CN105488330A - Remote quality control method of cloud radiotherapy - Google Patents

Remote quality control method of cloud radiotherapy Download PDF

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Publication number
CN105488330A
CN105488330A CN201510813443.7A CN201510813443A CN105488330A CN 105488330 A CN105488330 A CN 105488330A CN 201510813443 A CN201510813443 A CN 201510813443A CN 105488330 A CN105488330 A CN 105488330A
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quality control
radiotherapy
cloud
long
control platform
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程政
康世功
陈道光
孙德义
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Beijing Allcure Medical Technology Co Ltd
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Beijing Allcure Medical Technology Co Ltd
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    • G06F19/3418
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

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  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Business, Economics & Management (AREA)
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  • Primary Health Care (AREA)
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  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The invention provides a remote quality control platform of cloud radiotherapy. The remote quality control platform comprises the following steps: the remote quality control platform of the cloud radiotherapy obtains the operation state data of accelerator equipment, analyzes the operation state data and emits early warning information if the operation state data is abnormal; the remote quality control platform of the cloud radiotherapy obtains a radiotherapy plan submitted by medical care personnel, specialist personnel analyze the radiotherapy plan on the remote quality control platform of the cloud radiotherapy, judge whether the radiotherapy plan is feasible and predict whether the radiotherapy plan meets expectation, a verification result is generated, and a verification result is fed back to corresponding medical care personnel; and the remote quality control platform of the cloud radiotherapy obtains the operation flow data submitted by the medical care personnel in a radiotherapy treatment process and compares the operation flow data with quality control standard data, and emits the early warning information when a judgment result shows that operation errors are in the presence in a treatment process. The remote quality control platform synthesizes the quality control of each hospital, carries out remote unified management, feeds back information in time, improves monitoring efficiency and accuracy and provides a timely early warning for hospitals which use the remote quality control platform.

Description

The long-range method of quality control of cloud radiotherapy
Technical field
The present invention relates to Medical Devices and cloud service technical field, particularly the long-range method of quality control of a kind of cloud radiotherapy.
Background technology
The method of quality control in existing tumour radiotherapy field is more outmoded, information-based and electronization deficiency.Particularly, the monitoring of the existing therapeutic equipment to tumor radiotherapy therapeutic process, treatment plan and treatment flow process also rests on the manual monitoring stage substantially, and not only monitoring efficiency is low, and accuracy is not high yet.In addition, the quality control of each hospital is all respective running, and lack unified management, respective poor information is effectively linked up and supervised.
Summary of the invention
Object of the present invention is intended at least solve one of described technological deficiency.
For this reason, the object of the invention is to propose the long-range method of quality control of a kind of cloud radiotherapy, can the quality control of comprehensive each hospital, long-range unified management, timely feedback information, thus improve monitoring efficiency and accuracy.
To achieve these goals, embodiments of the invention provide a kind of cloud radiotherapy long-range method of quality control, comprise the steps: step S1, the long-range quality control platform of cloud radiotherapy obtains the running state data of accelerator facility, show described running state data, and described running state data is analyzed, judge whether described accelerator facility exception occurs, if abnormal, send early warning information, to notify that maintainer takes maintenance process;
Step S2, the long-range quality control platform of described cloud radiotherapy obtains the radiotherapy planning that medical personnel submit to, and be sent to cloud server, described radiotherapy planning is analyzed on described cloud radiotherapy long-range quality control platform by expert, judge that whether described radiotherapy planning is feasible and predict whether meet expectation, generate the result, described the result is fed back to corresponding described medical personnel, to be adjusted accordingly described radiotherapy planning by described medical personnel;
Step S3, the long-range quality control platform of described cloud radiotherapy obtains the operating process data in the radiotherapy in the treatment process of medical personnel's submission, described operating process data and quality control standard data are compared, when judging that radiotherapy in the treatment process exists operate miss, send early warning information, to notify that described medical personnel correct in time
Wherein, described step S1, step S2 and step S3 independently perform, in no particular order order.
