introduccion a la radioterapia
TRANSCRIPT
-
8/11/2019 Introduccion a La Radioterapia
1/36
-
8/11/2019 Introduccion a La Radioterapia
2/36
1
-
8/11/2019 Introduccion a La Radioterapia
3/36
2
-
8/11/2019 Introduccion a La Radioterapia
4/36
3
AB C DC EC A F
C CDA C C F CDF C E AC A C FD CDF C E A
F A F F F CE C C E F
C C F E DFC C F DC F AB F C C
F AB ! "DF F C
C C C FD C F C F
-
8/11/2019 Introduccion a La Radioterapia
5/36
4
AB C B DE F
B C B DE F
B B BF B
D D EBF
BF D B
B B EB F
B ! F" BF CB
# B BF BF # E D BE $ E % &'(') *+,-
,. B#& / B 0 12343546364765*42#A B B 8 9 : AB 8 E $
-
8/11/2019 Introduccion a La Radioterapia
6/36
5
CD E F DB FE B B F B
BD F
B B DB F B
DB B B B B B B FE
D B B BD FAD
D D
-
8/11/2019 Introduccion a La Radioterapia
7/36
6
-
8/11/2019 Introduccion a La Radioterapia
8/36
7
# A F$% AB %%%%%%%%%%%%%%%%%% '% () F DC C A F C AC* %%%%%%%%%%% +% ,A F C A F C AC %%%%%%%%%%%% -% . C C FD F EC A F " A % $/ /% A F F . 0F F C F FD
.1 A D A A A DA C %%%%%%%%%% 2% A C F . 0F F C F
3 D C EC A F " A C %%%%%%%%%% 4% .0F F C A F DC
EC A F C AC %%%%%%%%%%%%%%%%% 5% EF0DF6AB 0A CD %%%%%%%%%%%%%%%%
&% A DA C0 C%%%%%%%%%%%%%%%%%%
-
8/11/2019 Introduccion a La Radioterapia
9/36
8
-
8/11/2019 Introduccion a La Radioterapia
10/36
9
7,E3 8 97
( B ;E E < =E AB B B A B B " B '
B B B B B > B B ?B AB B % B B?B B B E B '
( > B B ? < B B @% B A =EB B A B B "
B ) B B > < A A F B E B B; '
8 BA AB B) B B A =EB B AE A B B EB> 9 < B EB
B B E B A ' 8 A B % B =EB B ?B AB EA E B > B
E F B B B B '
-
8/11/2019 Introduccion a La Radioterapia
11/36
10
B EB > B A B EB A B B ' ( A < B B B A
< > B B B ?EB B E B A B EB ) B
B E < AB ' BA" ) B B =EB B A B ?B B =EB AB BA
B B ?B AB B ) A >B ? B B " B '
B B B B E A B B < ) % B < A"
9 ) B B % >BF ? B EB B AB ) < E E F B B B ?B AB B % E
EB> B B A ) B A B " ) E< ;B > ?E AB B
B B ?B AB B '
-
8/11/2019 Introduccion a La Radioterapia
12/36
11
()8: .; < E 3,.E *
( B B E B A B E F B F B B A
EA B B B B B A B B ) B B ) B E
B E > AB B '
, 3; . E 3,.E
&8! / ( #& / # ( G8/ 8 8D # #H/0
$%
C1 A F C AC C A F C AC A F C%
8 E B B A A B B B > )
) F B B B ? B B
B B =E B B A B> B B E > ) B B
@ B I B ) B B AB; AB B E; ) A B ) BA ) BEB < A A I AB AB B A
#C BE B ?EB B B ) B
-
8/11/2019 Introduccion a La Radioterapia
13/36
12
" B B B B AB BE A I < =EB B B E B ? B B
B; ?E ) B B EA B
B B B A ) B ? A =EB B
B; E B A B'
'% ,FDF F C AC C A F C AC F6 F C%
( ?EB B B B " B BB B F AB B B=E B B AB B
B B B B B B E B )
B F A B B AE< B '
8 B B B B B EB ) E
