CN108053869A - A kind of tumor patient radiotherapy management of process and method of quality control and system - Google Patents
A kind of tumor patient radiotherapy management of process and method of quality control and system Download PDFInfo
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- CN108053869A CN108053869A CN201710936744.8A CN201710936744A CN108053869A CN 108053869 A CN108053869 A CN 108053869A CN 201710936744 A CN201710936744 A CN 201710936744A CN 108053869 A CN108053869 A CN 108053869A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
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Abstract
The invention discloses a kind of tumor patient radiotherapy management of process and method of quality control, the described method includes CT images information, condition-inference conclusion information, Target delineations information, radiotherapy planning application information, radiotherapy plan information, radiotherapy planning verifies result information, review compares confirmation message, real-time radiotherapy progress information is in the interaction of multiple terminals, it will participate in the clinician in therapeutic process, physics teacher, technician, the work of the personnel such as nurse and patient simulation's machine, CT, the task of the equipment such as the acquisition of MRI positioning images is served as theme with conditions of patients information flow to be connected, information is transferred timely, accurately, efficiently.The invention also discloses the systems of the application above method.The present invention also has the advantages that ensure the accurate, safe efficient of therapeutic process so that entire management work is more transparent, fair, is saved for tumor patient valuable treatment time, while also supports clinical research demand.
Description
Technical field
The present invention relates to the information application technique field of centre management, more particularly to a kind of tumor patient radiotherapy management of process
And method of quality control and system.
Background technology
Tumour radiotherapy is a kind of local therapeutic approaches using radiation cure tumour, about 70% cancer patient
It is needed during treating cancer with radiotherapy, the cancer there are about 40% can be effected a radical cure with radiotherapy.Radiotherapy is in tumour
Effect and status in treatment become increasingly conspicuous, it has also become treat one of main means of malignant tumour.
Though the history of radiotherapy only decades, development is very fast, applies in clinic also than wide.In CT images skill
Under art and technical development of computer help, present radiotherapy technology develops to three-dimensional radiotherapy, four-dimensional radiotherapy technology by two-dimentional radiotherapy,
The dosage tune that Radiotherapy dosimetry distribution is also developed in volume dose distribution and volume dose distribution by dose point is strong.Present puts
Treatment technology mainstream includes stereotactic radiotherapy, it is characterized in that three-dimensional, small open country, boundling, gradation, high-dose irradiation, it is required
Do.se fall is faster outside the precision higher of positioning and target area.
Radiotherapy is a polygonal color of synthesis and the therapeutic process of multitask, is participated in involved in therapeutic process to clinical doctor
The participation of multiple roles such as teacher, physics teacher, technician, nurse, and also relate to patient simulation's machine, CT, MRI positioning image are adopted
Collect the transmission between plan and accelerator, then be required for being managed collectively and arrange to upper machine therapeutic process, and because tumour
Sb.'s sickness becomes critical by patient, treatment time is more valuable with respect to general patient.
The medical staff for being mostly at present radiotherapy section office manually arranges whole flow process, is flowed between multiple departments, multiple personnel
Multistep process is needed when turning, material is various, work mistake easily occurs and information is omitted, and human factor accounts for and dominates and can cause
Hospital's general mood not just, to the people's opportunity for the sufferer that pursues private ends that I am honoured by your visit, causes to arrange that management work is passive, poorly efficient, error rate
It is high, it is most important that the conditions of patients having may be caused be delayed, best occasion for the treatment is missed in the transmission of state of an illness information not in time etc.,
Life threatening.Thus it is guaranteed that the key for carrying out being related to patient vitals' health of Patients During Radiotherapy efficiently, accurate, safe is, it is necessary to one
Efficient information system is covered to manage and arrange, and the progress of Patients During Radiotherapy accurately, safe is ensured with this.
