Abstract

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Title:: Expert consensus on the revealing of the medical ethics on patient setup based on the theory of engineering medicine

Author(s):: GE Yun1; YIN Fangfang2; WU Hao3; WAN Suiren4; KONG Dexing5; YAN Ziye6; YANG Ruijie7; YU Dahai8; LIANG Jun9; SUN Xiangdong10; DAI Xiangkun11; LI Tantan12; JIN Xiance13; HUANG Xiaoyan14; WU Jianfeng15; 1. School of Electronic Science and Engineering, Nanjing University, Nanjing 210023, China 2. Medical Physics Graduate Program, Duke Kunshan University, Kunshan 215316, China 3. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Beijing)/Department of Radiotherapy, Peking University Cancer Hospital & Institute, Beijing 100142, China 4. School of Biological Science and Medical Engineering, Southeast University, Nanjing 210000, China 5. School of Mathematical Sciences, Zhejiang University, Hangzhou 310058, China 6. Guangzhou Perception Vision Medical Technologies Co., Ltd., Guangzhou 510799, China 7. Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China 8. Department of Radiation Oncology, Jiangsu Province Hospital of Chinese Medicine, Nanjing 210029, China 9. Shaanxi Provincial Cancer Hospital, Xian 710061, China ...

Keywords:: Keywords: radiotherapy setup radiotherapy setup deviation data clinical consistency medical ethics radiotherapy medical setup ethics expert consensus

Abstract:: Abstract: Based on the theory of engineering medicine, a consensus which takes the basic medical ethics of harm reduction as the starting point is proposed to addresses the current clinical problems of a wide variety of radiotherapy setup equipments and methods, large differences by principles, and inaccurate setup. The consensus is formed in two aspects. (1) Advocate coordination of multiple setup methods for joint setup collect, compare, analyze and screen data on setup methods determine the operational guidelines and methods for joint setup based on the principle of standardized and unified clinical consistency, with a view to achieving the clinical purpose of greatly ensuring the precision of radiotherapy setup and radiotherapy safety without relying on the golden standard. (2) Standardize the operational methods for tracing setup deviations, so that when the difference in setup leads to poor clinical consistency, the cause of deviation can be traced and the effectiveness of different setups can be screened. Based on the concept of engineering medicine, the consensus is expected to standardize the method of radiotherapy setup, realize accurate radiotherapy, improve treatment effect and show medical ethical care.