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局所進行がン治療における陽子線治療の適応選択に関する研究

Research Project

Project/Area Number 01304039
Research Category

Grant-in-Aid for Co-operative Research (A)

Allocation TypeSingle-year Grants
Research Field Radiation science
Research InstitutionThe University of Tsukuba

Principal Investigator

TSUJII Hirohiko  Univ. of Tsukuba, Inst. Clin. Med. Sci., Prof., 臨床医学係, 教授 (50088853)

Co-Investigator(Kenkyū-buntansha) HASHIMOTO Shozo  Univ. of Keio, School of Med., Prof., 医学部, 教授 (40050348)
KAMADA Rikisaburo  Univ. of Nihon, School of Med, Prof., 医学部, 教授 (00058835)
SAKAMOTO Kiyohiko  Univ. of Tohoku, School of Med. Prof., 医学部, 教授 (20014029)
IRIE Goro  Univ. of Hokkaido, School of Med, Prof., 医学部, 教授 (30001788)
ABE Mitsuyuki  Univ. of Kyoto, School of Med., Prof., 医学部, 教授 (00025587)
Project Period (FY) 1989 – 1990
Project Status Completed (Fiscal Year 1990)
Budget Amount *help
¥11,900,000 (Direct Cost: ¥11,900,000)
Fiscal Year 1990: ¥5,000,000 (Direct Cost: ¥5,000,000)
Fiscal Year 1989: ¥6,900,000 (Direct Cost: ¥6,900,000)
KeywordsProton / Radiotherapy / Dose distribution / Heavy particle / Brachytherapy / Intraoperative / Conformation / Radical irradiation / 陽子線治療 / 放射線治療 / 根治照射
Research Abstract

Investigation on potential applicability of proton beam radiotherapy for treatment of locally advanced and deep-seated tumors.
In proton beam radiotherapy improved dose distribution of radiation is accomplished so that a higher dose can be administered to the tumor while a lesser dose is given to the normal tissue, and such characteristic provides definite treatment advantage over photons. In this study the value of other treatment modalities were evaluated including fast neutron therapy, brachytherapy, intraoperative radiotherapy, conformation irradiation, variously fractionated radiation, and radiotherapy combined with hyperthermia or chemotherapy. By taking into account for the results of such evaluations, clinical examples which could be successfully treated with protons were finally investigated.
The dose-volume histogram analysis has demonstrated the superiority of proton beams over conventional radiations. It was also demonstrated that accelerated short-term radiation, 'field in field' method, and unevenly fractionated radiation were of great value in proton therapy. In a clinical proton therapy at University of Tsukuba, tumors of various deep-seated organs have been treated, and impressive clinical success has been achieved in treatment of tumors of the head and neck, lung, esophagus, liver, uterine cervix, bladder and prostate. In contrast to other radiotherapeutic modalities, proton beam radiotherapy is considered to be valuable in : (1) radical treatment of stage IIIb uterine cervix ca, locally advanced lung ca, esophagus ca, and post-operative recurrent or inoperable ca of the biliary tract, (2) pre-operative radiotherapy of rectal ca, and (3) combined treatment of protons and chemotherapy.
The above accomplishment obtained in this study has stimulated us to design a dedicated proton therapy facility.

Report

(3 results)
  • 1990 Annual Research Report   Final Research Report Summary
  • 1989 Annual Research Report
  • Research Products

    (26 results)

All Other

All Publications (26 results)

