[1]葛云,殷芳芳,吴昊,等.基于工程医学理论显现医学摆位伦理之专家共识[J].中国医学物理学杂志,2024,41(12):1453-1459.[doi:1005-202X（2024）12-1453-07]
　GE Yun,YIN Fangfang,WU Hao,et al.Expert consensus on the revealing of the medical ethics on patient setup based on the theory of engineering medicine[J].Chinese Journal of Medical Physics,2024,41(12):1453-1459.[doi:1005-202X（2024）12-1453-07]
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基于工程医学理论显现医学摆位伦理之专家共识()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
41卷
期数:
2024年第12期
页码:
1453-1459
栏目:
专家共识
出版日期:
2024-12-17

文章信息/Info

Title:
Expert consensus on the revealing of the medical ethics on patient setup based on the theory of engineering medicine
文章编号:
1005-202X（2024）12-1453-07
作者:
葛云1; 殷芳芳2; 吴昊3; 万遂人4; 孔德兴5; 颜子夜6; 杨瑞杰7; 于大海8; 梁军9; 孙向东10; 戴相昆11; 李谭谭12; 金献测13; 黄晓延14; 吴建峰15
1.南京大学电子科学与工程学院， 江苏 南京 210023； 2.昆山杜克大学医学物理研究生项目， 江苏 昆山 215316； 3.北京大学肿瘤医院暨北京市肿瘤防治研究所放疗科/恶性肿瘤发病机制及转化研究教育部重点实验室， 北京 100142； 4.东南大学生物科学与医学工程学院， 江苏 南京 210000； 5.浙江大学数学科学学院， 浙江 杭州 310058； 6.广州柏视医疗科技有限公司， 广东 广州 510799； 7.北京大学第三医院肿瘤放疗科， 北京 100191； 8.江苏省中医院放疗科， 江苏 南京 210029； 9.陕西省肿瘤医院放疗医院， 陕西 西安 710061....
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 ...
关键词:
放疗摆位; 放疗摆位偏差数据; 临床一致性; 医学伦理; 放疗医学摆位伦理; 专家共识
Keywords:
Keywords: radiotherapy setup radiotherapy setup deviation data clinical consistency medical ethics radiotherapy medical setup ethics expert consensus
分类号:
R318
DOI:
1005-202X（2024）12-1453-07
文献标志码:
A
摘要:
基于工程医学理论，针对目前摆位设备和方式种类繁多、原理差异大、摆位不精准的临床问题，以减少伤害的基本医学伦理准则为出发点，形成两方面共识：（1）提倡协调多种摆位方法进行联合摆位，对摆位方法进行数据收集、比较、分析和甄别，基于规范统一的临床一致性原则，确定联合摆位的操作准则和方法，以期达到不依靠金标准即可极大地保证放疗摆位精度和放疗安全的临床目的；（2）规范摆位偏差溯源操作方法，实现对摆位差异导致临床一致性差时，可溯源偏差原因、甄别不同摆位有效性。本共识预期基于工程医学理念，规范放疗摆位方法，实现精准的放疗，提升治疗效果和显现医学伦理关怀。
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.

相似文献/References:

[1]张羽祺,葛云,蔡晶,等.鼻咽癌放疗中红外定位系统与锥形束CT的摆位精度比较[J].中国医学物理学杂志,2021,38(2):162.[doi:DOI:10.3969/j.issn.1005-202X.2021.02.007]
　ZHANG Yuqi,GE Yun,CAI Jing,et al.Comparison of optical positioning system and cone-beam computed tomography on positioning accuracy in radiotherapy for nasopharyngeal carcinoma[J].Chinese Journal of Medical Physics,2021,38(12):162.[doi:DOI:10.3969/j.issn.1005-202X.2021.02.007]
[2]王语汇,王东燕,周俊东,等.基于红外定位系统放疗实时摆位预警系统的摆位数据误差统计[J].中国医学物理学杂志,2021,38(12):1477.[doi:DOI:10.3969/j.issn.1005-202X.2021.12.005]
　WANG Yuhui,WANG Dongyan,ZHOU Jundong,et al.Statistical analysis of positioning errors based on OPS radiotherapy real-time positioning early warning system[J].Chinese Journal of Medical Physics,2021,38(12):1477.[doi:DOI:10.3969/j.issn.1005-202X.2021.12.005]

备注/Memo

备注/Memo:
【收稿日期】2024-11-12 【作者简介】葛云，博士，教授，研究方向：医学物理、医学人工智能、精准医疗，E-mail: geyun@nju.edu.cn
更新日期/Last Update: 2024-12-20