[1]马敏,黄鹏,戴建荣.放疗记录审查方法及国内外审查工作现状[J].中国医学物理学杂志,2022,39(10):1194-1198.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.002]
　MA Min,HUANG Peng,DAI Jianrong.Methods of radiotherapy record review and current status of review work[J].Chinese Journal of Medical Physics,2022,39(10):1194-1198.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.002]
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放疗记录审查方法及国内外审查工作现状()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
39卷
期数:
2022年第10期
页码:
1194-1198
栏目:
医学放射物理
出版日期:
2022-11-02

文章信息/Info

Title:
Methods of radiotherapy record review and current status of review work
文章编号:
1005-202X（2022）10-1194-05
作者:
马敏; 黄鹏; 戴建荣
国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院， 北京 100021
Author(s):
MA Min;  HUANG Peng;  DAI Jianrong
National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
关键词:
放疗; 过程; 差错; 审查
Keywords:
Keywords: radiotherapy process error review
分类号:
R811
DOI:
DOI:10.3969/j.issn.1005-202X.2022.10.002
文献标志码:
A
摘要:
现代放疗是一个多学科、多阶段的复杂完整过程，任何一个差错就会影响患者的治疗效果。为了发现差错，应该对患者放疗过程中每个阶段的记录进行审查。参考AAPM TG-275号报告等重要文献，介绍放疗记录审查的概念、作用、内容、方法和国内外审查工作现状。目前采用的审查方法以手工为主，自动为辅。采用的自动审查方法有逻辑判断、聚类分析、贝叶斯网络、结构相似性分析和人工智能等。模拟定位阶段、计划设计阶段和治疗阶段是审查的重点。但目前，日常审查工作主要针对计划设计阶段，对治疗阶段很少开展，对模拟定位阶段则基本没有开展；研究工作的重点是提高审查方法的灵敏度和自动化、智能化程度。预计未来审查工作会开展得更完整，更有效果和效率。
Abstract:
Abstract: Modern radiotherapy is quite complicated, with multiple stages, and it involves many disciplines. Any error will affect the treatment outcome. Therefore, the records of each stage of radiotherapy should be reviewed strictly to detect errors. By referring to documents such as AAPM TG-275 report, the concept, function, content, methods of radiotherapy record review, and the current status of review work at home and abroad are introduced. At present, the review method is mainly manual, supplemented by automatic methods which include logical judgment, cluster analysis, Bayesian network, structural similarity analysis and artificial intelligence. The review should focus on simulation positioning stage, planning stage and treatment delivery stage. However, the current review work is mainly carried out for planning stage, rarely for treatment delivery stage, and almost not for simulation positioning stage. Improving the sensitivity, automation and intelligence of the review method is the research focus in the future. It can be expected that the review work will be more perfect, effective and efficient.

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备注/Memo

备注/Memo:
【收稿日期】2022-04-25 【基金项目】国家自然科学基金（11875320） 【作者简介】马敏，博士研究生，E-mail: minmascu@163.com 【通信作者】戴建荣，E-mail: dai_jianrong@cicams.ac.cn
更新日期/Last Update: 2022-10-27