{"id":74236,"date":"2018-03-09T23:19:15","date_gmt":"2018-03-09T23:19:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/irradiacion-toracica-radical-y-estudio-funcional-pulmonar-en-pacientes-con-cancer-de-pulmon-no-celula-pequena-localmente-avanzado-revision-sistematica-y-serie-prospectiva-de-casos\/"},"modified":"2018-03-09T23:19:15","modified_gmt":"2018-03-09T23:19:15","slug":"irradiacion-toracica-radical-y-estudio-funcional-pulmonar-en-pacientes-con-cancer-de-pulmon-no-celula-pequena-localmente-avanzado-revision-sistematica-y-serie-prospectiva-de-casos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/irradiacion-toracica-radical-y-estudio-funcional-pulmonar-en-pacientes-con-cancer-de-pulmon-no-celula-pequena-localmente-avanzado-revision-sistematica-y-serie-prospectiva-de-casos\/","title":{"rendered":"Irradiaci\u00f3n tor\u00e1cica radical y estudio funcional pulmonar, en pacientes con c\u00e1ncer de pulm\u00f3n no c\u00e9lula peque\u00f1a localmente avanzado. revisi\u00f3n sistem\u00e1tica y serie prospectiva de casos"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Morera L\u00f3pez Rosa M. <\/strong><\/h2>\n<p>Introducci\u00f3n  est\u00e1 aceptado que las reducciones radioinducidas en las pruebas de funci\u00f3n respiratoria (pfr), son frecuentes en los pacientes que reciben radioterapia (rt) en o alrededor del t\u00f3rax, siendo m\u00e1s relevante en los pacientes con c\u00e1ncer de pulm\u00f3n. De forma habitual en nuestra pr\u00e1ctica cl\u00ednica diaria, se presta poca atenci\u00f3n a la perfusi\u00f3n pulmonar.  en la literatura se refleja que los pacientes con tumores centrales que comprimen vasos pulmonares provocan d\u00e9ficit de perfusi\u00f3n, siendo estos pacientes susceptibles de mejorar su perfusi\u00f3n tras la rt por el mecanismo de reperfusi\u00f3n.  objetivos  evaluar la asociaci\u00f3n de presencia de tumor central con hipoperfusi\u00f3n y % de reperfusi\u00f3n despu\u00e9s de rt tor\u00e1cia, partiendo de la hip\u00f3tesis que la mejora en las pfr deber\u00eda ser m\u00e1s com\u00fan en pacientes con tumores centrales e hipoperfusi\u00f3n que en otros pacientes.  analizar la influenca de la localizaci\u00f3n tumoral-hipoperfusi\u00f3n-reperfusi\u00f3n, sobre los tests de funci\u00f3n pulmonar, y analizar la evoluci\u00f3n de las pfr despu\u00e9s de irradiaci\u00f3n tor\u00e1cica radical.  material y m\u00e9todos  se ha relizado revisi\u00f3n sistem\u00e1tica (rs) de las evidencias cient\u00edficas al respecto, utilizando la metodolog\u00eda de la colaboraci\u00f3n cochrane. Adem\u00e1s se ha recogido una serie prospectiva de 31 pacientes con c\u00e1ncer d epulm\u00f3n no c\u00e9lula peque\u00f1a localmente avanzado tratado con rt radical, en los que se realiz\u00f3 estudio funcional pulmonar y gammagraf\u00eda de perfusi\u00f3n previo a la rt y durante per\u00edodo de seguimiento.  conclusiones  la rs ha puesto de manifiesto gran heterogeneidad en la selecci\u00f3n de las variables y presentaci\u00f3n de los resultados.  analizados los art\u00edculos, la mayor\u00eda presentan empeoramiento de los tests de funci\u00f3n pulmonar sin poder saber si tiene significaci\u00f3n cl\u00ednica y\/o estad\u00edstica, no pudiendo obtener conclusiones con respecto a la persufisi\u00f3n por la escase de resultados. En la serie de casos del deterioro<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Irradiaci\u00f3n tor\u00e1cica radical y estudio funcional pulmonar, en pacientes con c\u00e1ncer de pulm\u00f3n no c\u00e9lula peque\u00f1a localmente avanzado. revisi\u00f3n sistem\u00e1tica y serie prospectiva de casos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Irradiaci\u00f3n tor\u00e1cica radical y estudio funcional pulmonar, en pacientes con c\u00e1ncer de pulm\u00f3n no c\u00e9lula peque\u00f1a localmente avanzado. revisi\u00f3n sistem\u00e1tica y serie prospectiva de casos <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Morera L\u00f3pez Rosa M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/05\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Alfredo Ramos Aguerri<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Cantos gonz\u00e1lez <\/li>\n<li>Antonio Suiro bendito (vocal)<\/li>\n<li>Carlos Quereda rodriguez -navarro (vocal)<\/li>\n<li>Mar\u00eda  teresa Delgado macias (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Morera L\u00f3pez Rosa M. Introducci\u00f3n est\u00e1 aceptado que las reducciones radioinducidas en las pruebas de funci\u00f3n respiratoria [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[155,9,1027,156,1809],"tags":[24206,160887,15546,160886,8164,160885],"class_list":["post-74236","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-oncologia","category-patologia","category-radioterapia","tag-alfredo-ramos-aguerri","tag-antonio-suiro-bendito","tag-carlos-quereda-rodriguez-navarro","tag-eduardo-cantos-gonzalez","tag-maria-teresa-delgado-macias","tag-morera-lopez-rosa-m"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=74236"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74236\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=74236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=74236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=74236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}