[1]方键蓝,方涌文,肖亮杰,等.乐园化引导干预可提升儿童放疗摆位精度[J].中国医学物理学杂志,2022,39(10):1204-1207.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.004]
 FANG Jianlan,FANG Yongwen,et al.Playful situational intervention can improve the positioning accuracy in radiotherapy for children[J].Chinese Journal of Medical Physics,2022,39(10):1204-1207.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.004]
点击复制

乐园化引导干预可提升儿童放疗摆位精度()
分享到:

《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:
1204-1207
栏目:
医学放射物理
出版日期:
2022-11-02

文章信息/Info

Title:
Playful situational intervention can improve the positioning accuracy in radiotherapy for children
文章编号:
1005-202X(2022)10-1204-04
作者:
方键蓝12方涌文1肖亮杰1林晓生1王宇留1钟庆初1林茂盛1何梦雪1许森奎12姚文燕12
1.中山大学肿瘤防治中心华南肿瘤学国家重点实验室, 广东 广州 510060; 2.广东省食管癌研究所, 广东 广州 510060
Author(s):
FANG Jianlan1 2 FANG Yongwen1 XIAO Liangjie1 LIN Xiaosheng1 WANG Yuliu1 ZHONG Qingchu1 LIN Maosheng1 HE Mengxue1 XU Senkui1 2 YAO Wenyan1 2
1. State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou 510060, China 2. Guangdong Institute of Esophageal Cancer, Guangzhou 510060, China
关键词:
儿童肿瘤放疗乐园化干预摆位精度
Keywords:
Keywords: pediatric tumor radiotherapy playful situational intervention positioning accuracy
分类号:
R318
DOI:
DOI:10.3969/j.issn.1005-202X.2022.10.004
文献标志码:
A
摘要:
目的:探讨乐园化引导干预对儿童放疗摆位精度的影响。方法:选取2020年3月~2022年5月在中山大学肿瘤防治中心放疗的儿童患者作为研究对象,按照是否参与乐园化引导干预分为试验组(24例)和对照组(21例)。试验组儿童患者在每次放疗前进行儿童乐园化诱导心理干预,待儿童患者完成心理适应后进行治疗;对照组实施常规放疗准备后治疗。比较两组儿童患者放疗实施的摆位精度。结果:试验组在左右(LR)、头脚(SI)、腹背(AP)方向的摆位误差分别为(-0.32±2.18)、(-0.12±2.24)、(-0.17±2.32) mm,对照组分别为(-0.93±1.91)、(0.79±1.75)、(-0.63±1.97) mm。两组摆位误差比较,在LR和SI方向的差异有统计学意义(LR:t=2.28, P=0.02;SI:t=-2.58, P=0.01),而AP方向的差异无统计学意义(LR:t=1.63, P=0.11)。结论:乐园化引导干预可以提高儿童患者放疗的依从性,进而提高放疗的摆位精度,具有显著的临床应用意义和推广价值。
Abstract:
Abstract: Objective To explore the effect of playful situational intervention on the positioning accuracy in radiotherapy for children. Methods Children who received radiotherapy in Sun Yat-sen University Center Cancer from March 2020 to May 2022 were enrolled in the study. The patients in experimental group (n=24) were given playful situational intervention before radiotherapy, and the radiotherapy was carried out after psychological adjustment. Those in control group (n=21) received radiotherapy after routine preparation.?he positioning accuracy in radiotherapy was compared between two groups. Results The setup errors in left-right (LR), superior-inferior (SI) and anterior-posterior (AP) directions were (-0.32±2.18), (-0.12±2.24), (-0.17±2.32) mm in experimental group, and (-0.93±1.91), (0.79±1.75), (-0.63±1.97) mm in control group. There were significant differences in setup errors between two groups in LR and SI directions (LR: t=2.28, P=0.02 SI: t=-2.58, P=0.01), but not in AP direction (t=1.63, P=0.11). Conclusion Playful situational intervention can improve patient compliance, thereby improving the positioning accuracy of radiotherapy, with significant clinical significance and popularization value.

相似文献/References:

[1]吴巨海,徐子海,陈超敏,等.实时跟踪放疗中关联模型和预测算法[J].中国医学物理学杂志,2015,32(02):248.[doi:10.3969/j.issn.1005-202X.2015.02.022]
[2]杨海燕,王军良,周振山,等.放射生物学数学模型的研究进展[J].中国医学物理学杂志,2014,31(06):5253.[doi:10.3969/j.issn.1005-202X.2014.06.007]
[3]陈旎,等.III期非小细胞肺癌三维适形与调强技术的剂量学比较[J].中国医学物理学杂志,2016,33(2):198.[doi:10.3969/j.issn.1005-202X.2016.02.019]
[4]李莎,王美娇,岳海振,等. Eclipse新光子优化算法中优化分辨率对放疗计划的影响[J].中国医学物理学杂志,2017,34(11):1081.[doi:DOI:10.3969/j.issn.1005-202X.2017.11.001]
 LI Sha,WANG Meijiao,et al. Dosimetric impact of optimization resolutions of the new photon optimizer in Eclipse treatment planning system[J].Chinese Journal of Medical Physics,2017,34(10):1081.[doi:DOI:10.3969/j.issn.1005-202X.2017.11.001]
[5]周舜,王若曦,岳海振,等.基于辐射变色胶片测量的射野剂量学分析工具包设计开发[J].中国医学物理学杂志,2019,36(7):751.[doi:DOI:10.3969/j.issn.1005-202X.2019.07.002]
 ZHOU Shun,WANG Ruoxi,YUE Haizhen,et al.Design and development of radiochromic film measurement-based toolkit for radiotherapy fielddosimetric analysis[J].Chinese Journal of Medical Physics,2019,36(10):751.[doi:DOI:10.3969/j.issn.1005-202X.2019.07.002]
[6]成肇杰,韦婷,梁卫学,等.CARE Dose 4D在鼻咽癌放疗定位中的应用[J].中国医学物理学杂志,2021,38(11):1349.[doi:DOI:10.3969/j.issn.1005-202X.2021.11.006]
 CHENG Zhaojie,WEI Ting,LIANG Weixue,et al.Application of CARE Dose 4D in radiotherapy localization of nasopharyngeal carcinoma[J].Chinese Journal of Medical Physics,2021,38(10):1349.[doi:DOI:10.3969/j.issn.1005-202X.2021.11.006]
[7]黄新阳,周俊东,吴传锋,等.基于红外定位系统的放疗摆位偏差预警系统对头颈肩膜形变的分析与研究[J].中国医学物理学杂志,2022,39(4):421.[doi:DOI:10.3969/j.issn.1005-202X.2022.04.005]
 HUANG Xinyang,ZHOU Jundong,WU Chuanfeng,et al.Analyzing the deformation of head-neck-shoulder thermoplastic mask by OPS-based early warning system for setup errors in radiotherapy[J].Chinese Journal of Medical Physics,2022,39(10):421.[doi:DOI:10.3969/j.issn.1005-202X.2022.04.005]
[8]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.[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.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.002]

备注/Memo

备注/Memo:
【收稿日期】2022-06-08 【基金项目】广东省医学科学技术研究基金(A2017613, A2020621);广东省食管癌研究所科技计划青年项目(Q202107) 【作者简介】方键蓝,技师,研究方向:放疗体位固定技术,E-mail: fangjl@sysucc.org.cn 【通信作者】姚文燕,硕士,主管技师,研究方向:放疗摆位,E-mail: yaowy@sysucc.org.cn
更新日期/Last Update: 2022-10-27