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1.
Artículo en Ruso | MEDLINE | ID: mdl-1326193

RESUMEN

A method for stereotaxic intratissue radiotherapy of brain tumors based on the findings of computed tomography is described. Radiosurgical implantation of sources with increased 252Cf content emitting mixed neutron + gamma-radiation was accomplished by means of an ANET-B apparatus by the afterloading method. Neutron irradiation is particularly effective in patients with malignant tumors possessing a large fraction of cells in a state of deep anoxia. Dosimetric planning was conducted by means of an original computer system. Devices and radiation-technical equipment for adaptation of the ANET-B apparatus for irradiation of neurosurgical patients are described. The indications for the use of this method and its place among the complex of measures for the treatment of patients with new growths of the brain are discussed. The first experience in using CT-stereotaxic neutron brachytherapy with californium sources on the ANET-B apparatus for the treatment of 6 patients with malignant glial tumors of the brain is dwelt on.


Asunto(s)
Braquiterapia/métodos , Neoplasias Encefálicas/radioterapia , Californio/uso terapéutico , Neutrones/uso terapéutico , Técnicas Estereotáxicas , Tomografía Computarizada por Rayos X , Adulto , Braquiterapia/instrumentación , Encéfalo/diagnóstico por imagen , Neoplasias Encefálicas/diagnóstico por imagen , Neoplasias Encefálicas/cirugía , Humanos , Masculino , Radiocirugia , Dosificación Radioterapéutica , Planificación de la Radioterapia Asistida por Computador
2.
Med Radiol (Mosk) ; 36(4): 44-8, 1991.
Artículo en Ruso | MEDLINE | ID: mdl-2034088

RESUMEN

A computerized system PLUT-B intended for a dosimetric design of stereotaxic neutron brachytherapy of brain tumors, was developed. It is capable of simulating dose distribution in various parameters of irradiation, manipulating them, retaining the surgical aspects within the field of vision, and arriving at an acceptable dosimetric plan. The system permits visualization of a target with an applied dose field in the multiwindow mode, layer-by-layer vision in any direction, displaying a scheme of implantation, and drawing up of maps of isodose distributions. It is intended to be used by a physician, convenient in operation, the time at the design stage is 35-40 minutes.


Asunto(s)
Braquiterapia , Neoplasias Encefálicas/radioterapia , Dosificación Radioterapéutica , Planificación de la Radioterapia Asistida por Computador , Neoplasias Encefálicas/cirugía , Humanos , Postura , Técnicas Estereotáxicas
5.
Med Radiol (Mosk) ; 35(8): 5-7, 1990 Aug.
Artículo en Ruso | MEDLINE | ID: mdl-2388539

RESUMEN

The paper is concerned with main values of dose exposure of the USSR population as a result of medical roentgenological investigations. The authors issue practical organizational-methodological recommendations for irradiation reduction resulting from giving up chest x-ray, a decrease in prophylactic fluorography, improvement of technical facilities for investigations of the digestive tract, and organization of roentgenoradiological departments as independent health service units.


Asunto(s)
Vigilancia de la Población , Dosis de Radiación , Radiografía , Humanos , U.R.S.S.
6.
Med Radiol (Mosk) ; 35(7): 23-7, 1990 Jul.
Artículo en Ruso | MEDLINE | ID: mdl-2374480

RESUMEN

The authors presented clinical material on cerebral hemodynamics in patients with neurological pathology in suspected tumor vascular cerebral diseases and craniocerebral traumas. Investigation of cerebral microcirculation was performed using a multidetector single-photon emission tomograph "Testoscan" (USSR) after iv administration of 99mTc-hexamethylpropilene-amyloxine. This radiopharmaceutical is good for the evaluation of cerebral perfusion and gives a clinician rich information on cerebral microcirculation.


Asunto(s)
Circulación Cerebrovascular , Cabeza/diagnóstico por imagen , Compuestos de Organotecnecio , Oximas , Tomografía Computarizada de Emisión de Fotón Único/métodos , Adulto , Anciano , Trastornos Cerebrovasculares/diagnóstico por imagen , Evaluación de Medicamentos , Humanos , Aneurisma Intracraneal/diagnóstico por imagen , Ataque Isquémico Transitorio/diagnóstico por imagen , Microcirculación/diagnóstico por imagen , Persona de Mediana Edad , Exametazima de Tecnecio Tc 99m , Tomografía Computarizada de Emisión de Fotón Único/instrumentación
7.
Med Radiol (Mosk) ; 35(6): 3-8, 1990 Jun.
Artículo en Ruso | MEDLINE | ID: mdl-2162462

RESUMEN

The paper is concerned with the results of single-photon emission tomography and gamma-topography in patients with cerebral tumors, cerebral circulatory disorders and pathology of the liquor system. Tomographic investigation was shown to enhance the accuracy and reliability of the detection of cerebral tumors. Single-photon emission computerized gamma-tomography (SPECT) permitted the detection of structural and morphological cerebral changes in disturbed cerebral circulation of various etiology. SPECT together with computerized tomography and radionuclide cisternography was shown to be an auxiliary method for visualization of the cerebral cisterns. Radionuclide tomographic images as compared to gamma-topographic findings of the brain possessed a high statistical significance and good resolution.


