[非肿瘤性疾病的放射治疗:简史和 2024 年的适应症]。

Revue medicale de Liege Pub Date : 2024-05-01
Gilles Colin
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引用次数: 0

摘要

针对非肿瘤疾病的放射治疗由来已久。20 世纪下半叶,由于缺乏高水平的证据、治疗方法的替代性以及对副作用的恐惧(尤其是辐射诱发的癌症),一些适应症的应用寥寥无几。另一些则顺理成章地被放弃。这一趋势有两个例外。一方面,一些中欧国家(尤其是德国)仍在定期使用放射疗法治疗骨关节炎、足底筋膜炎、慢性肌腱病、杜普伊特伦病等疾病。另一方面,立体定向消融放射治疗的发展也开辟了新的适应症,无论是脑部(动静脉畸形、三叉神经痛、强迫症)还是心脏(室性心动过速)。在这篇文章中,我们将列举出 2024 年非肿瘤性疾病放射治疗的一些适应症(或者说可能性),但并非详尽无遗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Radiotherapy for non-tumoral disorders : a brief history and indications in 2024].

Radiotherapy for non-tumoral disorders has a long history. Lack of high-level evidence, therapeutic alternatives and fear of side effects (particularly radiation-induced cancer) reduced some indications to a trickle during the second half of the 20th century. Others were logically abandoned. There are two exceptions to this trend. On the one hand, some Central European countries (Germany in particular) still use radiotherapy regularly for diseases such as osteoarthritis, plantar fasciitis, chronic tendinopathies, Dupuytren's disease, etc. On the other hand, the development of stereotactic ablative radiotherapy has opened up new indications, whether cerebral (arteriovenous malformations, trigeminal neuralgia, obsessive-compulsive disorders) or cardiac (ventricular tachycardia). In this article, we present a non-exhaustive list of some indications (or rather possibilities) for radiotherapy in non-tumoral disorders in 2024.

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