9580\u7167\u5c04\u304c\u4e3b\u6d41\u3060\u3063\u305f\u306e\u3067\u3059\u304c\uff0c\u6b63\u5e38\u306a\u90e8\u5206\u306b\u7121\u99c4\u306a\u653e\u5c04\u7dda\u304c\u305f\u304f\u3055\u3093\u5165\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3057\u305f<\/li>\n<li>\u3044\u308d\u3044\u308d\u306a\u7167\u5c04\u6cd5\u304c\u3067\u304d\u308b\u65bd\u8a2d\u3092\u9078\u3093\u3060\u307b\u3046\u304c\u9078\u629e\u80a2\u304c\u5897\u3048\u307e\u3059<\/li>\n<li>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642 SRT\u306f\uff0c\u6bd4\u8f03\u7684\u5c0f\u3055\u306a\u30bf\u30fc\u30b2\u30c3\u30c8\u306b\u9ad8\u7dda\u91cf\u3092\u7528\u3044\u308b\u306e\u306b\u9069\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>\u539f\u4f53\u7167\u5c04\u3067\u306f\u816b\u760d\u306e\u5f62\u306b\u5fdc\u3058\u3066\uff0c\u307e\u305f\u306f\u306a\u308b\u3079\u304f\u6b63\u5e38\u8133\u3092\u907f\u3051\u3066\u816b\u760d\u306b\u7167\u5c04\u3092\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>IMRT\u3067\u306f\u3088\u308a\u8907\u96d1\u306a\u5f62\u306e\u816b\u760d\u306b\u5bfe\u3057\u3066\u8907\u96d1\u306a\u7dda\u91cf\u5206\u5e03\u3092\u8a73\u7d30\u306b\u6c7a\u3081\u308b\u3053\u3068\u304c\u3067\u304d\uff0c\u6b63\u5e38\u8133\u3078\u306e\u88ab\u66dd\u3092\u907f\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/strong><\/span><\/li>\n<li>IMRT\u3067\u306f\u5168\u8133\u7167\u5c04\u3092\u884c\u3046\u3068\u304d\uff0c\u8a8d\u77e5\u6a5f\u80fd\u3092\u5b88\u308b\u305f\u3081\u306b\u6d77\u99ac\u3060\u3051\u3092\u907f\u3051\u3066\u7167\u5c04\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u56de\u8ee2\u578b\u306eIMRT<\/strong><\/span>\u306b\u306f\uff12\u7a2e\u985e\u3042\u308a\u307e\u3059\uff0cherical tomotheray (<span style=\"color: #000080;\"><strong>VAT<\/strong>)<\/span>\u3068\u5f37\u5ea6\u5909\u8abf\u56de\u8ee2\u7167\u5c04\u6cd5 (volumatirc modulated arc therapy (<span style=\"color: #000080;\"><strong>VMAT)<\/strong><\/span>\u3067\u3059\uff0c\u60a3\u8005\u3055\u3093\u3078\u306e\u8aac\u660e\u306b\u306f\u3053\u308c\u3089\u306fIMRT\u3068\u7dcf\u79f0\u3057\u305f\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>VMAT\u3067\u306f\u6cbb\u7642\u6642\u9593\u306e\u77ed\u7e2e\u3082\u3042\u308a\uff0cIMRT\u306e\u4e2d\u3067\u3082\u4e3b\u6d41\u3068\u306a\u3063\u3066\u304d\u3066\u3044\u307e\u3059<\/li>\n<li>\u305d\u308c\u305e\u308c\u8907\u96d1\u306a\u5229\u70b9\u3068\u6b20\u70b9\u3092\u6301\u3063\u3066\u3044\u308b\u306e\u3067\u3053\u308c\u3089\u306e\u7167\u5c04\u65b9\u6cd5\u306e\u9078\u629e\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u5c02\u9580\u533b\u306b\u305f\u305a\u306d\u3066\u4e0b\u3055\u3044<\/li>\n<li>\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u5834\u5408\uff0c2022\u5e74\u73fe\u5728\u306f CT-based planing\/MRI-based planing\u3067\u306eIMRT (VAT\u3092\u542b\u3080\uff09\u304c\u6a19\u6e96\u7684\u306a\u7167\u5c04\u65b9\u6cd5\u3067\u3059<\/li>\n<\/ul>\n<h4>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u306f\uff12\u3064\u306e\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059<\/h4>\n<ul>\n<li><strong><span style=\"color: #ff0000;\">\u653e\u5c04\u7dda\u5916\u79d1<\/span><\/strong>\u00a0\u30fb\u5927\u7dda\u91cf\u4e00\u56de\u7167\u5c04\u00a0(<span style=\"color: #000080;\"><strong>SRS stereotactic radiosurgery<\/strong><\/span>)\uff1a\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30ea\u30cb\u30a2\u30c3\u30af\uff0c\u30c8\u30e2\u30bb\u30e9\u30d4\u30fc\uff0c\u30ce\u30d0\u30ea\u30b9\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\uff0c\u30a8\u30c3\u30af\u30b9\u30ca\u30a4\u30d5\uff0c\u30cf\u30a4\u30d1\u30fc\u30ca\u30a4\u30d5\uff0c\u30c8\u30a5\u30eb\u30fc\u30d3\u30fc\u30e0\uff08\u5b9a\u4f4d\u7279\u5316\u578b\u30ea\u30cb\u30a2\u30c3\u30af\uff09\uff0c\u30cf\u30eb\u30b7\u30aa\u30f3<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u5b9a\u4f4d\u5206\u5272\u7167\u5c04<\/span><\/strong> (<span style=\"color: #000080;\"><strong>SRT stereotactic radiotherapy<\/strong><\/span>)\uff1a\u30ea\u30cb\u30a2\u30c3\u30af\uff0c\u30c8\u30e2\u30bb\u30e9\u30d4\u30fc\uff0c\u30ce\u30d0\u30ea\u30b9\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\uff0c\u30c8\u30a5\u30eb\u30fc\u30d3\u30fc\u30e0\uff0c\u30cf\u30eb\u30b7\u30aa\u30f3 Halcyon\uff0c\u30af\u30ea\u30ca\u30c3\u30af\uff0c\u306a\u3069\u3092\u7528\u3044\u30663\u56de\uff0c5\u56de\uff0c8\u56de\uff0c13\u56de\uff0c25\u56de\u306a\u3069\u306b\u5206\u3051\u3066\u7167\u5c04\u3057\u307e\u3059<\/li>\n<\/ul>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11819\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11821\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/srsmeta2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u653e\u5c04\u7dda\u5916\u79d1 SRS \u306e\u6cbb\u7642\u8a08\u753b\u3067\u3059\u3002\u5de6\u5074\u306e\u3068\u3066\u3082\u5c0f\u3055\u306a\u8133\u8ee2\u79fb\u306b\u305f\u3044\u3057\u3066\uff0c\u4e2d\u5fc3\u7dda\u91cf25\u30b0\u30ec\u30a4\uff0c\u8fba\u7e01\u7dda\u91cf20\u30b0\u30ec\u30a4\u306e\u8a08\u753b\u3067\u3059\u3002\u9ec4\u8272\u306e\u7dda\u3088\u308a\u5916\u306b\u306f\u307b\u3068\u3093\u3069\u653e\u5c04\u7dda\u304c\u5165\u3089\u306a\u3044\u6cbb\u7642\u3067\u3059\u3002\u3067\u3082\u5468\u8fba\u8133\u304c\u5168\u304f\u88ab\u66dd\u3057\u306a\u3044\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u9ad8\u7cbe\u5ea6\u653e\u5c04\u7dda\u6cbb\u7642\u88c5\u7f6e\u3068\u306f<\/h4>\n<p>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30c8\u30e2\u30bb\u30e9\u30d4\u30fc\uff0c\u30ce\u30d0\u30ea\u30b9\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\uff0c\u30c8\u30a5\u30eb\u30fc\u30d3\u30fc\u30e0\u304c\u4ee3\u8868\u7684\u306a\u3082\u306e\u3067\u3059\u3002\u7167\u5c04\u91ce\u3092\u6c7a\u3081\u308b\u6642\u306e\u7cbe\u5ea6\u304c\u9ad8\u304f\u3066\uff0c\u5468\u56f2\u306e\u8133\u306e\u88ab\u66dd\u304c\u6291\u3048\u3089\u308c\u307e\u3059\u3002\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306f\u5206\u5272\u7167\u5c04\u304c\u96e3\u3057\u3044\uff0c\u30ce\u30d0\u30ea\u30b9\u306f\u591a\u767a\u75c5\u5909\u3078\u306e\u5bfe\u5fdc\u304c\u96e3\u3057\u3044\u306a\u3069\uff0c\u305d\u308c\u305e\u308c\u306b\u5229\u70b9\u3068\u6b20\u70b9\u304c\u3042\u308a\u307e\u3059\u3002\u30c8\u30a5\u30eb\u30fc\u30d3\u30fc\u30e0\u306f\u4e2d\u5fc3\u7dda\u91cf\u3092\u9ad8\u304f\u3067\u304d\u308b\u3002\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306f\u653e\u5c04\u7dda\u5916\u79d1\u306b\u9069\u3057\u3066\u3044\u3066\uff0c\u30ea\u30cb\u30a2\u30c3\u30af\uff08\u30e9\u30a4\u30ca\u30c3\u30af\uff09\u306f\u5b9a\u4f4d\u5206\u5272\u7167\u5c04\u306b\u9069\u3057\u3066\u3044\u308b\u88c5\u7f6e\u3060\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n<h4>\u308f\u304b\u308a\u306b\u304f\u3044\u8a00\u8449\uff1a\u4e09\u6b21\u5143\u6cbb\u7642\u8a08\u753b\u306e\u7cbe\u5ea6,\u539f\u4f53\u7167\u5c04<\/h4>\n<ul>\n<li>conformality\u3068\u3044\u3046\u8a00\u8449\u304c\u4f7f\u308f\u308c\u307e\u3059\uff0c\u3053\u308c\u306f\u816b\u760d\u306e\u4f53\u7a4d\u3068\u5f62\u306b\u5fdc\u3058\u3066\uff0c\u653e\u5c04\u7dda\u7167\u5c04\u306e\u4f53\u7a4d\u3068\u5f62\u72b6\u3092\u3069\u308c\u3060\u3051\u5408\u308f\u305b\u3089\u308c\u308b\u304b\u3068\u3044\u3046\u3053\u3068\u3067\u3059<\/li>\n<li>\u5b9a\u4f4d\u7167\u5c04 sterotactic radiation\uff0c\u539f\u4f53\u7167\u5c04 conformal