Introduction:The study of the possibilities of perfusion computed tomography (PCT) in determining the nature of focal lung formations in the absence of morphological verification, doubtfulness of the data of native CT — the actual problem of thoracic radiology.The aim of the studywas to Refine the methodology and capabilities of PCT in determining the nature of formations of the lungs.Material and methods of research:The data of PCT of 29 patients with benign and malignant changes in the lungs on 128 slice computed tomography with data processing at the workstation were analyzed.Conclusion:Low-dose scanning Protocol for lung PCT allows to obtain reliable data on the angiogenesis of focal lung formations. Upon receipt of the perfusion map, the ROI is placed on the area of the highest blood flow. With sufficient PCT data on the nature and prevalence of lung disease from CT with contrast enhancement may refuse. Average PS, TTP are the main and leading factors in determining the nature of the lesion in the lungs. Qualitative and quantitative analysis of PCT data allows to speak reliably about the nature of foci in the lungs.
Owing to the development of molecular genetics, the role of radiation therapy and chemotherapy in treatment of patients with glioma (WHO Grade I–IV) has become more understandable. The overall survival among glioma patients has increased. As overall survival increases, oncologists are more likely to detect manifestations of late radiation toxicity that has a huge impact on Quality of Life in patients who have undergone radiation therapy in the past. In this regard, the question of finding more adequate radiation therapy techniques remains relevant. photon radiation therapy is the standard method; however, considering dosimetric advantages of proton therapy over photon therapy, its widespread use can potentially lead to the increased overall survival, decreased number of late radiation-induced complications and improved quality of life in the post-radiation period. This article presents some comparative characteristics of proton and photon radiation therapy in patients with gliomas (WHO Grade I–IV). dosimetry characteristics of protons in tissues were compared, data showing differences in survival of patients treated with photons versus patients treated with protons were presented, and general information on early and late radiation-induced toxicity arising from the treatment by these methods was disclosed.
The first paper of a series of three publications briefly presents the characteristics a proton beam, as well as the information of companies producing noncommercial techniques for photon and proton therapies. The following second and third parts will briefly consider the clinical and economic efficiency of proton versus photon radiotherapy in the treatment of cancer patients and prospects for its development in oncological practice.
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