The content of the invention
In order to solve the problems, such as that Patients During Radiotherapy manages not accurate enough, fair and efficient, the embodiment of the present invention in the prior art
Provide a kind of tumor patient radiotherapy management of process and method of quality control and system.The technical solution is as follows：
On the one hand, it is described an embodiment of the present invention provides a kind of tumor patient radiotherapy management of process and method of quality control
Method includes：
The CT images information of tumor patient is directed into doctor's terminal by S1, CT images end of scan；
S2, doctor's terminal obtain CT images information, doctor's typing condition-inference conclusion information of going to a doctor, and carry out target area hook
It draws；The Target delineations information and radiotherapy planning application are exported to dosage teacher's terminal；
S3, dosage teacher terminal obtain radiotherapy planning application and Target delineations information, carry out radiotherapy plan, the radiotherapy
Instruction to be confirmed is exported to doctor's terminal by the dosage teacher terminal after the completion of plan design；
S4, doctor's terminal obtain radiotherapy plan information, and are confirmed, radiotherapy planning is verified result and believed by dosage teacher
Breath is sent to physics teacher's terminal；
S5, physics teacher terminal obtain radiotherapy planning and verify result information, carry out radiotherapy planning review with comparing, and will review
It compares confirmation message and is sent to doctor's terminal；
S6, doctor's terminal obtain radiotherapy planning review and compare confirmation message, including plan design confirmation message and reset shadow
As confirmation message, radiotherapy doctor's advice is added, the radiotherapy planning information is exported to radiotherapy apparatus, starts radiotherapy process；
In treatment, the radiotherapy apparatus periodicity sending radiotherapy progress information to doctor's terminal.
Specifically, the step S2 traditional Chinese physicians terminal obtains CT images information, doctor's typing condition-inference conclusion of going to a doctor letter
Breath specifically includes：
S2a, doctor's terminal obtain and confirm tumor patient information and CT scan application after output CT scan instruct to CT shadows
Tumor patient history image information is transferred as the CT images information of end of scan acquisition and/or from database；
S2b, medical doctor analyze the CT images information that CT scan terminal obtains, and are carried out in combination with history image
It compares, diagnosis is provided according to comparison result.
Further, Target delineations information specifically includes affected part location information in the step S2 and affected part size is commented
Information is estimated, for determining the degree of the tumour state of an illness and corresponding therapeutic scheme.
Wherein, the acquisition of Target delineations information specifically includes in the step S2：
CT images information flow gives medical doctor to carry out Target delineations and/or hooked by the automatic tissue of ABAS softwares progress
It draws.
Further, Design of Radiotherapy plan includes radiotherapy position and course for the treatment of waiting in the step S3；
If the radiotherapy position needs multistage to treat, the Design of Radiotherapy plan further includes the hop count of single therapy.
Further, the step S4 doctor terminal obtains radiotherapy plan information, and is confirmed, dosage teacher will put
Treatment plan verification result information is sent to physics teacher's terminal and specifically includes：
The dosage teacher terminal completes the verification table of radiotherapy planning, and performs before the radiotherapy planning imports and put with described
After treating the launched field parameter comparison after plan importing, it is whole that the mission bit stream that the radiotherapy planning is checked is sent to the physics teacher
End.
Specifically, physics teacher terminal obtains radiotherapy planning and verifies result information in the step S5, carries out radiotherapy planning and answers
Review comparison confirmation message is sent to doctor's terminal and specifically included by core with comparing：
Radiotherapy planning described in S5a, the physics teacher terminal-pair carries out QA verifications, and is intended to QA verification results and is sent to institute
State doctor's terminal；
S5b, analog reset technician complete the personalized mock pendulum position before tumor patient radiotherapy, and in tumor patient body surface and
Mark is added on mold, analog reset imaging results are sent to by doctor's terminal by analog reset terminal.
Further, the step S6 traditional Chinese physicians terminal obtains radiotherapy planning review and compares confirmation message, is set including plan
After counting confirmation message and resetting image confirmation message, radiotherapy doctor's advice is added, the radiotherapy planning information is exported to radiotherapy apparatus,
The step of starting radiotherapy process further includes：
Cost information in S6a, first terminal examination ＆ verification radiotherapy doctor's advice, tumor patient complete the tumour by payment terminal
After expense indicated by patient's premium notice, payment information is sent to treatment technician's terminal by the payment terminal；
After S6b, treatment technician terminal verify the payment information, the radiotherapy planning is exported to radiotherapy apparatus, it is described
Radiotherapy system is in real time managed the radiotherapy progress of patient.