radiaiton\u304c\u542b\u307e\u308c\u307e\u3059<\/li>\n<li>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306f\u30a2\u30a4\u30bd\u30bb\u30f3\u30bf\u30fc\u306e\u6570\u3092\u591a\u304f\u3059\u308b\u3053\u3068\u3067\u9ad8\u3044conformality\u304c\u5f97\u3089\u308c\u307e\u3059<\/li>\n<li>\u76f4\u7dda\u52a0\u901f\u5668\uff08\u30e9\u30a4\u30ca\u30c3\u30af\uff09\u3067\u3082\u5fae\u5c0f\u306a\u30de\u30eb\u30c1\u30ea\u30fc\u30d5\u30b3\u30ea\u30e1\u30fc\u30bf\u3068\u3044\u3046\u306e\u3092\u4f7f\u3046\u3068\u9ad8\u3044conformality\u304c\u5f97\u3089\u308c\u307e\u3059\u3002<\/li>\n<li>\u4e09\u6b21\u5143\u6cbb\u7642\u8a08\u753b\u306e\u7cbe\u5ea6conformality\u304c\u9ad8\u3044\u3068\u3044\u3046\u3053\u3068\u306f\uff0c\u6b63\u5e38\u306e\u8133\u306b\u4f59\u5206\u306b\u5f53\u305f\u308b\u653e\u5c04\u7dda\u91cf\u304c\u5c11\u306a\u304f\u306a\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u304b\u3089\u5f8c\u907a\u75c7\u304c\u5c11\u306a\u3044\u3068\u671f\u5f85\u3055\u308c\u307e\u3059<\/li>\n<li>\u816b\u760d\u306e\u5e83\u304c\u308b\u7bc4\u56f2\u306e\u4e88\u60f3\u304c\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u308b\u3082\u306e\u306b\u5fdc\u7528\u3055\u308c\u307e\u3059<\/li>\n<li>\u3067\u3082\u9006\u306b\uff0c\u7cbe\u5bc6\u306a\u4e09\u6b21\u5143\u7167\u5c04\u3092\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u6d78\u6f64\u6027\u306e\u816b\u760d\u3082\u3042\u308a\u307e\u3059\u304b\u3089\uff0c\u5168\u3066\u306e\u8133\u816b\u760d\u306b\u3053\u308c\u304c\u3044\u3044\u3068\u306f\u8003\u3048\u306a\u3044\u3067\u4e0b\u3055\u3044<\/li>\n<\/ul>\n<h4>\u5373\u6642\u9069\u5408\u578b\u653e\u5c04\u7dda\u6cbb\u7642 adaptive radiotherapy<\/h4>\n<ul>\n<li>\u52d5\u304f\u6a19\u7684\u306b\u306e\u52d5\u304d\u306b\u5408\u308f\u305b\u3066\u7167\u5c04\u3092\u3059\u308b\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u306bMRI\u3092\u3057\u306a\u304c\u3089\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3059<\/li>\n<li>\u30e1\u30ea\u30c7\u30a3\u30a2\u30f3 MRIdian\u3068\u3044\u3046\u88c5\u7f6e\u306a\u3069\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5206\u5272\u7167\u5c04\u3084IMRT\u306b\u7528\u3044\u3089\u308c\u307e\u3059<\/li>\n<li>\u80f8\u8179\u90e8\u306e\u52d5\u304f\u81d3\u5668\u306b\u306f\u5229\u70b9\u3092\u767a\u63ee\u3057\u307e\u3059\u304c\uff0c<span style=\"color: #000080;\"><strong>\u8133\u795e\u7d4c\u5916\u79d1\u306e\u6cbb\u7642\u3067\u306f\u3042\u307e\u308a\u5229\u70b9\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<\/ul>\n<h3><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u6cbb\u7642\u8a08\u753b\uff08\u7167\u5c04\u91ce\uff09\u3068\u8133\u306b\u3042\u305f\u308b\u653e\u5c04\u7dda\u306e\u91cf\u306e\u7c21\u5358\u306a\u56f3\u3067\u306e\u8aac\u660e<\/span><\/h3>\n<\/div>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10957\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose3-287x300.jpg\" alt=\"\" width=\"287\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose3-287x300.jpg 287w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose3-768x804.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose3-550x576.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose3.jpg 850w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/a><br \/>\nMRI\u3067\u307f\u3048\u308b\u816b\u760d\u306e\u9818\u57df\u3092<strong><span style=\"color: #ff0000;\">\u816b\u760d\u4f53\u7a4d (GTV\uff09<\/span><\/strong>\u3068\u3044\u3044\u307e\u3059<br \/>\n\u3053\u308c\u306f\u9000\u5f62\u6210\u6027\u661f\u7d30\u80de\u816b\u30b0\u30ec\u30fc\u30c9\uff13\u306e\u30d5\u30ec\u30a2\u753b\u50cf\u3068\u8a00\u3044\u307e\u3059\u3002\u767d\u304f\u898b\u3048\u308b\u90e8\u5206\u304c\u816b\u760d\u306a\u306e\u3067\u3059\u304c\uff0c\u3069\u3053\u307e\u3067\u304c\u816b\u760d\u306a\u306e\u304bMRI\u3067\u3082\u308f\u304b\u308a\u306b\u304f\u3044\u3082\u306e\u3067\u3059<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10944\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1-550x559.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose1.jpg 567w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><br \/>\n\u30aa\u30ec\u30f3\u30b8\u306e\u8272\u304cGTV\u3067\u306f\u3063\u304d\u308a\u816b\u760d\u3068\u65ad\u5b9a\u3067\u304d\u308b\u3068\u3053\u308d\u3067\u3059<br \/>\n\u30b0\u30ea\u30aa\u30fc\u30de\u306fMRI\u3067\u307f\u3048\u308b\u4ee5\u4e0a\u306b\u5e83\u304c\u3063\u3066\u3044\u308b\u306e\u3067\uff0c\u816b\u760d\u306e\u5468\u56f2\u3092\u5341\u5206\u306b\u56f2\u3080\u9818\u57df\u3092\u7167\u5c04\u3057\u307e\u3059\uff0c\u305d\u308c\u3092<span style=\"color: #ff0000;\"><strong>\u81e8\u5e8a\u7684\u6a19\u7684\u4f53\u7a4d (CTV)<\/strong><\/span>\u3068\u3044\u3044\u307e\u3059<br \/>\n\u8d64\u7d2b\u306e\u7dda\u3067\u56f2\u3063\u305f\u90e8\u5206\u306e\u5185\u5074\u3067\uff0c\u3073\u307e\u3093\u6027\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u5834\u5408\u306f\uff0cGTV\u304b\u308920mm\u304f\u3089\u3044\u306e\u8ddd\u96e2\u3092\u53d6\u308b\u306e\u304c\u666e\u901a\u3067\u3059<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10958\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose2-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose2-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose2-550x534.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose2.jpg 567w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u3055\u3089\u306b\u5c11\u3057 (0.3-0.5cm) \u9818\u57df\u3092\u5e83\u3052\u3066\u304b\u3051\u640d\u3058\u306e\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u306e\u3067<span style=\"color: #ff0000;\"><strong>\u6cbb\u7642\u8a08\u753b\u8868\u7684\u4f53\u7a4d (PTV)<\/strong><\/span>\u3068\u3044\u3044\u307e\u3059\uff0c\u4e0a\u306e\u56f3\u3067\u306f\u8d64\u7d2b\u306e\uff12\u672c\u306e\u7dda\u306e\u5916\u5074\u306b\u3042\u305f\u308a\u307e\u3059<br \/>\n\u8584\u8336\u8272\u306b\u5857\u3063\u305f\u90e8\u5206\u306b\u306f\u8a08\u753b54\u30b0\u30ec\u30a4\u306e90%\u4ee5\u4e0a\u306e\u7dda\u91cf\u304c\u5165\u308a\u307e\u3059<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10959\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose4-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose4-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose4-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/isodose4.jpg 548w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><br \/>\n\u3053\u306e\u4f53\u7a4d\u306e\u6c7a\u3081\u65b9\u306f\u816b\u760d\u306e\u5f62\u3084\u60aa\u6027\u5ea6\u306b\u3088\u3063\u3066\u3082\u5909\u308f\u3063\u3066\u304d\u307e\u3059<br \/>\n\u653e\u5c04\u7dda\u6cbb\u7642\u533b\u306e\u8155\u306e\u898b\u305b\u6240\u3067\u3059<br \/>\n\u5b9f\u969b\u306b\u653e\u5c04\u7dda\u304c\u3042\u305f\u308b\u306e\u306fPTV\u306e\u9818\u57df\u3067\u3059<\/p>\n<p>\u3053\u306e\u4f8b\u306e\u6cbb\u7642\u8a08\u753b\u3067\u3068\u3066\u3082\u5927\u5207\u306a\u70b9\u306f\uff0c\u816b\u760d\u306e\u3042\u308b\u5de6\u524d\u982d\u8449\u306b\u306f\u653e\u5c04\u7dda\u304c\u5341\u5206\u5165\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u304c\uff0c\u53f3\u524d\u982d\u8449\u306e\u88ab\u66dd\u306f\u6700\u4f4e\u9650\u306b\u6291\u3048\u3089\u308c\u3066\u3044\u308b\u70b9\u3067\u3059<br \/>\n\u4e21\u5074\u306e\u524d\u982d\u8449\u306e\u5bfe\u7167\u7684\u306a\u88ab\u66dd\u3067\u306f\u8a8d\u77e5\u6a5f\u80fd\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u3092\u77e5\u3063\u3066\u3044\u308b\u653e\u5c04\u7dda\u6cbb\u7642\u533b\u3060\u304b\u3089\u3067\u304d\u308b\u3053\u3068\u3067\u3059<\/p>\n<h5>\u307b\u3068\u3093\u3069\u306e\u816b\u760d\u3067\u306f\u816b\u760d\u5c40\u6240\u7167\u5c04\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/h5>\n<p>\u3053\u3053\u306b\u306f\uff0c\u8133\u816b\u760d\u306e\u6cbb\u7642\u3067\u826f\u304f\u7528\u3044\u3089\u308c\u308b\uff08\u62e1\u5927\uff09\u5c40\u6240\u7167\u5c04\uff0c\u5168\u8133\u5ba4\u7cfb\u7167\u5c04\uff0c\u5168\u8133\u7167\u5c04\u306e\u6cbb\u7642\u8a08\u753b\u3068\u8133\u306b\u3042\u305f\u308b\u7dda\u91cf\u306e\u5206\u5e03\u3092\u56f3\u306b\u3057\u3066\u3042\u308a\u307e\u3059\u3002\u5b9f\u969b\u306b\u8996\u5e8a\u4e0b\u90e8\uff0f\u4e0b\u5782\u4f53\u306b\u3067\u304d\u305f\u80da\u816b\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306e\u60a3\u8005\u3055\u3093\u306b\uff0c25.2\u30b0\u30ec\u30a4\u309214\u56de\u306b\u5206\u5272\u3057\u3066\u304b\u3051\u308b\u8a08\u753b\u3092\u7acb\u3066\u305f\u6642\u306e\u3082\u306e\u3067\u3059\u3002\u4e0a\u304b\u3089\u9806\u306b\u5c40\u6240\u7167\u5c04\uff0c\u5168\u8133\u5ba4\u7167\u5c04\uff0c\u5168\u8133\u7167\u5c04\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u304b\u3089\uff0c\u3053\u306e\u7167\u5c04\u304c\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304b\u3092\u7406\u89e3\u3059\u308b\u624b\u304c\u304b\u308a\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u9752\u3044\u7dda\u306fCTV\uff0c\u9ec4\u8272\u304f\u5857\u3063\u305f\u306e\u306fPTV\u3067\u3059\u3002<\/p>\n<h4 class=\"style1\"><strong><span style=\"color: #ff0000;\">\u816b\u760d\u5c40\u6240\u7167\u5c04<\/span><\/strong><\/h4>\n<p>\u30c8\u30eb\u30b3\u978d\uff08\u4e0b\u5782\u4f53\uff09\u3068\u8996\u5e8a\u4e0b\u90e8\u306b\u3042\u308b\u816b\u760d\u306e\u90e8\u5206\u3060\u3051\u306b\u5f53\u3066\u308b\u7167\u5c04\u3067\u3059\u3002\u76ee\u7684\u306e\u5834\u6240\u306b\u306f25.2\u30b0\u30ec\u30a4\u304c\u5165\u308a\u307e\u3059\u3002\u540c\u6642\u306b\u8133\u306e25%\u304f\u3089\u3044\u306e\u5bb9\u7a4d\u306b15\u30b0\u30ec\u30a4\u304c\u5165\u3063\u3066\u3044\u307e\u3059\u3002\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306b\u3053\u306e\u65b9\u6cd5\u3092\u4f7f\u3046\u3068\u653e\u5c04\u7dda\u306e\u5f53\u305f\u3063\u3066\u3044\u306a\u3044\u8133\u5ba4\u304b\u3089\u9ad8\u7387\u306b\u518d\u767a\u3057\u307e\u3059\u3002<\/p>\n<p>\u53f3\u5074\u306e\u30b0\u30e9\u30d5\u306e\u9ec4\u8272\u3044\u3068\u3053\u308d\u306e\u9762\u7a4d\u304c\u8133\u306b\u5165\u308b\u653e\u5c04\u7dda\u306e\u5408\u8a08\u91cf\u3067\u3059\u3002\u540c\u305825\u30b0\u30ec\u30a4\u3067\u3082\u5c40\u6240\u7167\u5c04\u3068\u5168\u8133\u7167\u5c04\u3067\u306f\u305a\u3044\u3076\u3093\u9055\u3046\u91cf\u304c\u5165\u3063\u3066\u3044\u308b\u306e\u304c\u5224\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b\u5e83\u3055\u306e\u3053\u3068<span style=\"color: #000080;\"><strong>\u3092\u7167\u5c04\u91ce radiation field<\/strong><\/span> \u3068\u3044\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/radiLF.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7675\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/radiLF.png\" alt=\"radiLF\" width=\"189\" height=\"195\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/LFdose.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7676\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/LFdose.png\" alt=\"LFdose\" width=\"290\" height=\"206\" \/><\/a><\/p>\n<h4 class=\"style1\"><strong><span style=\"color: #ff0000;\">\u5168\u8133\u5ba4\u7167\u5c04<\/span><\/strong><\/h4>\n<p>\u8133\u5ba4\u3059\u3079\u3066\u5074\u8133\u5ba4\uff0c\u7b2c\uff13\u8133\u5ba4\uff0c\u7b2c\uff14\u8133\u5ba4\u3068\u4e0b\u5782\u4f53\u306b\u5f53\u3066\u308b\u7167\u5c04\u3067\u3059\u3002\u80da\u816b\u30b8\u30a7\u30fc\u30df\u30ce\u30fc\u30de\u3067\u306f\u6700\u3082\u6c4e\u7528\u3055\u308c\u308b\u7167\u5c04\u65b9\u6cd5\u3067\u3059\u3002\uff08\u3053\u306e\u56f3\u3060\u3068\u3061\u3087\u3063\u3068\u7b2c\uff14\u8133\u5ba4\u306e\u4e0b\u306e\u65b9\u304c\u8db3\u308a\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\uff1f\uff09\u76ee\u7684\u306e\u5834\u6240\u306b\u306f25.2\u30b0\u30ec\u30a4\u304c\u5165\u308a\u307e\u3059\u3002\u540c\u6642\u306b\u8133\u306e60%\u304f\u3089\u3044\u306e\u5bb9\u7a4d\u306b15\u30b0\u30ec\u30a4\u304c\u5165\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u56f3\u3067\u306f\u6b8b\u5ff5\u306a\u304c\u3089\uff0c\u7b2c\uff14\u8133\u5ba4\u306e\u4e0b\u7aef\u304c\u5916\u308c\u3066\u3057\u307e\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/radiWV.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7677\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/radiWV.png\" alt=\"radiWV\" width=\"189\" height=\"194\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/WVdose.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7678\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/WVdose.png\" alt=\"WVdose\" width=\"290\" height=\"206\" \/><\/a><\/p>\n<h4 class=\"style1\"><strong><span style=\"color: #ff0000;\">\u5168\u8133\u7167\u5c04<\/span><\/strong><\/h4>\n<p>\u5168\u3066\u306e\u8133\u306b25.2\u30b0\u30ec\u30a4\u304c\u5165\u308a\u307e\u3059\u3002\u8133\u306e100%\u306e\u5bb9\u7a4d\u306b25.2\u30b0\u30ec\u30a4\u304c\u5165\u3063\u3066\u3044\u307e\u3059\u3002\u5168\u8133\u5ba4\u7cfb\u7167\u5c04\u3068\u5168\u8133\u7167\u5c04\u304c\u5909\u308f\u3089\u306a\u3044\u3068\u3044\u3046\u610f\u898b\u3082\u6642\u3005\u805e\u304d\u307e\u3059\u304c\uff0c\u5168\u8133\u5ba4\u3067\u7167\u5c04\u304c\u5165\u3089\u306a\u3044\u90e8\u5206\u3092\u898b\u308b\u3068\u304b\u306a\u308a\u9055\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u308a\u307e\u3059\u3002\u6d77\u99ac\u3060\u3051\u5916\u3059\u3088\u3046\u306a\u6cbb\u7642\u8a08\u753b hyppochanpal avoidant RT \u304c\u7528\u3044\u3089\u308c\u308b\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/radiWB.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7679\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/radiWB.png\" alt=\"radiWB\" width=\"189\" height=\"197\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/WBdose.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7680\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/WBdose.png\" alt=\"WBdose\" width=\"290\" height=\"206\" \/><\/a><\/p>\n<hr \/>\n<h4><strong><span style=\"color: #ff0000;\"><span class=\"style1\">\u8133\u810a\u9ac4\u7167\u5c04<\/span><\/span><\/strong>\uff08\u5168\u8133\u810a\u9ac4\u7167\u5c04\u3001\u5168\u8133\u5168\u810a\u9ac4\u7167\u5c04\u3001CSI craniospinal irradiation\uff09<\/h4>\n<ul>\n<li>\u5168\u3066\u306e\u8133\u3068\u810a\u9ac4\u306b\u653e\u5c04\u7dda\u304c\u5165\u308a\u307e\u3059<\/li>\n<li>\u4e00\u822c\u7684\u306b\u4f7f\u7528\u3055\u308c\u308b\u7dda\u91cf\u306f\u300118\u30b0\u30ec\u30a4\u304b\u308936\u30b0\u30ec\u30a4\u306e\u9593\u3067\u3059<\/li>\n<li>1\u56de\u7dda\u91cf\u306f\u5c0f\u5150\u3067\u306f1.8\u30b0\u30ec\u30a4\u3067\u5e74\u9577\u8005\u3067\u306f2\u30b0\u30ec\u30a4\u304f\u3089\u3044\u306e\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u5c0f\u5150\u306e\u8133\u810a\u9ac4\u7167\u5c04\u3067\u6700\u3082\u591a\u3044\u306e\u306f\uff0c23.4\u30b0\u30ec\u30a4\u306713\u56de\u306b\u5206\u3051\u308b\u65b9\u6cd5\u3067\u3059\u3002<\/li>\n<li>\u3068\u3066\u3082\u5927\u5207\u306a\u3053\u3068\u306f\u3001<span style=\"color: #ff0000;\"><strong>\u5168\u8133\u7167\u5c04\u3068\u5168\u810a\u9ac4\u7167\u5c04\u306f\u540c\u3058\u65e5\u306b\u884c\u3046<\/strong><\/span>\u3053\u3068\u3067\u3059<\/li>\n<li>\u8133\u3068\u810a\u9ac4\u306e\u7167\u5c04\u306e\u9593\u306b\u3064\u306a\u304e\u76ee\u304c\u3067\u304d\u307e\u3059\u304c\u3001\u305d\u308c\u306f1cm\u304f\u3089\u3044\u79fb\u52d5\u3057\u306a\u304c\u3089\u884c\u3063\u3066\u3001\u653e\u5c04\u7dda\u304c\u5165\u3089\u306a\u3044\u4e0a\u4f4d\u810a\u9ac4\u306e\u90e8\u5206\u3092\u306a\u304f\u3059\u3053\u3068\u3082\u3068\u3066\u3082\u5927\u5207\u3067\u3059<\/li>\n<li>\u6b8b\u5ff5\u306a\u304c\u3089\u65e5\u672c\u306e\u591a\u304f\u306e\u65bd\u8a2d\u3067\u307e\u3060\u3053\u308c\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u305b\u3093<\/li>\n<li>\u5168\u90e8\u306e\u8133\u306b\u653e\u5c04\u7dda\u3092\u5f53\u3066\u3066\u3001\u8133\u7167\u5c04\u304c\u7d42\u308f\u3063\u3066\u304b\u3089\u3001\u5168\u90e8\u306e\u810a\u9ac4\u306b\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b\u3068\u3001\u9ac4\u6db2\u306e\u4e2d\u306b\u64ad\u7a2e\u3057\u305f\u7d30\u80de\u304c\u5b8c\u5168\u306b\u305f\u305f\u3051\u306a\u3044\u3067\u3059<\/li>\n<li>\u4e3b\u306a\u526f\u4f5c\u7528\uff08\u653e\u5c04\u7dda\u969c\u5bb3\uff09\u306f\uff0c\u5168\u8133\u7167\u5c04\u306e\u7dda\u91cf\u306b\u3088\u3063\u3066\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li>\u4e88\u60f3\u3055\u308c\u308b\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\uff08\u5b66\u7fd2\u969c\u5bb3\u3001\u8a8d\u77e5\u75c7\uff09\u306e\u7a0b\u5ea6\u3092\u6cbb\u7642\u524d\u306b\u805e\u304d\u307e\u3057\u3087\u3046<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniospinal.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-9399\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniospinal-550x160.jpg\" alt=\"craniospinal\" width=\"550\" height=\"160\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniospinal-550x160.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniospinal-300x87.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniospinal-768x223.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniospinal.jpg 1181w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<p>\u5c0f\u5150\u4f8b\u3067\uff0c\u7cbe\u5ea6\u306e\u9ad8\u3044\u88c5\u7f6e\u3067\u8a08\u753b\u3055\u308c\u305f\u8133\u810a\u9ac4\u7167\u5c04\u306e\u7dda\u91cf\u5206\u5e03\u56f3\u3067\u3059\uff0c\u773c\u7403\uff0c\u7532\u72b6\u817a\uff0c\u80ba\uff0c\u8179\u90e8\u5185\u81d3\u306b\u653e\u5c04\u7dda\u304c\u5165\u3089\u306a\u3044\u3088\u3046\u306b\u8a2d\u8a08\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u6cbb\u7642\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u5c02\u9580\u533b\uff08\u653e\u5c04\u7dda\u6cbb\u7642\u533b\uff09\u306b\u3057\u304b\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n<h4>\u3068\u304f\u306b\u653e\u5c04\u7dda\u306b\u5f31\u3044\u3068\u3053\u308d\uff0c\u7279\u306b<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/anatomys\/temporal\/\">\u6d77\u99ac hippocampus<\/a><\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u30ec\u30f3\u30ba\uff0c\u7db2\u819c\uff0c\u8996\u795e\u7d4c\uff0c\u8996\u795e\u7d4c\u4ea4\u53c9\uff0c\u8133\u5e79\u90e8\uff0c\u4e0b\u5782\u4f53\uff0c\u8778\u725b\uff0c\u6d77\u99ac\u306a\u3069\u3067\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #333333;\">\u4f8b\u3048\u3070\uff0c\u8996\u795e\u7d4c\u3068\u8996\u795e\u7d4c\u4ea4\u53c9\u306f\uff0c1\u56de2\u30b0\u30ec\u30a4\u3067\u7dcf\u7dda\u91cf50\u30b0\u30ec\u30a4\u307e\u3067\u306a\u3089\u8010\u3048\u3089\u308c\u307e\u3059<\/span><strong><br \/>\n<\/strong><\/span><\/li>\n<li>\u8778\u725b\u306f\uff0c\u5206\u5272\u7167\u5c0445\u30b0\u30ec\u30a4\u4ee5\u4e0a\u306e\u7dda\u91cf\u3067\u306f\u611f\u97f3\u6027\u96e3\u8074\u304c\u3067\u307e\u3059\u3057\uff0c1\u56de\u7167\u5c04 (single dose)\u306f5.3\u30b0\u30ec\u30a4\u304c\u9650\u754c\u3067\u3059<\/li>\n<li>\u6d77\u99ac\u307830\u30b0\u30ec\u30a4\u4ee5\u4e0a\u5165\u308b\u3068\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3092\u62db\u304d\u307e\u3059\u306e\u3067\uff0c\u6d77\u99ac\u7167\u5c04\u304c\u3055\u3051\u3089\u308c\u308b\u65b9\u5411\u306b\u3042\u308a\u307e\u3059<\/li>\n<li><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/anatomys\/temporal\/\"><strong><span style=\"color: #000080;\">\u6d77\u99ac<\/span><\/strong><\/a>\u306f\uff0c\u5074\u982d\u8449\u306e\u5185\u5074\u306b\u3042\u308a\uff0c\u5b66\u7fd2\uff0c\u8a18\u61b6\uff0c\u7a7a\u9593\u8a8d\u8b58\uff08spartial awareness\u3002\u7269\u4f53\u306e\u3042\u308b\u5834\u6240\u30fb\u5927\u304d\u3055\u30fb\u5f62\u30fb\u901f\u3055\u30fb\u5411\u304d\u30fb\u7269\u4f53\u540c\u58eb\u306e\u4f4d\u7f6e\u95a2\u4fc2\u306a\u3069\u3092\u7d20\u65e9\u304f\u6b63\u78ba\u306b\u8a8d\u77e5\u3059\u308b\u80fd\u529b\uff09\u3092\u53f8\u308a\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u88ab\u66dd\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u306b\u306f\u6d77\u99ac\u306e\u6a5f\u80fd\u4f4e\u4e0b\u304c\u5927\u304d\u304f\u95a2\u308f\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u306f\u6570\u30f6\u6708\u3067\u660e\u3089\u304b\u3068\u306a\u308a\uff0c\u6570\u5e74\u304b\u3051\u3066\u3055\u3089\u306b\u3086\u3063\u304f\u308a\u9032\u884c\u60aa\u5316\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #333333;\">\u53ef\u80fd\u3067\u3042\u308c\u3070\uff0c\u6d77\u99ac\u3092\u907f\u3051\u308b<span style=\"color: #000080;\"><strong>HA-RT (hippocampus-avoidance radiation therapy)<\/strong><\/span>\u3092\u7528\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/span><\/li>\n<\/ul>\n<h4><strong>\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u7167\u5c04\u91ce<\/strong><\/h4>\n<p>2021\u5e74WHO\u5206\u985e\u3067\u306f\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u3073\u307e\u3093\u6027\u3068\u5883\u754c\u660e\u77ad\u306a\u3082\u306e\u3068\u5206\u5225\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u306b\u63a8\u5968\u3055\u308c\u308b\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u51fa\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5>\u3073\u307e\u3093\u6027\u30b0\u30ea\u30aa\u30fc\u30de diffise gliomas<\/h5>\n<p>\u5f37\u5ea6\u5909\u8abf\u653e\u5c04\u7dda\u6cbb\u7642 IMRT \u306a\u3069\u306e\u5e83\u7bc4\u56f2\u3067\u8907\u96d1\u306a\u5f62\u614b\u306e\u7167\u5c04\u91ce\u3092\u8a2d\u8a08\u3067\u304d\u308b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u4f7f\u7528\u3057\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u816b\u760d\u306f\u3069\u3053\u307e\u3067\u816b\u760d\u7d30\u80de\u304c\u5e83\u304c\u3063\u3066\u3044\u308b\u304b\u308f\u304b\u3089\u306a\u3044\u306e\u3067\uff0c\u30d5\u30ec\u30a2\u753b\u50cf\u3067\u898b\u3048\u308b\u816b\u760d\u306e\u9818\u57df GTV \u3088\u308a\u308215mm-20mm\u304f\u3089\u3044\u5e83\u3044\u9818\u57df CTV \u3092\u6c7a\u3081\u307e\u3059\u3002\u4ee3\u8868\u7684\u306a\u3082\u306e\u306b\uff0c\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\uff0c\u4e4f\u7a81\u8d77\u81a0\u816b\uff0c\u81a0\u82bd\u816b\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5>\u5883\u754c\u304c\u660e\u77ad\u306a\u30b0\u30ea\u30aa\u30fc\u30de circumscribed gliomas<\/h5>\n<p>\u539f\u4f53\u7167\u5c04 conformal radiation therapy \u3092\u7528\u3044\u307e\u3059\u3002\u816b\u760d\u6d78\u6f64\u304c\u306a\u3044\u7a2e\u985e\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u306a\u306e\u3067\uff0c\u816b\u760d\u306e\u3042\u308b\u9818\u57dfGTV\u306b\u9650\u5c40\u6027\u306e\u7167\u5c04\u3092\u3057\u307e\u3059\u3002\u3042\u308b\u3044\u306f\u3054\u304f\u308f\u305a\u304b\u306b\u30de\u30fc\u30b8\u30f3\u3092\u5e83\u3052\u3066CTV\u3068\u3057\u307e\u3059\u3002\u4ee3\u8868\u7684\u306a\u3082\u306e\u306b\uff0c\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\uff0c\u591a\u578b\u9ec4\u8272\u661f\u7d30\u80de\u816b\uff0c\u4e0a\u8863\u4e0b\u5de8\u7d30\u80de\u661f\u7d30\u80de\u816b\uff0c\u795e\u7d4c\u7bc0\u81a0\u816b\uff0c\u4e2d\u67a2\u6027\u795e\u7d4c\u7d30\u80de\u7a2e\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h3><span