| 余佩琳,毛晓波,冀书颖,等.心电图预测胸部肿瘤放疗心脏损伤的研究进展[J].中华放射医学与防护杂志,2026,46(9):894-900.Yu Peilin,Mao Xiaobo,Ji Shuying,et al.Progress of electrocardiography in predicting cardiac injury from thoracic tumor radiotherapy[J].Chin J Radiol Med Prot,2026,46(9):894-900 |
| 心电图预测胸部肿瘤放疗心脏损伤的研究进展 |
| Progress of electrocardiography in predicting cardiac injury from thoracic tumor radiotherapy |
| 投稿时间：2026-03-20 |
| DOI：10.3760/cma.j.cn112271-20260320-00113 |
| 中文关键词: 心电图 放射治疗 放射性心脏损伤 心电门控技术 放射消融 |
| 英文关键词:Electrocardiography Radiotherapy Radiation-induced cardiac injury ECG gating technique Radioablation |
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| 中文摘要: |
| 放射治疗是恶性肿瘤的重要治疗手段，但放射性心脏损伤严重影响患者的长期生存质量。心电图作为一种无创、便捷、可重复的心脏电活动检测技术，在放疗相关心脏损伤的早期监测、放疗计划优化、心律失常的放射消融治疗等方面展现出广阔的应用前景。本文系统综述心电图在放疗领域的研究现状与技术进展，重点阐述其在心脏不良反应监测、图像引导放疗、实时门控技术及心律失常放射治疗中的应用价值，并探讨当前研究的局限性与未来发展方向，以期为放疗心脏保护的临床实践与研究提供参考。 |
| 英文摘要: |
| Radiotherapy is a vital treatment for malignant tumors. However, radiation-induced cardiac injury significantly compromises the long-term survival and quality of life of patients. As a noninvasive, convenient, and repeatable tool for monitoring cardiac electrical activity, electrocardiography (ECG) exhibits great application prospects in early detection of radiotherapy-related cardiac injury, optimization of radiotherapy plan, and radioablation for arrhythmias. This article systematically summarizes the research status and technical progress of ECG in radiotherapy, highlights its application value in monitoring adverse cardiac events, image-guided radiotherapy, real-time gating technology, and radiotherapy for arrhythmias, and discusses the limitations of current research and future directions. It aims to provide a reference for clinical practice and research of cardiac protection in radiotherapy. |
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