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Radioterapija s protonskimi žarki = Proton beam therapyCasar, Božidar ; Strojan, PrimožOb kirurškem in sistemskem zdravljenju je radioterapija eden od treh stebrov zdravljenja raka. Izjemen tehnološki razvoj na področju pospeševalnikov nabitih delcev je pripeljal do uveljavitve ... protonske radioterapije kot terapije izbora pri določenih skupinah bolnikov obolelih za rakom, v prvi vrsti otrok. Velika konkurenčnost med proizvajalci je botrovala postopnemu znižanju cen protonskih pospeševalnikov, ki so v zadnjih letih postali dostopni tudi državam, ki ne sodijo med najbogatejše. Kompleksnost radioterapije s protoni, velikost naprav in še vedno sorazmerno visoka cena so glavne ovire, da protonskih centrov že v tem trenutku ni več in da takšnega centra še vedno ni niti v Sloveniji niti ne drugod v jugovzhodni Evropi. Izbor bolnikov, ki bi imeli pomembno klinično korist od protonske radioterapije, je zahteven in tudi v svetu še ne docela dorečen. Prednost protonske pred konvencionalno fotonsko radioterapijo je v večji biološki učinkovitosti protonskih žarkov. Tudi fizikalno gledano so dozimetrične lastnosti protonskih žarkov bistveno ugodnejše glede sevalne obremenitve zdravih tkiv in rizičnih organov: večina njihove energije se sprosti na mestu, kjer je tumor, za razliko od fotonskih žarkov, kjer se večina energije sprosti v prvih nekaj centimetrih pod površino kože, kjer žarki vstopajo v telo. Podobno kot mnoge druge države je tudi Slovenija pred odločitvijo, kdaj in kako ustvariti pogoje za protonsko terapijo, ki pa jo bo treba sprejeti hitro in transparentno.Source: Onkologija = Slovenian Journal of Oncology. - ISSN 1408-1741 (Leto 22, št. 1, jun. 2018, str. 12-16)Type of material - article, component partPublish date - 2018Language - slovenianCOBISS.SI-ID - 2987131
Author
Casar, Božidar |
Strojan, Primož
Topics
radioterapija |
protoni |
Braggov vrh |
protonsko zdravljenje |
radiotherapy |
protons |
Bragg peak |
proton therapy
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source: Onkologija = Slovenian Journal of Oncology. - ISSN 1408-1741 (Leto 22, št. 1, jun. 2018, str. 12-16)
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Database name | Field | Year |
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Casar, Božidar | 15973 |
Strojan, Primož | 14576 |
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