On the other hand, the embodiment of the invention also discloses a kind of tumor patient radiotherapy management of process and quality control system,
The system comprises：
CT images scan module, CT images import modul, CT images analysis module, condition-inference module, Target delineations mould
Block, radiotherapy plan module, analog reset module, Beam's eye view image confirm that module, prescription confirm module and plan QA moulds
Block；
The radiotherapy plan module includes radiotherapy planning application unit, radiotherapy planning gets unit, radiotherapy planning is set
It counts unit, radiotherapy planning confirmation unit, radiotherapy planning and verifies unit, radiotherapy planning review and comparing unit；
The system also includes CT images end of scan, doctor's terminal, physics teacher terminal, dosage teacher terminal, analog resets
Terminal, treatment technician terminal, radiotherapy apparatus, first terminal, payment terminal and the corresponding collector of each terminal；
Each module of system is connected respectively with terminating machine and collector, and the collector is connected with server, the clothes
Business device is connected by data cable with PC machine, is connected by network and database.
Further, the CT images analysis module, including image receiving unit, history image import unit, image point
Analyse unit, all previous image comparing unit, CT images reporting unit and transmission unit；
Wherein, described image receiving unit and history image import unit input terminal are connected with server, and image receives single
First output terminal is connected respectively with image analyzing unit and all previous image comparing unit input terminal, history image import unit output terminal
Be connected with all previous image comparing unit input terminal, CT images reporting unit input terminal respectively with image analyzing unit and all previous image
Comparing unit output terminal is connected, and CT images reporting unit is sent to server by transmission unit.
Summarize in addition, the condition-inference module includes CT images report receiving unit, illness analysis input unit, the state of an illness
Analytic unit, diagnosis report unit, remedy measures unit；
The remedy measures unit independently selects subelement and remedy measures to input subelement including remedy measures；
Wherein, the CT images report receiving unit input terminal is connected with server, CT images report receiving unit output
End is connected with illness analysis unit input terminal, and illness analysis unit output terminal is connected with diagnosis report unit input terminal, diagnosis report
It accuses unit output terminal with remedy measures unit input terminal to be connected, remedy measures unit output terminal is connected with server.
Further, the Target delineations module includes affected part positioning unit and affected part size assessment unit；
The affected part positioning unit input terminal is connected with doctor's terminal, output terminal and radiotherapy plan module input phase
Even, the affected part size assessment unit input terminal is connected with doctor's terminal, and output terminal is inputted with radiotherapy plan module
End is connected.
The advantageous effect that technical solution provided in an embodiment of the present invention is brought is：
1st, it is radiotherapy an embodiment of the present invention provides a kind of radiation therapy process and quality management and control method and system
Section's radiotherapy has built polygonal color and the Case management platform of multitask, is that a set of efficient information system is come to entire radiotherapy
Process is managed and arranges；
2nd, the present embodiments relate to a kind of radiation therapy process and quality management and control system pass through work-up
The interaction of information and multiple terminals, by the work of the personnel such as the clinician, physics teacher, technician, the nurse that participate in therapeutic process
It is served as theme and connected with conditions of patients information flow with the task of patient simulation's machine, the equipment such as acquisition of CT, MRI positioning image,
Information is transferred in time, accurately, efficiently；
3rd, a kind of radiation therapy process of the embodiment of the present invention and quality management and control method promote medical staff from passive
Task-driven is to the Mode change of active；
4th, a kind of radiation therapy process of the embodiment of the present invention and quality management and control method and system are repeatedly for including
Radiotherapy planning including Target delineations is checked, review, it is ensured that accurate, the safety of therapeutic process, so as to promote curative effect；
5th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control method and system, will put
It treats whole process to include in a management system, greatly reduces effect of the human factor in entire Patients During Radiotherapy so that whole
A management work is more transparent, fair and efficient, and valuable treatment time is saved for tumor patient；
6th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control method and system, are supported
Patient obtains in real time and treatment-related information, case control are more efficient；Simultaneously leadership is supported to obtain related data in real time,
Decision support is provided；Also clinical research demand is supported.
Description of the drawings
To describe the technical solutions in the embodiments of the present invention more clearly, make required in being described below to embodiment
Attached drawing is briefly described, it should be apparent that, the accompanying drawings in the following description is only some embodiments of the present invention, for
For those of ordinary skill in the art, without creative efforts, other are can also be obtained according to these attached drawings
Attached drawing.