Further, in described step S1, described cloud radiotherapy long-range quality control platform is analyzed described running state data, comprise: each detected parameters in described running state data is compared with corresponding preset security threshold value, if exceed described secure threshold, then judge that this inspection parameter occurs abnormal.
Further, the exception of described accelerator facility comprises: device software is made mistakes, equipment failure, mechanical fault, physics accident and/or equipment component failure.
Further, in described step S1, described cloud radiotherapy long-range quality control platform obtains corresponding quality guarantee QA parameter according to the running state data of described accelerator facility further, and the QA parameter of described accelerator facility is recorded and shown, described QA parameter after at every turn upgrading is sent to higher level's Quality Control center, to carry out the synchronous of QA parameter with described higher level's Quality Control center.
Further, the QA parameter of described accelerator facility comprises: dose measurement, x-ray dosage output stability, electron-beam dose output stability, plant equipment detects, locating laser lamp, distant-indicator, collimating apparatus launched field indicator, frame/collimating apparatus angle display, the center precision such as frame rotation, therapy apparatus status checking, laser lamp checks, mechanical verification, safety interlocking checks, gate interlock, safety door is closed, audiovisual monitor, three-dimensional linkage, radiation treatment region monitor, electron beam indicator, middle cervical orifice of uterus, middle cervical orifice of uterus is closed, console keyboard and other Control Components, medical accelerator multi-diaphragm collimator MLC initial value is arranged, air lift pump, water circulation, sulfur hexafluoride SF6, anticollision is interlocked, machine is warmed up, CCTV system, air-conditioning, broadcast system, video and intercom system, dehumidifier, medical accelerator multi-diaphragm collimator MLC self-inspection, clapboard detects, the equipment Inspection of KV/MV level flat panel imaging, anticollision is interlocked, locate and reorientate, the consistance of imaging and treatment under single chassis angle, pencil-beam medical electronic tomoscan Cone-beamCT, anticollision is interlocked, locate and reorientate, the consistance of imaging and treatment, KV level imaging KVimaging, fluoroscope Fluroscope, projection, locate and reorientate, imaging shows, image stores, film printing, CT-analog machine, warm up and scanning is set, location, rear installing is standby, warning lamp, monitor, communication apparatus, timer, emergency equipment, source electricity, treatment date-time source strength, network, treatment data backup, network connecting test, cleaning, pulpit, machine room, maintenance record, Interlock time processing method record.
Further, in described step S2, if judge that described radiotherapy planning is infeasible or undesirably, then described the result comprises: patient's essential information, checking situation, check result.
Further, in described step S3, described early warning information comprises: hospital name, medical personnel's title, operate miss content, error early warning priority and pre-warning time.
Further, described accelerator facility adopts clinac equipment.
According to the long-range method of quality control of cloud radiotherapy of the embodiment of the present invention, by the communication of the management platform with each hospital, obtain the data of clinac equipment, radiotherapy planning and radiotherapy in the treatment process data, thus the quality control realized above-mentioned three, when noting abnormalities, the long-range early warning information that sends is to notify that corresponding personnel take measures in time, thus solves potential problems in time, remove a hidden danger, for patient treatment provides systematic quality assurance.The present invention can the quality control of comprehensive each hospital, long-range unified management, timely feedback information, thus improves monitoring efficiency and accuracy, and for using hospital to provide early warning timely.
The aspect that the present invention adds and advantage will part provide in the following description, and part will become obvious from the following description, or be recognized by practice of the present invention.