Asunto(s)
Neoplasias Encefálicas/diagnóstico por imagen , Líquido Cefalorraquídeo/diagnóstico por imagen , Trastornos Cerebrovasculares/diagnóstico por imagen , Tomografía Computarizada de Emisión de Fotón Único/instrumentación , Adulto , Encéfalo/diagnóstico por imagen , Estudios de Evaluación como Asunto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Compuestos de Organotecnecio , Oximas , Pertecnetato de Sodio Tc 99m , Exametazima de Tecnecio Tc 99m , Tomografía Computarizada de Emisión de Fotón Único/métodos
8.
Med Radiol (Mosk) ; 35(1): 22-6, 1990 Jan.
Artículo en Ruso | MEDLINE | ID: mdl-2308495

RESUMEN

The results of radiation therapy conducted after various schemes were compared in 77 patients operated on for medulloblastoma of the posterior cranial fossa: 1. irradiation of the posterior cranial fossa area; 2. irradiation of this area and the entire length of the spinal marrow; 3. total irradiation of the CNS. Stages in a metastatic process necessitate irradiation in stages, i.e. irradiation of the posterior cranial fossa and the length of the spinal marrow followed by irradiation of the cerebral hemispheres one year after the operation. Total irradiation of the CNS shortly after the operation is recommended only in the presence of early metastases.


Asunto(s)
Neoplasias Cerebelosas/radioterapia , Meduloblastoma/radioterapia , Neoplasias Cerebelosas/epidemiología , Niño , Preescolar , Terapia Combinada , Fosa Craneal Posterior , Femenino , Rayos gamma/uso terapéutico , Humanos , Masculino , Meduloblastoma/epidemiología , Neoplasias Meníngeas/epidemiología , Neoplasias Meníngeas/radioterapia , Neoplasias Meníngeas/secundario , Métodos , Pronóstico , Dosificación Radioterapéutica , Inducción de Remisión , Estudios Retrospectivos , Espacio Subaracnoideo
9.
Med Radiol (Mosk) ; 34(12): 3-7, 1989 Dec.
Artículo en Ruso | MEDLINE | ID: mdl-2601589

RESUMEN

A study was made of the cerebral hemodynamics by assessing the distribution in single-photon emission computerized tomography with 99mTc-hexamethyl-propyleneminoxyne in health using a Testascan in 9 standard slices. The whole set of tomographic slices was conventionally divided into 3 levels. For better orientation in gamma-tomographic images, pictures were presented where in addition to scintigrams a morphological scheme of the cerebral parts with the marked parts perfused by cerebral arteries, was given.


Asunto(s)
Encéfalo/diagnóstico por imagen , Circulación Cerebrovascular , Compuestos de Organotecnecio , Oximas , Tomografía Computarizada de Emisión de Fotón Único/métodos , Encéfalo/irrigación sanguínea , Neoplasias Encefálicas/diagnóstico por imagen , Neoplasias Encefálicas/fisiopatología , Circulación Cerebrovascular/fisiología , Trastornos Cerebrovasculares/diagnóstico por imagen , Trastornos Cerebrovasculares/fisiopatología , Medios de Contraste , Hemodinámica/fisiología , Humanos , Exametazima de Tecnecio Tc 99m , Tomografía Computarizada de Emisión de Fotón Único/instrumentación
10.
Artículo en Ruso | MEDLINE | ID: mdl-2556877

RESUMEN

The article reviews various methods for the exposure of pituitary adenomas to the effect of radiation applied either as the only measure or in combination with surgery and drug therapy. The indications for radiotherapy are discussed according to the size and hormonal activity of the tumor.


Asunto(s)
Adenoma/radioterapia , Neoplasias Hipofisarias/radioterapia , Adenoma/complicaciones , Adenoma/cirugía , Terapia Combinada , Estudios de Seguimiento , Rayos gamma/uso terapéutico , Humanos , Irradiación Hipofisaria , Neoplasias Hipofisarias/complicaciones , Neoplasias Hipofisarias/cirugía , Protones , Teleterapia por Radioisótopo , Silla Turca
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