Fig. 1 is a kind of radiation therapy process provided in an embodiment of the present invention and quality management and control method flow chart；
Fig. 2 is a kind of radiation therapy process provided in an embodiment of the present invention and quality management and control method and system structure
Schematic diagram；
Sequence number is expressed as in figure：1-CT image scanning modules 1,2-CT image import moduls, 3-CT image analysing computers module 3,
4- condition-inference modules, 5- Target delineations modules, 51- affected parts positioning unit, 52- affected parts size assessment unit, 6- radiotherapies
Plan design module, 61- radiotherapy planning application units, 62- radiotherapy plannings get unit, 63- radiotherapy plan units, 64-
Radiotherapy planning confirmation unit, 65- radiotherapy plannings verify unit, the review of 66- radiotherapy plannings and comparing unit, 7- analog reset moulds
Block, 8- Beam's eye views image confirm module, and 9- prescriptions confirm module and 10- plan QA modules.
Specific embodiment
To make the object, technical solutions and advantages of the present invention clearer, below in conjunction with attached in the embodiment of the present invention
Figure, is clearly and completely described the technical solution in the embodiment of the present invention, it is clear that described embodiment is only this
Invention part of the embodiment, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art exist
All other embodiments obtained under the premise of creative work are not made, belong to the scope of protection of the invention.
Embodiment 1
An embodiment of the present invention provides a kind of tumor patient radiotherapy management of process and method of quality control, as shown in Figure 1, should
Method includes：
The CT images information of tumor patient is directed into doctor's terminal by S1, CT images end of scan；
S2, doctor's terminal obtain CT images information, doctor's typing condition-inference conclusion information of going to a doctor, and carry out target area hook
It draws；
Target delineations information and radiotherapy planning application are exported to dosage teacher's terminal；
S3, dosage teacher terminal obtain radiotherapy planning application and Target delineations information, carry out radiotherapy plan；Radiotherapy planning
Instruction to be confirmed is exported to doctor's terminal by dosage teacher terminal after the completion of design；
S4, doctor's terminal obtain radiotherapy plan information, and are confirmed, radiotherapy planning is verified result and believed by dosage teacher
Breath is sent to physics teacher's terminal；
S5, physics teacher terminal obtain radiotherapy planning and verify result information, carry out radiotherapy planning review with comparing, and will review
It compares confirmation message and is sent to doctor's terminal；
S6, doctor's terminal obtain radiotherapy planning review and compare confirmation message, including plan design confirmation message and reset shadow
As confirmation message, radiotherapy doctor's advice is added, the radiotherapy planning information is exported to radiotherapy apparatus, starts radiotherapy process；
In treatment, the radiotherapy apparatus periodicity sending radiotherapy progress information to doctor's terminal.
The advantageous effect that technical solution provided in an embodiment of the present invention is brought is：
1st, an embodiment of the present invention provides a kind of radiation therapy process and quality management and control method, radiated for radiotherapy department
Polygonal color and the Case management platform of multitask have been built in treatment, are that a set of efficient information management mode is come to entire radiotherapy
Journey is managed and arranges；
2nd, the present embodiments relate to a kind of radiation therapy process and quality management and control method pass through work-up
The interaction of information and multiple terminals, by the work of the personnel such as the clinician, physics teacher, technician, the nurse that participate in therapeutic process
It is served as theme and connected with conditions of patients information flow with the task of patient simulation's machine, the equipment such as acquisition of CT, MRI positioning image,
Information is transferred in time, accurately, efficiently；
3rd, a kind of radiation therapy process of the embodiment of the present invention and quality management and control method promote medical staff from passive
Task-driven is to the Mode change of active；
4th, a kind of radiation therapy process of the embodiment of the present invention and quality management and control method are repeatedly hooked for including target area
Radiotherapy planning in being drawn in is checked, review, it is ensured that accurate, the safety of therapeutic process, so as to promote curative effect；
5th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control method, radiotherapy is entire
Process is included in a management system, greatly reduces effect of the human factor in entire Patients During Radiotherapy so that entire management
Work is more transparent, fair and efficient, and valuable treatment time is saved for tumor patient；
6th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control method support that patient is real
When obtain with treatment-related information, case control is more efficient；Simultaneously leadership is supported to obtain related data in real time, provided certainly
Plan is supported；Also clinical research demand is supported.