B B B " ) < BB A E '
A AB B) B B BF B B ?B AB B EA B B B B BA AB B B> E B B ?B AB A
A B B E A B ) B AB E > B A B
E =E A B '
-
8/11/2019 Introduccion a La Radioterapia
14/36
13
8 A B B BA B B B B ) B ?B A B " E A B
B B B'
&8! / ( &8 G8/ # 8 JD ( J/ J DJ&D #8/ J&0
$% EC A F C AC F6 D A=C% E B BB @ A B =EB B B B B
'% EC A F C AC F C > =C F% &B B A B =EB B A A
A B ' &E ? B B E B EA < B B B A ) ? E
8 B B ) EB B =E A B;B > B B F E
BAB ) B? B B @+% EC A F C AC C > =C F%A A BAB E
A B A E ' E B B B ' &E
B E E A =EB % A =EB E B EA B
E B AE< B B A ) B ' &B BA B B=EB9
) B B A B B B B?B B E '
-
8/11/2019 Introduccion a La Radioterapia
16/36
15
., ; .< E3 .;3E 3,.E :8, 3 %
A F C =A A C% =E B B % A B < EB A BAB B=EB B B " B B B A AB ) > B
B BE B B B B E B B ) =EB B
B B?B B E ) B '
DC A0A C AB % AE F A < BB " B B A B < A ? A E F B " B ) A " B B B B B >
B > " B B?B B B B B FB B B ' 8 B B
B " B B B A A B B B B '
E B B) B =EB B B =EBA B A > F ) B A
A B B B?B @ B % BAB A B B BF
B B " E A" B E;BA B " ) B B9 " A =" B B A B B E B B>
(EB AB B E A ? A" B BB AB B B > EAB
B AB B B B B AB B B B E ? > E
" B ' 8 B > EAB B A > EAB 8 B B B B? B A AE >
AB B '
-
8/11/2019 Introduccion a La Radioterapia
17/36
16
F A0A C AB % G >BF B F ? B E B E B A B ) < B A A
B B =EB B B F B B AE
A A AB B E ? " B B ? B B AB B'
, C C AF % ( B B B AB; B A B B B) B B> E B ? A ;E
B " < ? =EB B B B B A E B
B> AB B B A 'B B > B B B E B > B
E ' 8 B B A B B B BB B < B ;B > B E B
B B < B B BA ) B B B B A B < B @AB B B B '
AB B) B E E A E ) EB B B > B B B B B '
8 B B B " B B E $B B E ) =B B B % A E B B =EB
E A B B ?B A B =EB ?EB B B ) A > B B
BA B > A B < B AE
B ? B B B B ?B AB ' E BBA B A B BA B B B? A =EB A B AE < >B
B ? B BA B B A A > EAB B B >B '
-
8/11/2019 Introduccion a La Radioterapia
18/36
17
L =E % < =EB E M
B B A < B B? B E )
B ? ) B B B B B A B B B < ' 8 ? AB B A E B E
BA ) B '
8 ? A B A B AB E B B B; ) EB B > AB B B B; B ?B A '
8 E ) >BF B B F A" ? A B ?B B B B " 0
N O ? A B 0 B B AB B> B B ) B E B B
B B B ' E B " %A B B ) >B ;
E A B A B B BA A B < =EB B BABB E '
N O B ? A B 0 B BA B AB B B EAB B @AB B ? B
A B A AB B
J AB B B B B B AAB B E B A B
AB B B F B=EB B A B F B B ?EA"=E < B E A B
-
8/11/2019 Introduccion a La Radioterapia
19/36
18
A A ) B AB B) B B F B>B % E > B E A" E B E
B B =EB '
J AB B) B EAB BAB E B E B A B ) EB
=EB ) B B >B B BB B F B B E B B
B B >B ? B E B B ?E A"=E ' 8 B B EB B E % )
" E B B BA AB B A B
B ? E " B > AB B B B?A B '
G >BF ? F B A B ) B EB B ) < =EB B BA B