Accompanying drawing explanation
Above-mentioned and/or additional aspect of the present invention and advantage will become obvious and easy understand from accompanying drawing below combining to the description of embodiment, wherein:
Fig. 1 is the frame diagram of the long-range method of quality control of cloud radiotherapy according to the embodiment of the present invention;
Fig. 2 is the process flow diagram of the long-range method of quality control of cloud radiotherapy according to the embodiment of the present invention;
Fig. 3 is the main surface chart of the cloud radiotherapy long-range quality control platform according to the embodiment of the present invention;
Fig. 4 is the surface chart of the accelerator facility Quality Control according to the embodiment of the present invention;
Fig. 5 is the surface chart of the treatment plan Quality Control according to the embodiment of the present invention;
Fig. 6 is the surface chart of the treatment flow process Quality Control according to the embodiment of the present invention.
Embodiment
Be described below in detail embodiments of the invention, the example of embodiment is shown in the drawings, and wherein same or similar label represents same or similar element or has element that is identical or similar functions from start to finish.Be exemplary below by the embodiment be described with reference to the drawings, be intended to for explaining the present invention, and can not limitation of the present invention be interpreted as.
The present invention proposes the long-range method of quality control of a kind of cloud radiotherapy, and the method is performed by the long-range quality control platform of cloud radiotherapy.As shown in Figure 1, the long-range method of quality control of cloud radiotherapy of the present invention communicates with the management platform of each hospital, the main quality control (being called for short: Quality Control) realized accelerator facility, radiotherapy planning and radiotherapy in the treatment flow process.These three Quality Controls are closely related, and are also radiocurable three large important Quality Control links.
Specifically, accelerator facility Quality Control is main but be not limited to be equipped with LCS system (accelerator control system), mainly to the Quality Control of therapeutic equipment.Radiotherapy planning Quality Control is equipped with TPS system (treatment planning systems), the Quality Control that the radiotherapy planning mainly done doctor and physics teacher is verified.The Quality Control for the treatment of flow process is equipped with OIS system (network system), mainly carries out Quality Control to tens times even whole patient treatment flow process of the segmentation radiotherapy of longer time.
It should be noted that, the above-mentioned quality control to accelerator facility, radiotherapy planning and radiotherapy in the treatment flow process needs in conjunction with each department characteristic and Equipments Setting situation.This is because there are different quality control standards in different provinces and regions, hospital, and Equipments Setting situation is also along with the different accelerators selected by hospital, flow data system etc. are different.Such as accelerator brand and model respectively have difference, and treatment flow database and plan verify that the hardware device relied on there are differences too.Therefore, when carrying out above-mentioned three class Quality Control, need, in conjunction with concrete quality control standard and hardware device, the accuracy of Quality Control can be provided like this.
Below with reference to Fig. 2 to Fig. 6, the long-range method of quality control of cloud radiotherapy of the embodiment of the present invention is described in detail.
As shown in Figure 2, the long-range method of quality control of cloud radiotherapy of the embodiment of the present invention, comprises the steps:
Step S1, the long-range quality control platform of cloud radiotherapy obtains the running state data of accelerator facility, display running state data, and running state data is analyzed, judge whether accelerator facility exception occurs, if abnormal, send early warning information, to notify that maintainer takes maintenance process.Preferably, accelerator facility can adopt clinac equipment.It should be noted that, the type of accelerator facility is not limited to clinac equipment, can also be other types, not repeat them here.
In one embodiment of the invention, the long-range quality control platform of cloud radiotherapy is analyzed running state data, comprise: each detected parameters in running state data is compared with corresponding preset security threshold value, if exceed secure threshold, then judge that this inspection parameter occurs abnormal.Wherein, the exception of accelerator facility comprises: device software is made mistakes, equipment failure, mechanical fault, physics accident and/or equipment component failure.
It should be noted that, the exception of clinac equipment is not limited to above-mentioned example, can also comprise other fault types, not repeat them here.
Fig. 3 is the main surface chart of the cloud radiotherapy long-range quality control platform according to the embodiment of the present invention.As shown in Figure 3, at the homepage of the long-range quality control platform of cloud radiotherapy, preferentially can show early warning information, process in time to remind associated user.
