TomoTherapy

Tomotherapy

Ua hoʻolālā ʻia ka ʻōnaehana TomoTherapy e hāʻawi palekana a maʻamau i ka radiation therapy i alakaʻi ʻia e ke kiʻi, i hoʻololi ʻia i ka ikaika (IG-IMRT) no ka mālama ʻana i ke kanesa a me nā maʻi ʻē aʻe. ʻO ka mea i hoʻokaʻawale i ka ʻōnaehana TomoTherapy i ka hoʻohālikelike ʻia me nā ʻōnaehana radiation maʻamau, ʻo ia ka hoʻohui ʻana o ka scanner computed tomography (CT) e hana i ke kiʻi ʻana i kēlā me kēia lā ma mua o kēlā me kēia kau lapaʻau.

ʻO ka hiki ke kiʻi i kēlā me kēia lā e hiki ai i nā kauka ke ʻike a hoʻoponopono i nā ʻano like ʻole o ke kūlana o ka mea maʻi, nā loli o ka puʻupuʻu, a i ʻole nā ​​​​mea ʻē aʻe, e like me ka piʻi ʻana o ke kaumaha a i ʻole ka pohō, e hōʻoia i ka hoʻomau pololei a me ka palekana o ka lawe ʻana o ka nui o ka radiation i ka wahi i manaʻo ʻia. Ma muli o ka hoʻemi ʻana o ka pololei o ka ʻōnaehana TomoTherapy i ka hōʻike ʻana o ka radiation i nā ʻiʻo olakino a puni, hōʻike nā kauka he nui ua emi iho ka hopena o kā lākou mau maʻi i hoʻohālikelike ʻia me nā maʻi e loaʻa ana i nā ʻano maʻamau o ka radiation therapy.

Hiki i ka pololei ke hiki ke hoʻohana ʻia ka ʻōnaehana TomoTherapy e mālama i nā poʻe maʻi i loaʻa i ka radiation therapy ma mua inā ua hoʻi mai ko lākou mau maʻi ʻaʻai me ka hoʻohana ʻana i ka hana re-treatment.

No ke aha he mea nui ka pololei?

Ua hiki i nā holomua ʻenehana i nā mea hana o nā lako hana hoʻōla radiation kukuna waho ke hoʻomaikaʻi i ka pololei o kā lākou ʻōnaehana hoʻouna.

Laulaha:

• Pono ke kukuna radiation e komo a puka i waho o ke kino
• Hoʻemi ka hoʻolālā o ka hāmeʻa i ke ʻano e hiki ai ke kuhikuhi ʻia nā kukuna radiation i loko o ke kino
• Hiki i ka hāmeʻa ke hāʻawi i kekahi radiation i ka ʻiʻo e hoʻopuni ana i ka puʻupuʻu ma muli o ka neʻe ʻana o ka puʻupuʻu i ka wā o ka mālama ʻana

Hāʻawi ʻo Tomotherapy i ka hoʻouna mau ʻana o ka radiation mai 360 degere a puni ka mea maʻi, a i ʻole ka hoʻouna ʻana mai nā kihi kukuna i kuhikuhi ʻia e ke kauka. ʻO kēia mau hiʻohiʻona kūikawā, i hui pū ʻia me ke alakaʻi kiʻi 3D i kēlā me kēia lā, hiki i nā kauka ke hāʻawi i nā mahele dosis pololei loa, pilikino e kūlike pono ana i ke ʻano o ka puʻupuʻu o ka mea maʻi me ka hoʻemi ʻana i ka mahele i nā ʻiʻo maʻamau a olakino, e hopena ana i nā hopena ʻaoʻao liʻiliʻi no nā mea maʻi. Kōkua ka ʻōnaehana i ka mālama ʻana i nā hōʻailona radiation therapy maʻamau āpau e pili ana i ka umauma, prostate, māmā, a me ke poʻo a me ka ʻāʻī, me ka hoʻohui ʻana i nā lāʻau paʻakikī, e like me ka irradiation momona holoʻokoʻa.

maika

Ua loaʻa i nā maʻi ka pōmaikaʻi nui mai ka hanauna hou o TomoTherapy.