B > ' ( B B B ) ? A B B B =E >B B ?B A B
A B B '
;F A AF C F FD C C AF % E B B BAB A B B B ?B AB : > " B
B B @ B?B B E E BB < > B B
BA" B E E >BF BA A B % B?B '
;F A AF C C AF % 8 B ?B A E "B AB B B?B B < >B B B E B A B
B ?B AB ) A B B E A B B ?B AB ' B>
B > AB B ? B EB B % EB %B B B BA '
-
8/11/2019 Introduccion a La Radioterapia
20/36
19
87 37.; . .7 .E .E .7 . E B % B B ? B F B AE < B B A B
B B B B A B =E BB B '
( B A > B E B B B =EB B " < B E BB ?B AB =EB B > B B> A A A B EB E
A B ? A ) E < =E A B
BA" B " E B B ? AB A B B " '
8( K /# J 8 D #J 8D #
8 B B B B B> B A BB B A ' O E AB B) B B ?B
@ B B B AB B A B ) B B B B BA B ; A A B
B AE ' A A ) B BE B ?B AB B B F < B A '
-
8/11/2019 Introduccion a La Radioterapia
22/36
21
8 3; . .7 .E .E# .737 3 EAB B B; ) B ? A BB ) A B A B
> E B '
( AB B B B B E B B BA < E B?B EB B B
E BA B ' ( B BB EB B B B B E B AB B E
G EB B B ?B AB B A " B E ) B
-
8/11/2019 Introduccion a La Radioterapia
23/36
22
# !/J& # J& 8/ 8D 8DJ&'
A > " E BA
B E B B >B B A" B B> B '$% A AF F0A AF F : B A B D
< : AB B E EB F B BAB E A B B B E B +
EF D C F F C %
4 A B 0 B A B B E,3,5
4 A B 0 D AB B E ,3,-
F =F A F %
4 8 B9 F 0 B A B
4 8 B9 F 0 > E
4 8 B9 F 0 B B B ?B AB
4 B; B B
'% C F@ F0F A= FD A F F C A:B E B B B B AA B B B < B E B EB
B B >B B B B B A B; < B>B A A F B E B?BA B A B B A B B B B ) B B B C
F ;B > B B A B B>B B B ' +++3
-
8/11/2019 Introduccion a La Radioterapia
24/36
-
8/11/2019 Introduccion a La Radioterapia
25/36
24
. . ,3; ;. 87 E 3; . E B B B'
8 E B B E B B?B A A ) A
=EB B ) A" B < B B B A B A E '
. . ,3; ;. 87 E 3; !.7.E B B E A B A
B B ) B B B B E B >
E " B A" B B ) A B =EB A B B ) %B =E @ B EB E " B ) B E ) E
B B ) B '
-
8/11/2019 Introduccion a La Radioterapia
26/36
25
! C F EC A F A A
! % 7 C> C A F DC AFD%
!$% . A F C F C F C C AB F C%
!'% . A F C F C F=F G F C C AB C FH F CG F F C F C %
!+% F C C AB H F C 0D F FG F F C 0B=FC%
!-% 7F A " FCG D F C AB A CG F A A C C C A %
O < =EB > ? A B =EB B B B EB AB B ? B B9 F
E B B '
B B > B ; B % BE =EB B ?EAB A ) E B>
B BA B " ? ) BE >B B '
/ B B B A ) B B ) B ) @ E
% < B?B B E B B '% B B EB B B E BA% E B' ( B E B B B B< B '
&B E F " % ) B B; E ) A B A ) B> F A B ' /
B '
-
8/11/2019 Introduccion a La Radioterapia
27/36
26
( F B ?B " A =E B< E B %E B E B '
( B ?B B B B B B B E B 9 B E B A B E F ? B AB B E B F )
B '
& B B B A B B " %EAB B % ? ) A % E
B AB B B I B =EB B B
@ B B B B B B A ABB '
; E B > A < B ?B AB B " EBA B B B < =EB) E =EB > B
) A EB B B E < ?