Fig. 4 is the surface chart of the accelerator facility Quality Control according to the embodiment of the present invention
As shown in Figure 4, the long-range quality control platform of cloud radiotherapy obtains corresponding quality guarantee QA parameter according to the running state data of accelerator facility further, and the QA parameter of accelerator facility is recorded and shown, QA parameter after at every turn upgrading is sent to higher level's Quality Control center, to carry out the synchronous of QA parameter with higher level's Quality Control center.
Wherein, the QA parameter of accelerator facility comprises: dose measurement, x-ray dosage output stability, electron-beam dose output stability, plant equipment detects, locating laser lamp, distant-indicator, collimating apparatus launched field indicator, frame/collimating apparatus angle display, the center precision such as frame rotation, therapy apparatus status checking, laser lamp checks, mechanical verification, safety interlocking checks, gate interlock (closedown ray), safety door is closed, audiovisual monitor, three-dimensional linkage (blockade), radiation treatment region monitor (if use), electron beam indicator, middle cervical orifice of uterus (if use), middle cervical orifice of uterus is closed (if use), console keyboard and other Control Components, medical accelerator multi-diaphragm collimator MLC initial value is arranged, air lift pump (if use), water circulation, SF6, anticollision interlocking (calimator, EPID), machine is warmed up, CCTV system, air-conditioning, broadcast system, video and intercom system, dehumidifier, other, medical accelerator multi-diaphragm collimator MLC self-inspection, clapboard detects, KV/MV level flat panel imaging equipment (EPID) detects, anticollision is interlocked, locate and reorientate, the consistance of imaging and treatment under single chassis angle, pencil-beam medical electronic tomoscan Cone-beamCT (KV), anticollision is interlocked, locate and reorientate, the consistance of imaging and treatment, KV level imaging KVimaging, fluoroscope Fluroscope, projection, locate and reorientate, imaging shows, image stores, film printing, CT-analog machine, warm up and scanning is set, location, rear installing is standby, warning lamp, monitor, communication apparatus, timer, emergency equipment, source electricity, treatment date-time source strength, network, treatment data backup, network connecting test, cleaning, pulpit (table top, computing machine, ground), machine room (head, bed, ground), maintenance record, Interlock time processing method record.With reference to figure 4, the long-range quality control platform of cloud radiotherapy can show every QA parameter measured value, whether by information such as checking and remarks.User, by clicking related menu hurdle, can carry out checking and monitoring.
Further, cloud radiotherapy long-range quality control platform can by above-mentioned QA parameter and higher level's Quality Control center, and such as country and Quality Control center, each province are carried out synchronously.
It should be noted that, cloud radiotherapy long-range quality control platform except the Quality Assurance relevant with radiotherapy and Quality Control parameter are carried out synchronous except, information that can also be relevant to radiotherapy Quality Control to the patient information of some necessity, section office's information etc.
In one embodiment of the invention, above-mentioned important QA and QC parameter needs real-time synchronization, and other insignificant information can be synchronous in morning every day, thus can not interfere with the normal work of hospital.
When judging that accelerator facility occurs abnormal, the long-range quality control platform of cloud radiotherapy sends early warning information in time, to notify that maintainer takes maintenance process, thus ensure that accelerator facility all components normally runs, parameters meets tolerance standards, lays the foundation for providing high-precision three-dimensional Intensity Modulation Radiated Therapy (IMRT).
In one embodiment of the invention, the long-range quality control platform of cloud radiotherapy, when judging that accelerator facility is abnormal, is issued red prompting, is sent early warning information simultaneously to corresponding maintainer, takes corresponding solution to remind supvr.
Step S2, the long-range quality control platform of cloud radiotherapy obtains the radiotherapy planning that medical personnel submit to, and it is shared to be sent to cloud server, radiotherapy planning is analyzed on the long-range quality control platform of cloud radiotherapy by expert, judge that whether radiotherapy planning is feasible, and predict whether the actual therapeutic effect of this radiotherapy planning meets expectation, generate the result, the result is fed back to corresponding basic hospital healthcare givers, Quality Control personnel in Quality Control center at different levels, long-range radiotherapy plan expert etc., to be adjusted accordingly radiotherapy planning by medical personnel, it is made to reach best treatment result as much as possible.