• Kōkua ke kiʻi ʻana i kēlā me kēia lā i ke kauka e ʻike i ka emi ʻana o ko lākou puʻupuʻu i kēlā me kēia lā, e kōkua ana iā lākou e kaupalena i ka nui o ka lāʻau i ka puʻupuʻu/maʻi ʻaʻai a ʻaʻole i ke kino olakino e hopena ana i nā pilikia liʻiliʻi a ma o ka kaohi ʻana i ka puʻupuʻu maikaʻi loa.
• ʻO ka haʻahaʻa o ke kiʻi CT kiʻi me ka Iterative imaging e kōkua pū i nā mea maʻi me nā implants metala e like me nā dentures, kahi pacemaker a i ʻole nā ​​​​implants orthopedic e loaʻa nā lāʻau lapaʻau pololei loa no ka mea hiki ke hana i ke kiʻi me ka ʻole o nā artifacts.
• Ka mana kūloko kiʻekiʻe o ka puʻupuʻu
• ʻO ka liʻiliʻi loa o ka lāʻau i nā ʻiʻo olakino a me nā ʻano anatomical maʻamau e like me nā maka, nā māmā, ka puʻuwai, nā puʻupaʻa, nā kelepa parotid a me nā ʻano ʻē aʻe e hoʻokō ana i nā hana koʻikoʻi i loko o ke kino a pēlā aku
• Ka nui o ke ola ola - Nā pilikia liʻiliʻi a i ʻole nā ​​​​hopena ʻaoʻao o ka mālama ʻana i ka radiation
• Nā pilikia liʻiliʻi loa a i ʻole nā ​​​​hopena ʻaoʻao o ka mālama ʻana i ka radiation
• Ua lilo nā lāʻau lapaʻau i manaʻo ʻia i mea maoli
• Ua kaupalena ʻia ka lāʻau i ka pahuhopu a i ʻole ka puʻupuʻu
• Hiki ke mālama ʻia me ka hilinaʻi nā lāʻau paʻakikī a me nā lāʻau lapaʻau pediatric

Ka nui o ke kahua lapaʻau

He mea maʻamau ka maʻi kanesa nui ma muli o ka lohi o ka ʻike ʻana a pinepine ka hopena o ka maʻi me ka puʻupuʻu nui/maʻi kanesa a i ʻole ma nā wahi he nui:

• ʻO ke ʻano o ka hui ʻole ʻana ʻaʻohe mahele lāʻau e pili ana a no laila e hopena i nā lāʻau lapaʻau kūlike loa a me ka liʻiliʻi o nā pilikia a me nā hopena ʻaoʻao ma muli o ke kiʻekiʻe o ka mahele lāʻau i nā ʻiʻo olakino a i ʻole nā ​​​​​​ʻōpū inā he lāʻau lapaʻau maʻamau ka linac.
• ʻO nā pono lapaʻau paʻakikī loa he pololei i mua a he kaʻina hana maʻalahi hoʻi e hōʻike ana i ka hōʻoluʻolu kiʻekiʻe o ka mea maʻi a me nā hopena maikaʻi loa.

He koi koʻikoʻi kēia ma ka ʻāina ʻoiai ʻo ka hapa nui o nā maʻi ma ka ʻāina e like me nā hōʻike e pono ai nā lāʻau lapaʻau ākea ma muli o nā kumu i lalo:

• He haʻahaʻa ka nui o ka ʻike ʻana o ka ʻāina me 20% a 30% wale nō o ka maʻi kanesa i ʻike ʻia ma ka Pae 1 a me 2.
• ʻOi aku ka nui o nā maʻi kanesa o ka Prostate, H&N, Lung, Breast & GI ma kēia ʻāina a hiki i ka 80-90% o nā maʻi kanesa ma ia ʻāina a ʻo ia kahi i loaʻa ai iā TomoTherapy nā hopena lapaʻau maikaʻi loa.

Ka laulā o nā hōʻailona i uhi ʻia

• Nā maʻi ʻaʻai lolo a me nā puʻupuʻu lolo maikaʻi
• Nā maʻi ʻaʻai poʻo, ʻāʻī a me ka waha
• ʻO nā maʻi ʻaʻai umauma, me ka maʻi mumū o ka umauma (ʻelua Unilateral a me Bilateral)
• Nā maʻi ʻaʻai māmā a me nā puʻupuʻu māmā
• ʻ canpala ʻili
• ʻO ke kanesa prostate, mai ke kahua mua a hiki i ka maʻi holomua
• Nā maʻi ʻaʻai o ka esophageal a me ka ʻōpū o luna
• Nā maʻi ʻaʻai cervical, ovarian, uterine, vaginal a me vulva
• Nā maʻi ʻaʻai kolona, ​​ʻōpū, rectal a me anal
• Nā maʻi ʻaʻai o ke akepaʻa a me ka pancreas
• Nā maʻi kanesa i metastasized i nā wahi he nui
• ʻO ka mālama ʻana ma mua o ke kāpili ʻana no nā maʻi koko, e like me ka leukemia