马里兰大学介入放射科医生向您介绍纳米刀的好处,以及操作过程
ari is one of the more exciting new tools that we have four targeted
tissue the bleach bleach it means that your
destroying something in a spot there a couple of ways and we can treat cancer
one of them as we release particles through the blood stream they'd go out
to the cancer indeed that entire area with tumor killing drugs and also once
it's shut off the oxygen to the tumor
and that's good if you've got a treaty field
but there are times
uh... we're gonna treat one spot like cleaning a spot on the carpet
means that we have to either sheet or freeze or inject things into that
now what ari is irreversible
electro pro rationing
is actually using certain very specific types of electricity through tiny
needles to actually destroyed cancer in tissue in that area
so another way to think about it
you've got an area that you want to get rid of
spot on the carpet you can put a fence around it
and then everything inside that fence
is destroyed by virtue of that electrical field that is specifically
created once the patience to sleep and we have the area cleaned off we do a
c_t_ scan to choose
are exact entry an exit points so that we know where we're going in
uh... with two the pros
once we've once we've done that we sit and we do a calculation to determine how
many probes were actually going to have to place them where they're going to be
then under c_t_ guidance we answer
uh... these needles usually somewhere between to ten
needles
again depending on the size and location of the tumor
replace the needles and confirm the location again usually with c_t_
we will
do the inflation teacher which essentially is people
these probes
opt regenerator which introduces the electrical current
into the patient and zaps the tour
once the tumors zack opt and the probes are withdrawn
oftentimes will do one final city just to make sure that there was no
unexpected
leading from the procedure
and then the patient is uh... will come out
and then they go to repair the pack you full recovery which is just a post uh...
anesthesia child care unit
and usually within four hours to patients up walking around eating
uh... we watch these patients overnight and send them home the next day
so the procedure itself uh... oftentimes will be between two and four hours of
anesthesia
because it takes a long time to get the probes and place
uh... ninety and it's a smothered small tumor to be close to two hours
there's a big too much to be close to four hours for for patients who are
considering
uh... irene
i think the most important thing
too
search out as a position with experience
and that experience should be both in iri as well as in
you know other minimally invasive procedures
uh... so that they can be adequately counseled on not just
the risks and benefits of iri the potentially alternatives of other uh...
technologies and treatments that may be of equal or better benefits
the other thing to consider is that
depending on the tumor
uh... there may be surgical or rar radiotherapy options that should also be
considered
i think that
most important thing if you go on actually going to have an army procedure
done now
is that you have it done you know with physicians who have
a pretty good track record of treating patients with uh... minimally invasive
uh... approaches
so this is a very new technology and we're very excited to be at the front
end of this because of what we think you offer patients
its approved for all soft tissue a place in by the food and drug administration
the f_d_a_
uh... and where at the start
and hopefully among the lead in looking at
types of tumor sounding liver tumors of the other soft-tissue tumors that
weekend better gavel with this
in with some of the other a place in tools that we're fair expert using once
it may be difficult to reach particular types of cancers that may be more
responsive the ability to maybe treaty cancer that's again something else
parked up close against another car where you wanna just get this and not
that
we think that this type of technology is going to give us some advantage in
treating cancer that may be up against something else that we want to save
or that other thing may make it hard to treat with other tools just 'cause it's
their so this may allow us to get right up against the edges of things
better than other tools and that's one of the reasons that we're really excited
about this
Prev: Dr.Yoo談美國癌癥治療中心對納米刀的應用
Next: 納米刀技術在紐約州立大學石溪分校的應用