style=\"color: #000080;\">\u8133\u306e\u653e\u5c04\u7dda\u8010\u6027\u3068\u526f\u4f5c\u7528<\/span><\/h3>\n<ul>\n<li>\u5e74\u9f62\u3068\u7167\u5c04\u306e\u7bc4\u56f2\u306b\u3088\u3063\u3066\u6c7a\u307e\u308a\uff0c\u3068\u3066\u3082\u8907\u96d1\u3067\u3059\u3002\u4f8b\u3048\u3070\uff0c\u5168\u8133\u306b40\u30b0\u30ec\u30a4\u3068\u3044\u3046\u7dda\u91cf\u3092\u304b\u3051\u308b\u3068\u3057\u307e\u3059\u3002\u3053\u308c\u306f\u6210\u4eba\u3067\u306f\u8a31\u3055\u308c\u308b\u91cf\u304b\u3082\u77e5\u308c\u307e\u305b\u3093\u3002<\/li>\n<li>\u3057\u304b\u3057\uff0c4\u6b73\u306e\u5b50\u4f9b\u306b\u3053\u306e\u7dda\u91cf\u3092\u5f53\u3066\u3066\u3057\u307e\u3048\u3070\u77e5\u80fd\u306e\u767a\u9054\u306f\u671f\u5f85\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059\u3002\u9006\u306b75\u6b73\u306e\u9ad8\u9f62\u8005\u306b\u3053\u306e\u91cf\u3092\u5f53\u3066\u308c\u3070\u304b\u306a\u308a\u9ad8\u7387\u306b\u8a8d\u77e5\u75c7\uff08\u75f4\u5446\uff09\u306b\u306a\u308a\u307e\u3059\u3002<a title=\"\u5168\u8133\u7167\u5c04\u5f8c\u306e\u8133\u58ca\u6b7b\u3068\u767d\u8cea\u8133\u75c7\" href=\"\/sawamura\/pediattumor\/csiradiationnecrosi\/\"><strong><span style=\"color: #ff0000;\">\u767d\u8cea\u8133\u75c7<\/span><\/strong><\/a>\u3068\u3044\u3046\u306e\u304c\u8d77\u3053\u308b\u306e\u3067\u3059\u3002<\/li>\n<li>\uff13\u6b73\u672a\u6e80\u306e\u5b50\u4f9b\u306b\u306f\u3069\u306e\u3088\u3046\u306a\u7dda\u91cf\u3067\u3042\u308c\u6cbb\u7642\u306b\u7528\u3044\u308b\u3060\u3051\u306e\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308c\u3070\u8a8d\u77e5\u6a5f\u80fd\uff08\u77e5\u80fd\u6307\u6570\uff09\u306e\u767a\u9054\u306f\u671f\u5f85\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f25\u30b0\u30ec\u30a4\u304f\u3089\u3044\u307e\u3067\u306a\u3089\u5b88\u308c\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\uff0c\u307e\u305f\u8133\u5e79\u90e8\u306f50\u30b0\u30ec\u30a4\u304f\u3089\u3044\u307e\u3067\u306a\u3089\u8010\u3048\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<li>\u8996\u795e\u7d4c\u7d44\u7e54\u306f\u5206\u5272\u7167\u5c04\u306750\u30b0\u30ec\u30a4\u304f\u3089\u3044\u306f\u8010\u3048\u307e\u3059\u3002\u4e00\u56de\u7167\u5c04\uff08\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff09\u3060\u3068\uff18\u30b0\u30ec\u30a4\u304f\u3089\u3044\u304c\u9650\u754c\u3067\u3057\u3087\u3046\u3002<\/li>\n<li>\u3067\u3082\uff0c\u547d\u304c\u304b\u304b\u3063\u3066\u3044\u308b\u3068\u305d\u3093\u306a\u3053\u3068\u3092\u8a00\u3063\u3066\u3044\u3089\u308c\u306a\u3044\u5834\u5408\u3082\u3042\u308b\u306e\u3067\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u62c5\u5f53\u306e\u5148\u751f\u3068\u3088\u304f\u3088\u304f\u8a71\u3057\u5408\u3063\u3066\u4e0b\u3055\u3044\u3002<\/li>\n<li>\u4e00\u56de\u7dda\u91cf\u306f\uff0c1.8\u304b\u30892.0\u30b0\u30ec\u30a4\u304f\u3089\u3044\u3067\uff0c\uff11\u9031\u9593\u306b\uff14\u304b\u3089\uff15\u56de\u306e\u7167\u5c04\u3092\u3059\u308b\u306e\u304c\u666e\u901a\u3067\u3059\u3002\u3053\u308c\u4ee5\u4e0a\u306e\u5bc6\u5ea6\u3067\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7d9a\u3051\u308b\u3068\u526f\u4f5c\u7528\u306f\u5927\u304d\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>\u540c\u305820\u30b0\u30ec\u30a4\u3068\u3044\u3046\u91cf\u3092\u816b\u760d\u306b\u304b\u3051\u308b\u306e\u3067\u3082\uff0c\uff11\u56de\u3067\u304b\u3051\u308b\u306e\u306810\u56de\u306b\u5206\u3051\u3066\u304b\u3051\u308b\u306e\u3067\u306f\u5929\u3068\u5730\u306e\u958b\u304d\u304c\u3042\u308a\u307e\u3059\u3002\uff11\u56de\u3067\u304b\u3051\u308c\u3070\u304b\u306a\u308a\u6709\u5bb3\u4e8b\u8c61\uff08\u526f\u4f5c\u7528\uff09\u306f\u591a\u304f\u306a\u308a\u307e\u3059\u304c\uff0c\u9006\u306b\u6cbb\u7642\u52b9\u679c\u306f\u9ad8\u304f\u306a\u308b\u306e\u3067\u3059\u3002\u5206\u5272\u3059\u308c\u3070\u526f\u4f5c\u7528\u306e\u9762\u3067\u306f\u5b89\u5168\u3068\u3044\u3048\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u5206\u5272\u7167\u5c04\u3068\u653e\u5c04\u7dda\u5916\u79d1\uff08\u4e00\u56de\u7167\u5c04\uff09\u306f\u5168\u304f\u9055\u3063\u305f\u6cbb\u7642\u3060\u3068\u8003\u3048\u305f\u65b9\u304c\u3044\u3044\u3067\u3059\u3002<\/li>\n<li>\u5bb9\u7a4d\u52b9\u679c\u3068\u3044\u3046\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u72ed\u3044\u7bc4\u56f2\u306e\u5927\u8133\u306a\u308960\u30b0\u30ec\u30a4\u304f\u3089\u3044\u304b\u3051\u3089\u308c\u308b\u3051\u3069\uff0c\u5e83\u3044\u7bc4\u56f2\u306e\u5927\u8133\u306b60\u30b0\u30ec\u30a4\u3092\u304b\u3051\u308b\u3068<span style=\"color: #ff0000;\"><strong><a title=\"\u653e\u5c04\u7dda\u8133\u58ca\u6b7b radiation necrosis\" href=\"\/sawamura\/braintumors\/radiationnecrosis\/\"><span style=\"color: #ff0000;\">\u653e\u5c04\u7dda\u58ca\u6b7b<\/span><\/a><\/strong><\/span>\uff08\u653e\u5c04\u7dda\u306b\u3088\u308b\u5927\u8133\u306e\u58ca\u6b7b\uff09\u304c\u751f\u3058\u3066\u3057\u307e\u3046\u3053\u3068\u3067\u3059\u3002<\/li>\n<li>\u4e00\u822c\u7684\u306b\u3069\u306e\u3088\u3046\u306a\u60aa\u6027\u816b\u760d\u3067\u3042\u3063\u3066\u308260\u30b0\u30ec\u30a4\u3092\u8d8a\u3048\u308b\u7dda\u91cf\u306f\u7528\u3044\u3089\u308c\u307e\u305b\u3093\u3002<\/li>\n<li>\u5b50\u4f9b\u306e\u5834\u5408\u306f\uff0c\u540c\u3058\u816b\u760d\u3067\u540c\u3058\u9818\u57df\u306b\u7167\u5c04\u3059\u308b\u6642\u306b\u3082\u5c0f\u3055\u3044\u5b50\u4f9b\u306f\u3088\u308a\u5c11\u306a\u304f\u3059\u308b\u5de5\u592b\u304c\u5fc5\u8981\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u653e\u5c04\u7dda\u306e\u91cf\u3092\u6e1b\u3089\u305b\u3070\u52b9\u679c\u306f\u6e1b\u308b\u306e\u3067\u3059\u304c\uff0c\u8133\u306e\u767a\u9054\u3092\u6700\u4f4e\u9650\u5b88\u308b\u305f\u3081\u306b\u306f\u4ed5\u65b9\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/li>\n<li>\u9ad8\u9f62\u8005\u306b\u5168\u8133\u7167\u5c04\u3092\u3059\u308b\u3053\u3068\u306b\u95a2\u3057\u3066\u306f\uff0c\u4ed5\u65b9\u304c\u306a\u3044\u3068\u3044\u3046\u610f\u898b\u3068\uff0c\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u306f\u304b\u306a\u308a\u9ad8\u3044\u7dda\u91cf\u304c\u7167\u5c04\u3055\u308c\u308b\u306e\u3067\u3059\u304c\uff0c\u539f\u5247\u3068\u3057\u3066\u6b63\u5e38\u306e\u8133\u795e\u7d4c\u7d44\u7e54\u306b\u306f\u653e\u5c04\u7dda\u304c\u3042\u305f\u3089\u306a\u3044\u3088\u3046\u306b\u5de5\u592b\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u8a31\u3055\u308c\u308b\u306e\u3067\u3059\u3002<\/li>\n<li>\u3082\u3061\u308d\u3093\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u3082\u653e\u5c04\u7dda\u8133\u58ca\u6b7b\u306f\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<div>\n<h4><span style=\"color: #000080;\"><a style=\"color: #000080;\" title=\"pseudoprogression\" href=\"\/sawamura\/braintumors\/pseudoprogression\/\">\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u507d\u6027\u9032\u884c\uff08\u507d\u5897\u60aa\uff0c\u64ec\u4f3c\u9032\u884c\uff0c\u4e00\u6642\u7684\u306a\u60aa\u5316\uff09<br \/>\npseuroprogression \u30b9\u30fc\u30c9\u30fb\u30d7\u30ed\u30b0\u30ec\u30c3\u30b7\u30e7\u30f3<br \/>\n\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u898b\u308c\u307e\u3059<\/a><\/span><\/h4>\n<\/div>\n<p>\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u6cbb\u7642\u5f8c\u306b\u306f\u3088\u304f\u898b\u3089\u308c\u308b\u91cd\u8981\u306a\u75c5\u614b\u3067\u3059<\/p>\n<h4><span style=\"color: #000080;\"><a style=\"color: #000080;\" title=\"\u653e\u5c04\u7dda\u8133\u58ca\u6b7b radiation