Expérience française de l’irradiation corporelle totale en pédiatrie : étude du comité de radiothérapie de la Société française des cancers de l’enfant (SFCE)
| Autor: | Jean-Louis Habrand, Pierre-Yves Bondiau, Charlotte Demoor-Goldschmidt, E. Le Prisé, Laetitia Padovani, Renaud Mazeron, Xavier Muracciole, C. Kerr, Marc-André Mahé, A. Jouin, Line Claude, J. Leseur, B. Coche, Valérie Bernier, A. Ruffier, C. Vigneron, Sophie Chapet, Sylvie Helfre, Georges Noël, Christian Carrie, Stéphane Supiot, Claire Alapetite, Dinu Stefan |
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| Rok vydání: | 2016 |
| Předmět: |
education.field_of_study
Supine position business.industry medicine.medical_treatment LATERAL DECUBITUS Population Mediastinal mass Total body irradiation Radiation therapy 03 medical and health sciences 0302 clinical medicine Oncology Homogeneous 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging General anaesthesia education business Nuclear medicine 030215 immunology |
| Zdroj: | Cancer/Radiothérapie. 20:304-307 |
| ISSN: | 1278-3218 |
| DOI: | 10.1016/j.canrad.2016.02.011 |
| Popis: | A survey was conducted in 2015 in France on the care of children in radiotherapy services. We present the results for total body irradiation in children, a specific technique of radiation treatment, which needs dedicated controls for this particular population. Of the 17 centres interviewed, 16 responded, and 13 practiced total body irradiation. Patients are positioned in lateral decubitus in 11 centres and supine/prone in two centres. Doses used for total body irradiation in myeloablative bone marrow transplantation are the same in all centres (12Gy); treatments are always fractionated. Lung shielding is positioned to limit the dose at an average of 8Gy with extremes ranging from 6 to 10Gy. The shape of the shieldings varies depending on departments' protocol, with a smaller size in case of mediastinal mass. Four centres have experience of total body irradiation under general anaesthesia, despite twice-daily fractions. In total, practice is relatively homogeneous throughout France and is inspired by the knowledge obtained in adults. |
| Databáze: | OpenAIRE |
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