Embodiment 2
An embodiment of the present invention provides a kind of tumor patient radiotherapy managements of process and method of quality control, this method to pass through CT
Image information, condition-inference conclusion information, Target delineations information, radiotherapy planning application information, radiotherapy plan information, radiotherapy
Plan verify result information, review compare confirmation message, real-time radiotherapy progress information multiple terminals interaction, will participate in treatment
The work of the personnel such as clinician, physics teacher, technician, nurse in the process and patient simulation's machine, CT, MRI position adopting for image
The task of the equipment such as collection is served as theme with conditions of patients information flow to be connected；This method specifically includes following steps：
The CT images information of tumor patient is directed into doctor's terminal by S1, CT images end of scan.CT images information is led
The information source of the fashionable embodiment of the present invention, the go to a doctor diagnosis of doctor and the specific carrier and foundation of later stage Target delineations.
S2, doctor's terminal obtain CT images information, doctor's typing condition-inference conclusion information of going to a doctor；It specifically includes：
S2a, doctor's terminal obtain and confirm tumor patient information and CT scan application after output CT scan instruct to CT shadows
Tumor patient history image information is transferred as the CT images information of end of scan acquisition and/or from database；
S2b, medical doctor analyze the CT images information that CT scan terminal obtains, and are carried out in combination with history image
It compares, diagnosis is provided according to comparison result.
Then doctor's terminal carries out Target delineations；Target delineations information and radiotherapy planning application are exported whole to dosage teacher
End；
Wherein Target delineations information specifically includes affected part location information and affected part size assessment information, swollen for determining
The degree of the knurl state of an illness and corresponding therapeutic scheme.
Specifically, the acquisition modes of Target delineations information give medical doctor to carry out Target delineations for CT images information flow,
In specific implementation, it can also carry out organizing to delineate automatically by ABAS softwares or the medical doctor of combination manually carries out target area
Delineate with ABAS softwares automatically tissue delineate both modes it is synchronous use.
Target delineations information is later stage dosage teacher, the Information base of physics teacher design radiotherapy planning, and it is accurate to ensure.
S3, dosage teacher terminal obtain radiotherapy planning application and Target delineations information, carry out radiotherapy plan, the radiotherapy meter
It delineates and instruction to be confirmed is exported to doctor's terminal by dosage teacher terminal after the completion of counting；
Design of Radiotherapy plan includes but not limited to radiotherapy position and course for the treatment of waiting；
If the radiotherapy position needs multistage to treat, the Design of Radiotherapy plan further includes the hop count of single therapy.
S4, doctor's terminal obtain radiotherapy plan information, and are confirmed, radiotherapy planning is verified result and believed by dosage teacher
Breath is sent to physics teacher's terminal；It specifically includes：
The dosage teacher terminal completes the verification table of radiotherapy planning, and performs before the radiotherapy planning imports and put with described
After treating the launched field parameter comparison after plan importing, it is whole that the mission bit stream that the radiotherapy planning is checked is sent to the physics teacher
End.
S5, physics teacher terminal obtain radiotherapy planning and verify result information, carry out radiotherapy planning review with comparing, and will review
It compares confirmation message and is sent to doctor's terminal；It is repeatedly checked for the radiotherapy planning including Target delineations, review, really
Accurate, the safety of therapeutic process are protected, so as to ensure that therapeutic effect；
It specifically includes：
Radiotherapy planning described in S5a, the physics teacher terminal-pair carries out QA verifications, and is intended to QA verification results and is sent to institute
State doctor's terminal；
S5b, analog reset technician complete the personalized mock pendulum position before tumor patient radiotherapy, and in tumor patient body surface and
Mark is added on mold, analog reset imaging results are sent to by doctor's terminal by analog reset terminal.It is this to put
It treats before starting, repeatedly fixes being determined for patient body position, it is ensured that accurate, the safety of therapeutic process, so as to promote curative effect.
S6, doctor's terminal obtain radiotherapy planning review and compare confirmation message, including plan design confirmation message and reset shadow
As after confirmation message, adding radiotherapy doctor's advice, the radiotherapy planning information is exported to radiotherapy apparatus, starts radiotherapy process；It is controlling
It treats and is also specifically included in being embodied before starting：
Cost information in S6a, first terminal examination ＆ verification radiotherapy doctor's advice, tumor patient complete the tumour by payment terminal
After expense indicated by patient's premium notice, payment information is sent to treatment technician's terminal by the payment terminal；
After S6b, treatment technician terminal verify the payment information, the radiotherapy planning is exported to radiotherapy apparatus, it is described
Radiotherapy system is in real time managed the radiotherapy progress of patient.
In treatment, the radiotherapy apparatus periodicity sending radiotherapy progress information to doctor's terminal.