necrosis\" href=\"\/sawamura\/braintumors\/radiationnecrosis\/\">\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u8133\u58ca\u6b7b radiaiton necrosis\u30fb\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/span><\/h4>\n<p>\u653e\u5c04\u7dda\u58ca\u6b7b\u3068\u8a00\u3044\u307e\u3059\u3002\u4e00\u5ea6\u751f\u3058\u3066\u3057\u307e\u3046\u3068\uff0c\u58ca\u6b7b\u304c\u53ce\u307e\u3089\u305a\u306b\u9577\u304f\u7d9a\u304d\u307e\u3059\uff0c\u6570\u30f6\u6708\u304b\u3089\u9577\u3044\u3068\u304d\u306b\u306f1\u5e74\u304f\u3089\u3044\u8133\u6d6e\u816b\uff08\u8133\u306e\u816b\u308c\uff09\u3067\u82e6\u3057\u3080\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n\u3053\u308c\u306f\u901a\u5e38\u5206\u5272\u7167\u5c04\u3067\u3082\uff0c\u5b9a\u4f4d\u7167\u5c04\u3067\u3082\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u3067\u3082\uff0c\u967d\u5b50\u7dda\u3067\u3082\uff0c\u91cd\u7c92\u5b50\u7dda\u3067\u3082\u540c\u3058\u3053\u3068\u3067\u3059\u3002<\/p>\n<h5>\u653e\u5c04\u7dda\u306e\u6669\u671f\u969c\u5bb3\uff08\u983b\u5ea6\u306f\u591a\u304f\u306a\u3044\u306e\u3067\u3042\u307e\u308a\u5fc3\u914d\u3057\u306a\u3044\uff01\uff09<\/h5>\n<ul>\n<li>\u305a\u3063\u3068\u4f55\u5e74\u3082\u5f8c\u306b\u306a\u3063\u3066\u8d77\u3053\u308b\u5f8c\u907a\u75c7\u3092\u3044\u3044\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">2\u6b21\u816b\u760d\uff08\u653e\u5c04\u7dda\u8a98\u767a\u816b\u760d\uff09<\/span><\/strong>\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u306e10\u5e74\u304f\u3089\u3044\u5f8c\u306b\u306a\u3063\u3066\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u653e\u5c04\u7dda\u8a98\u767a\u816b\u760d\u306e\u4e2d\u3067\u306f\uff0c\u9ac4\u819c\u816b\u304c\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u9ac4\u819c\u816b\u306f\u901a\u5e38\u306e\u3082\u306e\u3088\u308a\u65e9\u304f\u5927\u304d\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3082\u591a\u3044\u3067\u3059\u304c\uff0c\u3053\u308c\u306f\u4f55\u3082\u3057\u306a\u3044\u3067\u69d8\u5b50\u3092\u307f\u3066\u3044\u3044\u3067\u3059\u3002<\/li>\n<li>\u764c\u3084\u8089\u816b\uff0c\u3042\u308b\u3044\u306f\u81a0\u82bd\u816b\u3068\u3044\u3063\u305f\u60aa\u6027\u5ea6\u306e\u9ad8\u3044\u816b\u760d\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3053\u306e\u5834\u5408\u306f\u307b\u3068\u3093\u3069\u6cbb\u7642\u6cd5\u304c\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/li>\n<li>\u7167\u5c04\u5f8c\u306e\uff15\u5e74\u4ee5\u4e0a\u5f8c\u306b\u306a\u3063\u3066<strong><span style=\"color: #ff0000;\">\u8133\u6897\u585e<\/span><\/strong>\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u3053\u308c\u306f\uff0c\u8133\u306e\u592a\u3081\u306e\u8840\u7ba1\u304c\u72ed\u7a84\u3092\u8d77\u3053\u3057\u3066\u72ed\u304f\u306a\u3063\u3066\uff0c\u8a70\u307e\u3063\u3066\u3057\u307e\u3046\u304b\u3089\u304a\u304d\u308b\u306e\u3067\u3059\u3002<\/li>\n<li>\u8133\u8840\u7ba1\u969c\u5bb3\u304c\u8d77\u3053\u308b\u304b\u3069\u3046\u304b\u306f\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u4f55\u5e74\u3082MRA\uff08\u8133\u306e\u8840\u7ba1\u3092\u5199\u3059\uff09\u3068\u3044\u3046\u691c\u67fb\u3092\u3057\u3066\u69d8\u5b50\u3092\u898b\u3066\u3044\u304b\u306a\u3044\u3068\u308f\u304b\u308a\u307e\u305b\u3093\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u4e0b\u5782\u4f53\u6a5f\u80fd\u306e\u4f4e\u4e0b<\/span><\/strong>\u304c\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u5f8c\u3067\u6570\u5e74\u305f\u3063\u3066\u304b\u3089\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u3053\u308c\u306f\u4e0b\u5782\u4f53\u306b\u653e\u5c04\u7dda\u7167\u5c04\u304c\u5165\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3067\u6c7a\u307e\u308a\u307e\u3059\u306e\u3067\uff0c\u5ff5\u306e\u305f\u3081\u6cbb\u7642\u3092\u53d7\u3051\u308b\u6642\u306b\u805e\u3044\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/li>\n<li>\u4e0b\u5782\u4f53\u304c\u7167\u5c04\u3055\u308c\u305f\u5834\u5408\u306b\u306f\u5185\u5206\u6ccc\u30db\u30eb\u30e2\u30f3\u306e\u691c\u67fb\u3092\u4f55\u5e74\u304b\u7d9a\u3051\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002<\/li>\n<li>\u8133\u810a\u9ac4\u7167\u5c04\u3067\u7532\u72b6\u817a\uff08\u9996\u306e\u3068\u3053\u308d\u306b\u3042\u308a\u307e\u3059\uff09\u3068\u3044\u3046\u3068\u3053\u308d\u306b\u7167\u5c04\u304c\u5165\u308b\u3068\u539f\u767a\u6027<strong><span style=\"color: #ff0000;\">\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7<\/span><\/strong>\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u3092\u88dc\u3046\u305f\u3081\u306b\u30c1\u30e9\u30fc\u30b8\u30f3\u3068\u3044\u3046\u85ac\u3092\u98f2\u307e\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"\/sawamura\/braintumors\/radiation-induced-tumor\/\">\u4e8c\u6b21\u816b\u760d\u30fb\u653e\u5c04\u7dda\u8a98\u767a\u816b\u760d\uff1a\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/span><br \/>\n<span style=\"color: #000080;\"> secondary tumor, secondary cancer, radiation-induced tumor<\/span><\/h5>\n<h4>\u5168\u8133\u7167\u5c04\u3092\u3081\u3050\u308b\u8b70\u8ad6:\uff1a\u6d77\u99ac\u3092\u907f\u3051\u308b\u5168\u80fd\u7167\u5c04<\/h4>\n<ul>\n<li>\u5168\u90e8\u306e\u8133\u306b\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b\u3068\uff0c\u8a8d\u77e5\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u307e\u3059\uff08\u8a8d\u77e5\u75c7\uff09<\/li>\n<li>30\u30b0\u30ec\u30a4\u309215\u5206\u5272\u304f\u3089\u3044\u3059\u308b\u7dda\u91cf\u304b\u3089\u305d\u306e\u75c7\u72b6\u304c\u76ee\u7acb\u3064\u3088\u3046\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u591a\u767a\u6027<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/meta\/\"><strong><span style=\"color: #000080;\">\u8ee2\u79fb\u6027\u8133\u816b\u760d<\/span><\/strong><\/a>\u3068<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/lymphoma\/\"><strong><span style=\"color: #000080;\">\u30ea\u30f3\u30d1\u816b PCNS<\/span>L<\/strong><\/a>\u3067\u554f\u984c\u3068\u306a\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u8fd1\u5e74\u306f\uff0c\u5168\u8133\u7167\u5c04\u3092\u306a\u308b\u3079\u304f\u907f\u3051\u308b\u3068\u3044\u3046\u65b9\u5411\u306b\u9032\u3093\u3067\u3044\u307e\u3059<\/li>\n<li>\u5168\u8133\u7167\u5c04\u3092\u3059\u308b\u3068\u304d\u306b\u306f\uff0c<strong><span style=\"color: #000080;\">\u6d77\u99ac\u306e\u88ab\u66dd<\/span><\/strong><strong><span style=\"color: #000080;\">\u3092\u907f\u3051\u308b\u3088\u3046\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u8a08\u753b<\/span><\/strong>\u3092\u7acb\u3066\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u6d77\u99ac\u56de\u907f\u5168\u8133\u653e\u5c04\u7dda\u6cbb\u7642<\/strong><\/span>\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>2018\u5e74\uff0cASTRO\u3068\u3044\u3046\u5b66\u4f1a\u3067518\u4eba\u306e\u60a3\u8005\u3055\u3093\u306e\u81e8\u5e8a\u7b2c3\u76f8\u8a66\u9a13\u306e\u6cbb\u7642\u6210\u7e3e\u304c\u767a\u8868\u3055\u308c\u307e\u3057\u305f\uff0c\u6d77\u99ac\u3092\u907f\u3051\u308b\u3053\u3068\u3067\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u309226%\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u305f\u3068\u306e\u7d50\u8ad6\u3067\u3059<\/li>\n<li>\u3057\u304b\u3057\u3002\u540c\u3058\u7814\u7a76\u306e2024\u5e74\u306e\u518d\u8a55\u4fa1\u3067\u306f\u3082\u3068\u3082\u3068\u8a8d\u77e5\u6a5f\u80fd\u304c\u4f4e\u304b\u3063\u305f\u4eba\uff0c\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306e\u60a3\u8005\u3055\u3093\u306b\u3057\u304b\uff0c\u8a8d\u77e5\u6a5f\u80fd\u306e\u6e29\u5b58\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