( " B B B A %@AB B E "
B ?B AB A F B B B B B AB B B ' ( E > B @ F < B ' B " B B < ? A E B E
&B > " B ?B < B A " E B B B ;B B % '
8 B B F B B B " E E =EB > B E BB B E B B < A B B
BA" B E B A B?B B > B F < E B ? '
/ B) % < B ) EB> A B ) B B B B A
B B '
-
8/11/2019 Introduccion a La Radioterapia
28/36
27
'% C A C%
E % B B B B AB ? E
B ' EB B B B B E B A B < > >B B E B B E
E =EB >B B > B @ B B B) EB B E > B % E B
B B B B " '
&B B B B B B ?B %BA A '
-
8/11/2019 Introduccion a La Radioterapia
29/36
28
+% C C FD FD F ADC AB
( B B E '
. . ,3; ;. 87 E 3; .; . # 3;
B B B B F B B B AB EB B B B B?B B
$% C F C > FDD %
( B?B B E A" ? B EB B BAE B B B AE )
B ) B B B E ) B B ? '
8 E B ?E AB B B B B B BF < EB '
# AB B B B > E B ;B A B B A =EB B A B ' &B @
B ) A B F B B B=EB9 %BAE ? ) B B AB B AE< A B < =EB
B=EB A B A B B ? ' 8 B B B ? F B '
-
8/11/2019 Introduccion a La Radioterapia
30/36
29
( % B B B B B B B % B B E E B ? @ B ? B 9 B B ' & B ?EB B B
E %@AB A BAB B B ;E EBB E ' / B B E BE B AB B A B B B
F B '
&B EB B E F B B B A '
8 A B B B9 B B < ? AB AB B <
&B B; " B B B B A B A % ) ) B B ) AB
" B E ) B B) =EB B B " ? A < B E '
& B B B A B EB B E E E> ? ) A F B ) ABE < AB B " B BF
B B ' &B ? F " B B =E '
( B B B B E F " %EB E> B A ;E '
8 B B B B B ) B %B B ) B AB 9 A B < BA B E
'
& B B B B B AB A B B E AB AB % B A"
A ? B A '
-
8/11/2019 Introduccion a La Radioterapia
31/36
30
E B B B B EB B B B B BA B? B ) E B ) > A ) >E B ) B
A < B ' B>B B B B
B B AB B B E B B B ''% ,B C6%
( B?B B B A" ? B EB B B ?' " AB B EB B B B BEA ?
'
O < =EB B> E A B B B B B AB > B ? < AE A ' ( B B B B E >B)
E B < B B '
B B % < =EB > B " B ) < ? B EB < A F A B
B '
8 B B B F " B;B B B B B ) A > F B B B ) < A
B ' &B B B B> B E AB A B B B %EA ' &B E B
B %EA ? B < A B =EB B " B B B < >B'
B E E B B
-
8/11/2019 Introduccion a La Radioterapia
32/36
31
+% F
( "E B < B?B A"
E B B A ) " B B '
O < =EB > B B B B > A '
8 BA B ? " B BA BB E > "E B > A '
> A ?E B BA B " > B B( B B ; ) B < B B B A
A " <
B A B B'
O < =EB > A B B B E F AB =EB B EF
B '
G F E B ; B B E B ) B
>B E =EB EF B ) ?
-
8/11/2019 Introduccion a La Radioterapia
33/36
32
& B B B A B B B < AB ' 8 =EB B ?E %B B =E
B >B B > A B B
B % ' B B % < =EB B> E < A
A I ? F B B =E ? AA ? B EB B < B> ?B B ' E
A % < =EB B ?B B EAEB B AB B
B E '
E @ E > B " B B A B EB B B B E B B > '
E F " B > B ) B A B "B E B < B % " AE >
% E B '
-
8/11/2019 Introduccion a La Radioterapia
34/36
33
E.
-
8/11/2019 Introduccion a La Radioterapia
35/36
34
< 3!E
4 ! B ' /B B B B B
< E ? A B B E % BB ' DB>' 8 ?B AB *++,'
4 &% B< 8'J ' 8 ?B AB -. B ' O E B: < ,111'
4 & $ D % &) ? 4 D B B ) OB %OB A ) ( > ' 8 B ' / /
# B ' B ?B ABB? B < ? *++-4*++5' ### 0 8 B> B I *++5'
4 % 0::WWW' B 'B :
4 O B 8 ) B BF ) < (X B B ? D J < 7 %
B ' % B % 0( X A Y X $4 / B # E B' &%BB 0 D
%B < ? B ' B B WWWB ' >: B :?
%BB : %B BA B *+) *+,-'
-
8/11/2019 Introduccion a La Radioterapia
36/36