  • [Publications] 辻井 博彦: "重粒子線分療" Innervision. 4(1). 35-38 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 辻井 博彦: "陽子線分療ー世界と日本" 医学のあゆみ. 150(14). 1044-1047 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] H.Tsujii,H.Tsuji,t.Inada,et.al.: "Clinical results of high ebergy proton radiotherapy at Tsukuba." Proc,of Int.Heavy Particle Therapy Workshop. 90-94 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 辻井 博彦,辻 比呂志: "放射線分療向上のための諸因子" 癌の臨床. 36(13). 2393-2397 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 辻井 博彦: "陽子線治療法" Innervision. 5(8). 16-19 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 辻井 博彦: "新しい治療法ー陽子線治療" NHKきょうの健康. vol.1. 128-129 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] H. Tsujii, T. Inada, A. Maruhashi, Y. Hayakawa, H. Tsuji, K. Ohara, M. Akisada, T. Kitagawa: "Field localization and verification system for proton beam radiotherapy in deeply-seated tumors." Nippon Acta Radiologica. 49(5). 622-629 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] S. Fukumoto, K. Endo, K. Muto, T. Kitagawa, T. Inada, H. Tsujii, Y. Takada, A. Maruhashi, Y. Hayakawa, J. Tada, M. Sato: "Design of a synchrotron for proton therapy." KEK Reprint (Proc. of IEEE Particle Accelerator Conference). 88-135, 1-3 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] S. Fukumoto, K. Endo, K. Muto, M. Akisada, T. Inada, H. Tsujii: "A dedicated proton accelerator for cancer therapy." KEK Rrprint (Proc. of 14th Int. Conference High Energy Accelerator). 89-91, 106 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] S. Fukumoto, K. Endo, K. Muto, M. Akisada, T. Kitagawa, T. Inada, H. Tsujii, A. Maruhashi: "Tsukuba Medical Proton Synchrotron." Proc. of Int. Heavy Particle Therapy Workshop. 70-74 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] H. Tsujii, H. Tsuji, T. Inada, A. Maruhashi, Y. Hayakawa, Y. Takada, J. Tada, K, Ohara, M. Akisada: "Clinical results of high energy proton radiotherapy at Tsukuba." Proc. of Int. Heavy Particle Therapy Workshop. 90-94 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] H. Tsujii, H. Tsuji, T. Inada, A. Maruhashi, Y. Hayakawa, Y. Takada, J. Tada, M. Sato, K. Hosono, M. Akisada: "Real-time field positioning for proton therapy at Tsukuba." Proc. of Int. Heavy Particle Therapy Workshop. (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] N. Miyanaga, Y. Ami, M. Otani, K. Koiso, H. Tsuji, T. Arimoto, H. Tsujii, T. Kitagawa: "Clinical study with with proton radiotherapy for urological cancers." Jpn. J. Uro1. 81(2). 251-257 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] S. Koyama, N. Kawanishi, H. Fukutomi, T. Ohsuga, T. Iijima, H. Tsujii, T. Kitagawa: "Advanced carcinoma of the stomach treated with definitive proton therapy." Am J Gastroenterol,. 85(4). 443-447 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] K. Endo, S. Fukumoto, K. Muto, M. Akisada, T. Inada, H. Tsujii, A. Maruhashi, Y. Takada: "Smaller synchrotron design for proton therapy." KEK Reprint. 12-16 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 辻井 博彦: "重粒子線治療" Innervision. 4(1). 35-38 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] 辻井 博彦: "陽子線治療ー世界と日本" 医学のあゆみ. 150(14). 1044-1047 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] H.Tsujii,H.Tsuji,T.Inada,et.al.: "Clinical results of high energy proton radiotherapy at Tsukuba." Proc.of Int.Heavy Particle Therapy Workshop. 90-94 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] 辻井 博彦,辻 比呂志: "放射線治療向上のための諸因子" 癌の臨床. 36(13). 2393-2397 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 辻井 博彦: "陽子線治療法" Innervision. 5(8). 16-19 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 辻井 博彦: "新しい治療法ー陽子線治療" NHKきょうの健康. Vol.1. 128-129 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 辻井博彦: "陽子線治療一世界と日本" 医学のあゆみ. 150. 1044-1048 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 辻井博彦,辻比呂志: "画像診断の進歩に伴う放射線治療の展望-CT画像と陽子線治療" 日本放射線腫瘍学会雑誌. Suppl.4. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 辻井博彦,辻比呂志,入江五朗,有本卓郎: "頭頚部癌の治療計画への画像情報の応用" 日本頭頚部腫瘍学会雑誌. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] H.Tsujii,H.Tsuji,A.Maruhashi et.al: "Clinical results of high energy proton radiotherapy at Tsukuba" Proc of International Heavy Particle Workshop. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] H.Tsujii,H.Tsuji,A.Maruhashi et.al: "Real-time field positiniong for proton therapy at Tsukuba." Proc of International Heavy Particle Workshop. (1990)

    • Related Report
      1989 Annual Research Report

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Published: 1989-04-01   Modified: 2016-04-21  

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