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子宮頸癌根治的放射線治療期間中の子宮移動の予測因子について
Get PDF琉球大学博士(医学)To determine the predictive factors affecting uterine movement during radiotherapy (RT), we quantified interfractionuterine movement using computed tomography (CT) and cone-beam CT (CBCT). A total of 38 patientswho underwent definitive RT for cervical cancer were retrospectively analyzed. We compared pre-RT planning CT(n = 38) and intratreatment CBCT (n = 315), measuring cervical and corporal movement in each direction. Correlations between uterine movement and volume changes of the bladder and rectum on all CBCT scans wereanalyzed using Spearman rank correlation analysis. Relationships between the mean uterine movement and patientfactors were analyzed using the Mann–Whitney test. The mean corpus movement was: superior margin (cranio–caudal direction), 7.6 ± 5.9 mm; anterior margin (anteroposterior direction), 8.3 ± 6.3 mm; left margin (lateral direction),3.3 ± 2.9mm; and right margin (lateral direction), 3.0 ± 2.3 mm. Generally, the mean values for cervicalmovement were smaller than those for the corpus. There was a significant, weak correlation between changes inbladder volume and the movement of the superior margin of the corpus (ρ = 0.364, P difference in movement of the superior margin of the corpus between the subgroups with and without ahistory of previous pelvic surgery (P = 0.007). In conclusion, change in bladder volume and a history of previoussurgery were significantly related to intrafractional corpus movement; however, our observations suggest that theaccurate prediction of uterine movement remains challenging.学位論
Research and development of hybrid structural members for stainless steel bridges
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Long-term dietary nitrite and nitrate deficiency causes the metabolic syndrome, endothelial dysfunction and cardiovascular death in mice.
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