Department of Radiation Oncology (Shen WB,Cao YK,Zhu SHCH,Li YM,Li SHG),Department of Thoracic Surgery (Wen SHW,Zhu H),Forth Hospital,Hebei Medical University,Shijiazhuang 050011,China;Department of Radiation,First Hospital of Shijiazhaung,Shijiazhuang 050011,China (Gao HM)
Abstract：Objective To study the relationship between radiation gastritis (RG) caused by esophageal cancer radical postoperative prophylactic IMRT and the dose of gastric. Methods A total of 49 esophageal cancer patients received postoperative adjuvant radiatherapy after esophagectomy,we analysised the dose-volume histogram of treatment plan and the the occurrence of RG,To analysis those physical indicators may be related to the occurrence of RG. The of ROC curve to analysis the physical index of the occurrence of acute radiation gastritis, Chi square test is compared between groups, Logistic method was used to multivariate analysis. Results The whole group,a total of 19 cases (39%) patients with symptoms of acute RG level 2 or higher. The Results of ROC curve analysis showed that the physical variables associated with the occurrence of RG include stomach Max,stomach Mean,LSTT5-LSTT40 and V5-V50.According to the ROC curve,the cutoff values of the physical parameters of the patients were grouped. The incidence of acute ≥2RG in the group of above boundary value patients significantly higher than below boundary value group,the physical index of the differences between groups were significant (P=0.000-0.022),except V5.The Results of Logistic multivariate analysis showed that LSTT5 and V40 were independent predictor of≥2 RG (P=0.026,0.001). Conclusions According to the Results of this study,We should pay attention to the protection of the stomach in develop a treatment plan for the prevention of postoperative patients with esophageal cancer,dose-volume histogram can well predict the occurrence of RG.Stomach LSTT5 and V40 were independent predictor of≥2 RG.The Results of this study need to be further studied.
Shen Wenbin,Gao Hongmei,Zhu Shuchai et al. The dose study of radiation gastritis caused by esophageal cancer radical postoperative prophylactic irradiation[J]. Chinese Journal of Radiation Oncology, 2016, 25(8): 818-822.
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