As shown in Figure 5, if judge that radiotherapy planning is infeasible or undesirably, then the result comprises: patient's essential information, checking situation, check result etc.Such as: patient name, place hospital, the ill type of institute etc.Checking situation can for treatment plan because which problem causes infeasible, and such as, the treatment first in Fig. 5 does not have image to guide.
Step S3, the long-range quality control platform of cloud radiotherapy obtains the operating process data in the radiotherapy in the treatment process of medical personnel's submission, operating process data and quality control standard data are compared, when judging that radiotherapy in the treatment process exists operate miss, send early warning information, to notify that medical personnel correct in time.
In step s3, early warning information comprises: the information such as hospital name, medical personnel's title, operate miss content, error early warning priority and pre-warning time.
In one embodiment of the invention, quality control standard data can be the TG-142 quality control standard of international highest standard, operating process data and this TG-142 quality control standard are compared, judge whether operate miss occurs, if there is error to send early warning information to corresponding medical personnel in time, corrected in time by medical personnel, thus can significantly reduce radiotherapy collateral damage, guarantee patients ' lives safety, significantly improve radiotherapy in the treatment quality.
It should be noted that, above-mentioned steps S1, step S2 and step S3 independently perform, in no particular order order.That is, be independently each other to the Quality Control of accelerator facility, radiotherapy planning and radiotherapy in the treatment flow process, successively can perform, also can perform simultaneously, not distinguish sequencing each other.
According to the long-range method of quality control of cloud radiotherapy of the embodiment of the present invention, by the communication of the management platform with each hospital, obtain the data of accelerator facility, radiotherapy planning and radiotherapy in the treatment process data, thus the quality control realized above-mentioned three, when noting abnormalities, the long-range early warning information that sends is to notify that corresponding personnel take measures in time, thus solves potential problems in time, remove a hidden danger, for patient treatment provides systematic quality assurance.The present invention can the quality control of comprehensive each hospital, unified management, timely feedback information, thus improves monitoring efficiency and accuracy, and for using hospital to provide early warning timely.
In the description of this instructions, specific features, structure, material or feature that the description of reference term " embodiment ", " some embodiments ", " example ", " concrete example " or " some examples " etc. means to describe in conjunction with this embodiment or example are contained at least one embodiment of the present invention or example.In this manual, identical embodiment or example are not necessarily referred to the schematic representation of above-mentioned term.And the specific features of description, structure, material or feature can combine in an appropriate manner in any one or more embodiment or example.
Although illustrate and describe embodiments of the invention above, be understandable that, above-described embodiment is exemplary, can not be interpreted as limitation of the present invention, those of ordinary skill in the art can change above-described embodiment within the scope of the invention when not departing from principle of the present invention and aim, revising, replacing and modification.Scope of the present invention is by claims extremely equivalency.

Claims (8)

1. the long-range method of quality control of cloud radiotherapy, is characterized in that, comprise the steps:
Step S1, the long-range quality control platform of cloud radiotherapy obtains the running state data of accelerator facility, show described running state data, and described running state data is analyzed, judge whether described accelerator facility exception occurs, if abnormal, send early warning information, to notify that maintainer takes maintenance process;
Step S2, the long-range quality control platform of described cloud radiotherapy obtains the radiotherapy planning that medical personnel submit to, and be sent to cloud server, described radiotherapy planning is analyzed on described cloud radiotherapy long-range quality control platform by expert, judge that whether described radiotherapy planning is feasible and predict whether meet expectation, generate the result, described the result is fed back to corresponding described medical personnel, to be adjusted accordingly described radiotherapy planning by described medical personnel;
Step S3, the long-range quality control platform of described cloud radiotherapy obtains the operating process data in the radiotherapy in the treatment process of medical personnel's submission, described operating process data and quality control standard data are compared, when judging that radiotherapy in the treatment process exists operate miss, send early warning information, to notify that described medical personnel correct in time;
Wherein, described step S1, step S2 and step S3 independently perform, in no particular order order.