f<\/li>\n<\/ul>\n<h4>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3000\u5fae\u5c0f\u8840\u7ba1\u969c\u5bb3<\/h4>\n<h4>\u591a\u767a\u6027\u5fae\u5c0f\u8133\u51fa\u8840<\/h4>\n<ul>\n<li>\u307b\u3068\u3093\u3069\u304c\u5c0f\u5150\u306b\u751f\u3058\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e40%\u304f\u3089\u3044\u3067\u307f\u3089\u308c\u307e\u3059<\/li>\n<li>\u7167\u5c04\u5f8c10\u5e74\u304f\u3089\u3044\u9577\u671f\u89b3\u5bdf\u3092\u3057\u3066\u3044\u308b\u3068\u5b9f\u969b\u306b\u975e\u5e38\u306b\u9ad8\u983b\u5ea6\u306b\u307f\u307e\u3059<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u306f\uff0c\u653e\u5c04\u7dda\u8a98\u767a2\u6b21\u816b\u760d\u3068\u3044\u3046\u3088\u308a\u3082\uff0c<span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u306b\u3088\u308b\u8133\u5185\u5c0f\u8840\u7ba1\u640d\u50b7<\/strong><\/span>\u306b\u3088\u308b\u8840\u7ba1\u969c\u5bb3\u3068\u3057\u3066\u6349\u3048\u305f\u65b9\u304c\u3088\u3044\u3067\u3059<\/li>\n<li>T2\u30b9\u30bf\u30fc\u3068\u3044\u3046MRI\u753b\u50cf\u3067\u767a\u898b\u3067\u304d\u307e\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-18636\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed1-1-296x300.jpg\" alt=\"\" width=\"296\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed1-1-296x300.jpg 296w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed1-1-550x557.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed1-1.jpg 691w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-18637\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed2-300x298.jpg\" alt=\"\" width=\"300\" height=\"298\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed2-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed2-550x546.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed2.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-18638\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed3-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed3-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed3-550x541.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed3.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-18639\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed4-300x296.jpg\" alt=\"\" width=\"300\" height=\"296\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed4-300x296.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed4-550x542.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/microbleed4.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>11\u6b73\u306e\u6642\u306b\u5168\u8133\u5ba4\u7167\u5c0424\u30b0\u30ec\u30a4\u30fb12\u5206\u5272\u3092\u53d7\u3051\u305f\u5973\u306e\u5b50\u3067\u3059\u300210\u5e74\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\uff0c\u8133\u306e\u3042\u3061\u3053\u3061\u306b\u5c0f\u3055\u306a\u9ed2\u3044\u70b9\u72b6\u306e\u3082\u306e\u304c\u898b\u3048\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u5b50\u4f9b\u306e\u9803\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u4eba\u306b\u591a\u304f\uff0c\u306a\u3093\u3067\u3082\u306a\u3044\u3082\u306e\u3067\u75c7\u72b6\u306f\u51fa\u307e\u305b\u3093\u3057\uff0c\u307b\u3063\u3066\u304a\u3044\u3066\u3044\u3044\u3082\u306e\u3067\u3059\u3002\u5fae\u5c0f\u306a\u8133\u9759\u8108\u306e\u653e\u5c04\u7dda\u640d\u50b7\u306b\u3088\u308b\u8840\u6db2\u306e\u6f0f\u308c\u3060\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<ul>\n<li>\u4f4e\u4fe1\u53f7\uff08\u9ed2\u3044\u30b7\u30df\u307f\u305f\u3044\u306a\u3082\u306e\uff09\u3068\u3057\u3066\u8133\u5185\u305f\u304f\u3055\u3093\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u306f\u8840\u6db2\u306e\u4e2d\u306e\u9244\u5206\u304c\u8133\u306b\u6ef2\u307f\u8fbc\u3093\u3060\u5f62\u8de1\u3092\u307f\u3066\u3044\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u3060\u304b\u3089\uff0c<span style=\"color: #000080;\"><strong>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3068\u306f\u8a00\u308f\u306a\u3044\u3067\uff0cblood leak\uff08\u8840\u6db2\u304c\u6f0f\u308c\u305f\u75d5\u8de1\uff09<\/strong><\/span>\u3068\u8aad\u3093\u3060\u65b9\u304c\u3044\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3068\u3044\u3046\u3068\u816b\u760d\u307f\u305f\u3044\u3060\u304b\u3089\u3067\u3059<\/li>\n<li>\u5e74\u6708\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u6570\u304c\u5897\u52a0\u3057\u307e\u3059<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u306f\u767a\u751f\u3057\u3066\u3082\u4f55\u3089\u75c7\u72b6\u3092\u5448\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u6cbb\u7642\u3092\u305b\u305a\u306b\u653e\u7f6e\u3057\u307e\u3059<\/li>\n<li>\u307e\u308c\u306b\u5c0f\u3055\u306a\u8133\u51fa\u8840\u3092\u751f\u3058\u307e\u3059\u304c\uff0c\u7d4c\u904e\u3092\u898b\u308c\u3070\u8840\u816b\u306f\u81ea\u7136\u306b\u5438\u53ce\u3055\u308c\u307e\u3059<\/li>\n<li>\u5927\u304d\u304f\u306a\u308b\u3068\u8840\u7ba1\u816b\u3068\u3088\u3070\u308c\u308b\u8133\u816b\u760d\u307f\u305f\u3044\u306a\u584a\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u307e\u305f\u30b5\u30a4\u30ba\u304c\u5927\u304d\u306a\u76ae\u8cea\u3092\u4fb5\u3059\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u306f\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3068\u3066\u3082\u5927\u304d\u306a\u3082\u306e2\u304b\u30893cm\u4ee5\u4e0a\u304f\u3089\u3044\u306b\u306a\u308b\u3068\u6458\u51fa\u3092\u8003\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\u307b\u3068\u3093\u3069\u624b\u8853\u306a\u3069\u3057\u306a\u3044\u3067\u307b\u3063\u3066\u304a\u304d\u307e\u3059<\/li>\n<\/ul>\n<div class=\"setumei\">\n<h4><span style=\"color: #000080;\"><strong><a title=\"\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u767d\u8cea\u5909\u6027\" href=\"\/sawamura\/braintumors\/radiationwaller\/\">\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u8133\u6881\u306b\u898b\u3089\u308c\u308b\u767d\u8cea\u5909\u6027\u30fb\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/strong><\/span><\/h4>\n<\/div>\n<h4>\u4f55\u5e74\u3082\u304b\u304b\u3063\u3066\u5f90\u3005\u306b\u8a8d\u77e5\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068<\/h4>\n<p><span class=\"author\">Douw L<\/span>, <span class=\"articleTitle\">Cognitive and radiological effects of radiotherapy in patients with low\u2010grade glioma: long\u2010term follow\u2010up<\/span>. <span class=\"journalTitle\">Lancet Neurol<\/span>. <span class=\"pubYear\">2009<br \/>\n65\u4f8b\u306e\u4f4e\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u60a3\u8005\u3055\u3093\u3067\uff0c\u4e2d\u592e\u502412\u5e74\u5f8c\u306e\u8a8d\u77e5\u6a5f\u80fd\u304c\u3069\u3046\u306a\u3063\u305f\u304b\u306e\u5831\u544a\u3067\u3059\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\u3055\u3093\u3067\u306f\u6709\u610f\u306a\u4f4e\u4e0b\u306f\u306a\u304b\u3063\u305f\u306e\u3067\u3059\u304c\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u60a3\u8005\u3055\u3093\u3067\u306f\u8a8d\u77e5\u6a5f\u80fd\u304c\u5e74\u4f59\u306e\u7d4c\u904e\u3067\u5f90\u3005\u306b\u4f4e\u4e0b\u3057\u307e\u3057\u305f\u3002\u4e00\u56de\u7dda\u91cf fraction dose 2\u30b0\u30ec\u30a4\u4ee5\u4e0b\u3067\u3082\u4f4e\u4e0b\u306f\u3042\u308a\u307e\u3057\u305f\u3002\u5927\u8133\u767d\u8cea\u306e\u9ad8\u4fe1\u53f7\u306e\u5e83\u304c\u308a\u3068\u5927\u8133\u5168\u822c\u306e\u840e\u7e2e\u306e\u50be\u5411\u304c\u3053\u306e\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\u3059\u308b\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/span><\/p>\n<h4>2\u56de\u76ee\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3001\u518d\u7167\u5c04 \u00a0reirradiation<\/h4>\n<ul>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u65b9\u6cd5\u3001\u7dda\u91cf\u3001\u9818\u57df\u3067\u5224\u65ad\u306f\u5168\u304f\u7570\u306a\u308a\u307e\u3059<\/li>\n<li>\u5e38\u8b58\u7684\u306b\u306f\u3001\uff12\u5ea6\u76ee\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u3067\u304d\u306a\u3044\u3068\u53d7\u3051\u6b62\u3081\u3066\u4e0b\u3055\u3044<\/li>\n<li>\u3067\u3059\u304b\u3089\u521d\u56de\u6cbb\u7642\u3067\u75c5\u6c17\u3092\u78ba\u5b9f\u306b\u6cbb\u3059\u3053\u3068\u304c\u5927\u5207\u3067\u3059<\/li>\n<li>\u7b2c\u4e00\u306e\u7406\u7531\u306f\u3001\u8133\u3084\u795e\u7d4c\u306e\u653e\u5c04\u7dda\u8010\u6027\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308b\u304b\u3089\u3067\u3059<\/li>\n<li>\u4f8b\u3048\u3070\u8996\u795e\u7d4c\u306f\u591a\u5206\u5272\u306750\u30b0\u30ec\u30a4\u304f\u3089\u3044\u3057\u304b\u8010\u3048\u307e\u305b\u3093<\/li>\n<li>\uff12\u5ea6\u76ee\u306e\u7167\u5c04\u3092\u3059\u308c\u3070\u5931\u660e\u3057\u307e\u3059<\/li>\n<li>\u3042\u308b\u7a0b\u5ea6\u5e83\u7bc4\u56f2\u306a\u7167\u5c04\u3001\u30b0\u30ea\u30aa\u30fc\u30de\u306b\u5bfe\u3059\u308b\u7167\u5c04\u306a\u3069\u3067\u306f\uff12\u5ea6\u76ee\u306e\u7167\u5c04\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u3082\u3057\u3067\u304d\u3066\u3082\u304b\u306a\u308a\u7bc4\u56f2\u3068\u7dda\u91cf\u304c\u9650\u3089\u308c\u307e\u3059<\/li>\n<li>\u521d\u56de\u6cbb\u7642\u306750\u30b0\u30ec\u30a4\u4f7f\u7528\u3057\u3066\u3001\u518d\u7167\u5c04\u3057\u306640\u30b0\u30ec\u30a4\u4f7f\u3048\u3070\u3001\u7dcf\u7dda\u91cf90\u30b0\u30ec\u30a4\u3067\u3001\u8133\u7d44\u7e54\u306f\u5b8c\u5168\u306b\u6b7b\u3093\u3067\u3057\u307e\u3044\u307e\u3059<\/li>\n<li>\u3067\u3082\u5e74\u6708\u304c\u7d4c\u3063\u3066\u3044\u308b\u3068\u3042\u308b\u7a0b\u5ea6\u306e\u7167\u5c04\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>1\u5e74\u7d4c\u3066\u3070\u30011\u30b0\u30ec\u30a4\u304f\u3089\u3044\u306e\u4f59\u88d5\u304c\u751f\u307e\u308c\u307e\u3059<\/li>\n<li>\u4f8b\u3048\u3070\u30011\u65e5\u7dda\u91cf2\u30b0\u30ec\u30a4\u7a0b\u5ea6\u306725\u30b0\u30ec\u30a4\u306e\u7167\u5c04\u3092\u3059\u308b\u3068\u300110\u5e74\u7d4c\u3066\u307015\u30b0\u30ec\u30a4\u5f53\u3066\u305f\u3053\u3068\u306b\u3059\u308c\u3070\u3044\u3044\u3068\u8003\u3048\u308b\u306e\u3067\u3059<\/li>\n<li>\u4e00\u65b9\u3067\u3001\u5b9a\u4f4d\u7167\u5c04\uff08\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\uff09\u306f\u518d\u7167\u5c04\u304c\u53ef\u80fd\u306a\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<\/ul>\n<div class=\"setumei\">\n<hr \/>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/photos\/sola15.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/photos\/sola15.png\" alt=\"\" width=\"250\" height=\"345\" \/><\/a><\/p>\n<h5>\u6587\u732e<\/h5>\n<h4>\u30e8\u30fc\u30ed\u30c3\u30d1\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/h4>\n<p>Baumert BG:\u00a0ESTRO-EANO guideline on target delineation and radiotherapy for IDH-mutant WHO CNS grade 2 and 3 diffuse glioma.Radioth Oncol 2025<br \/>\n\u661f\u7d30\u80de\u816b\u30b0\u30ec\u30fc\u30c92\u30683\u306b\u5bfe\u3059\u308b\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u65b9\u91dd\u3092\u6c7a\u3081\u305f\u3082\u306e\u3067\u3059\u3002GTV\u306f\uff0cT2\/FLAIR\u3067\u7570\u5e38\u306b\u898b\u3048\u308b\u90e8\u5206\u3092\u5168\u3066\u542b\u307f\u307e\u3059\u3002\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u308b\u816b\u760d\u306f\u5f53\u7136\u542b\u307f\uff0c\u624b\u8853\u3055\u308c\u3066\u3044\u308c\u3070\u6458\u51fa\u8154\u3082\u56f2\u307f\u307e\u3059\u3002\u30b0\u30ec\u30fc\u30c93\u3067\uff0c\u660e\u3089\u304b\u306b\u8133\u6d6e\u816b\u3068\u8003\u3048\u3089\u308c\u308b\u90e8\u5206\u306fGTV\u304b\u3089\u5916\u3057\u307e\u3059\u3002CTV\u306f\uff0c\u30b0\u30ec\u30fc\u30c92\u306710mm\uff0c\u30b0\u30ec\u30fc\u30c93\u306715mm\u306e\u30de\u30fc\u30b8\u30f3\u3092\u53d6\u308a\u307e\u3059\u3002\u7dda\u91cf\u306f\uff0c\u30b0\u30ec\u30fc\u30c92\u306750.4 Gy 28\u5206\u5272\uff0c\u30b0\u30ec\u30fc\u30c93\u306759.4\u00a0Gy 33\u5206\u5272\u3067\u3059\u3002\u53ef\u80fd\u306a\u9650\u308aIMRT\u306e\u30c6\u30af\u30cb\u30c3\u30af\u3092\u7528\u3044\u307e\u3059\u3002<\/p>\n<h4 class=\"heading-title\">\u6d77\u99ac\u56de\u907f\u5168\u8133\u7167\u5c04\u306f\u4e00\u90e8\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u610f\u7fa9\u304c\u3042\u308b<\/h4>\n<p class=\"heading-title\">Chemg HR: Evaluating the heterogeneity of hippocampal avoidant whole brain radiotherapy treatment effect: A secondary analysis of NRG CC001 Neuro Oncol<br \/>\n2018\u5e74\u306e518\u4f8b\u306e\u60a3\u8005\u3055\u3093\u306e\u8ffd\u52a0\u89e3\u6790\u3067\u3059\u3002\u5168\u8133\u7167\u5c04\u3068\u30e1\u30de\u30f3\u30c1\u30f3\u3042\u308b\u3044\u306f\u305d\u308c\u306b\u6d77\u99ac\u3092\u56de\u907f\u3057\u305f\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u518d\u6bd4\u8f03\u3055\u308c\u307e\u3057\u305f\u3002<br \/>\n4\u30f6\u6708\u4ee5\u5185\u306b\u8a55\u4fa1\u3057\u305f\u5834\u5408\u306f\uff0c\u6d77\u99ac\u3092\u56de\u907f\u3057\u305f\u307b\u3046\u304c\u8a8d\u77e5\u6a5f\u80fd\u304c\u826f\u304b\u3063\u305f\u306e\u3067\u3059\u304c\uff0c4\u30f6\u6708\u4ee5\u4e0a\u751f\u5b58\u3057\u305f\u60a3\u8005\u3055\u3093\u3092\u6bd4\u8f03\u3057\u305f\u5834\u5408\uff0c\u6d77\u99ac\u3092\u88c2\u3051\u3066\u3082\u907f\u3051\u306a\u304f\u3066\u3082\u6709\u610f\u306a\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\uff01(\u25ce_\u25ce;) \u3057\u304b\u3057\uff0c\u3082\u3068\u3082\u3068MDASI-BT scores\u304c\u4f4e\u3044\u60a3\u8005\u3055\u3093\u3067\u306f\u8a8d\u77e5\u6a5f\u80fd\u8a55\u4fa1\u3067\u5229\u70b9\u304c\u898b\u3089\u308c\u305f\u305d\u3046\u3067\u3059\u3002\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306e\u60a3\u8005\u3055\u3093\u3067\u3082\u5229\u70b9\u304c\u3042\u3063\u305f\u305d\u3046\u3067\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u6765\u3055\u308c\u305f\u307b\u3069\u306e\u8a55\u4fa1\u304c\u306a\u3044\u3088\u3046\u3067\u3057\u305f\u3002\u3082\u3068\u3082\u3068\u77e5\u80fd\u306e\u4f4e\u3044\u60a3\u8005\u3055\u3093\u3084\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306e\u60a3\u8005\u3055\u3093\u306b\u306f\u5229\u76ca\u304c\u3042\u3063\u305f\u3088\u3046\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u5c71\u672c\u54f2\u54c9\u3082\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059 \u5927\u5207\u306a\u3053\u3068 \u591a\u304f\u306e\u8133\u816b\u760d\u306b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059 \u653e\u5c04\u7dda\u6cbb\u7642\u3067\u751f\u547d\u4e88\u5f8c\u304c\u6c7a\u307e\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059 \u3067\u3082\uff0c\u653e\u5c04\u7dda\u306e\u7dda\u91cf\uff08\u30b0\u30ec\u30a4\uff09\uff0c\u5206\u5272\u56de\u6570\uff0c\u7bc4\u56f2\uff08\u7167\u5c04\u91ce\uff09\uff0c\u7167\u5c04\u65b9\u6cd5\uff08IMRT\u3068\u304b\u5b9a\u4f4d\u7167\u5c04\u3068\u304b\uff09 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,4],"tags":[],"class_list":["post-146","post","type-post","status-publish","format-standard","hentry","category-pediattumor","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=146"}],"version-history":[{"count":102,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/146\/revisions"}],"predecessor-version":[{"id":23242,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/146\/revisions\/23242"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}