2. the long-range method of quality control of cloud radiotherapy as claimed in claim 1, it is characterized in that, in described step S1, described cloud radiotherapy long-range quality control platform is analyzed described running state data, comprise: each detected parameters in described running state data is compared with corresponding preset security threshold value, if exceed described secure threshold, then judge that this inspection parameter occurs abnormal.
3. the long-range method of quality control of cloud radiotherapy as claimed in claim 1 or 2, it is characterized in that, the exception of described accelerator facility comprises: device software is made mistakes, equipment failure, mechanical fault, physics accident and/or equipment component failure.
4. the long-range method of quality control of cloud radiotherapy as claimed in claim 1, it is characterized in that, in described step S1, described cloud radiotherapy long-range quality control platform obtains corresponding quality guarantee QA parameter according to the running state data of described accelerator facility further, and the QA parameter of described accelerator facility is recorded and shown, described QA parameter after at every turn upgrading is sent to higher level's Quality Control center, to carry out the synchronous of QA parameter with described higher level's Quality Control center.
5. the long-range method of quality control of cloud radiotherapy as claimed in claim 1, it is characterized in that, the QA parameter of described accelerator facility comprises: dose measurement, x-ray dosage output stability, electron-beam dose output stability, plant equipment detects, locating laser lamp, distant-indicator, collimating apparatus launched field indicator, frame/collimating apparatus angle display, the center precision such as frame rotation, therapy apparatus status checking, laser lamp checks, mechanical verification, safety interlocking checks, gate interlock, safety door is closed, audiovisual monitor, three-dimensional linkage, radiation treatment region monitor, electron beam indicator, middle cervical orifice of uterus, middle cervical orifice of uterus is closed, console keyboard and other Control Components, medical accelerator multi-diaphragm collimator MLC initial value is arranged, air lift pump, water circulation, sulfur hexafluoride SF6, anticollision is interlocked, machine is warmed up, CCTV system, air-conditioning, broadcast system, video and intercom system, dehumidifier, medical accelerator multi-diaphragm collimator MLC self-inspection, clapboard detects, the equipment Inspection of KV/MV level flat panel imaging, anticollision is interlocked, locate and reorientate, the consistance of imaging and treatment under single chassis angle, pencil-beam medical electronic tomoscan Cone-beamCT, anticollision is interlocked, locate and reorientate, the consistance of imaging and treatment, KV level imaging KVimaging, fluoroscope Fluroscope, projection, locate and reorientate, imaging shows, image stores, film printing, CT-analog machine, warm up and scanning is set, location, rear installing is standby, warning lamp, monitor, communication apparatus, timer, emergency equipment, source electricity, treatment date-time source strength, network, treatment data backup, network connecting test, cleaning, pulpit, machine room, maintenance record, Interlock time processing method record.
6. the long-range method of quality control of cloud radiotherapy as claimed in claim 1, it is characterized in that, in described step S2, if judge that described radiotherapy planning is infeasible or undesirably, then described the result comprises: patient's essential information, checking situation, check result.
7. the long-range method of quality control of cloud radiotherapy as claimed in claim 1, it is characterized in that, in described step S3, described early warning information comprises: hospital name, medical personnel's title, operate miss content, error early warning priority and pre-warning time.
8. the long-range method of quality control of cloud radiotherapy as claimed in claim 1, is characterized in that, described accelerator facility adopts clinac equipment.
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CN114093497A (en) * 2021-11-23 2022-02-25 江苏大学附属医院 Radiotherapy remote consultation monitoring device, system and method based on virtual private network
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