The advantageous effect that technical solution provided in an embodiment of the present invention is brought is：
1st, an embodiment of the present invention provides a kind of radiation therapy process and quality management and control method, radiated for radiotherapy department
Treatment built polygonal color and the Case management platform of multitask, be a set of efficient information system come to entire Patients During Radiotherapy into
Row management and arrangement；
2nd, the present embodiments relate to a kind of radiation therapy process and quality management and control method pass through work-up
The interaction of information and multiple terminals, by the work of the personnel such as the clinician, physics teacher, technician, the nurse that participate in therapeutic process
It is served as theme and connected with conditions of patients information flow with the task of patient simulation's machine, the equipment such as acquisition of CT, MRI positioning image,
Information is transferred in time, accurately, efficiently；
3rd, a kind of radiation therapy process of the embodiment of the present invention and quality management and control method promote medical staff from passive
Task-driven is to the Mode change of active；
4th, a kind of radiation therapy process of the embodiment of the present invention and quality management and control method are repeatedly hooked for including target area
Radiotherapy planning in being drawn in is checked, review, it is ensured that accurate, the safety of therapeutic process, so as to promote curative effect；
5th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control method, radiotherapy is entire
Process is included in a management system, greatly reduces effect of the human factor in entire Patients During Radiotherapy so that entire management
Work is more transparent, fair and efficient, and valuable treatment time is saved for tumor patient；
6th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control method support that patient is real
When obtain with treatment-related information, case control is more efficient；Simultaneously leadership is supported to obtain related data in real time, provided certainly
Plan is supported；Also clinical research demand is supported.
Embodiment 3
The embodiment of the invention also discloses a kind of tumor patient radiotherapy management of process and quality control system, as shown in Fig. 2,
The system comprises：
CT images scan module 1, CT images import modul 2, CT images analysis module 3, condition-inference module 4, target area hook
It draws module 5, radiotherapy plan module 6, analog reset module 7, Beam's eye view image and confirms that module 8, prescription confirm 9 and of module
Plan QA modules 10；
The radiotherapy plan module 6 includes radiotherapy planning application unit 61, radiotherapy planning gets unit 62, radiotherapy meter
It draws design cell 63, radiotherapy planning confirmation unit 64, radiotherapy planning and verifies unit 65, radiotherapy planning review and comparing unit 66；
The system also includes CT images end of scan, doctor's terminal, physics teacher terminal, dosage teacher terminal, analog resets
Terminal, treatment technician terminal, radiotherapy apparatus, first terminal, payment terminal and the corresponding collector of each terminal；
Each module of system is connected respectively with terminating machine and collector, and the collector is connected with server, the clothes
Business device is connected by data cable with PC machine, is connected by network and database.
Further, the Target delineations module 5 includes affected part positioning unit 51 and affected part size assessment unit 52.
51 input terminal of affected part positioning unit is connected with doctor's terminal, and output terminal is inputted with radiotherapy plan module 6
End is connected, and 52 input terminal of affected part size assessment unit is connected with doctor's terminal, output terminal and radiotherapy plan mould
6 input terminal of block is connected.
The advantageous effect that technical solution provided in an embodiment of the present invention is brought is：
1st, an embodiment of the present invention provides a kind of radiation therapy process and quality management and control system, radiated for radiotherapy department
Treatment built polygonal color and the Case management platform of multitask, be a set of efficient information system come to entire Patients During Radiotherapy into
Row management and arrangement；
2nd, the present embodiments relate to a kind of radiation therapy process and quality management and control system pass through work-up
The interaction of information and multiple terminals, by the work of the personnel such as the clinician, physics teacher, technician, the nurse that participate in therapeutic process
It is served as theme and connected with conditions of patients information flow with the task of patient simulation's machine, the equipment such as acquisition of CT, MRI positioning image,
Information is transferred in time, accurately, efficiently；
3rd, a kind of radiation therapy process of the embodiment of the present invention and quality management and control system are repeatedly hooked for including target area
Radiotherapy planning in being drawn in is checked, review, it is ensured that accurate, the safety of therapeutic process, so as to promote curative effect；
4th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control system have the structure tight
It gathers, is easy to use, it is easy to operate, greatly improve the efficiency and accuracy of management.
Embodiment 4
The embodiment of the invention also discloses a kind of tumor patient radiotherapy management of process and quality control system, the system bag
It includes：
CT images scan module, CT images import modul, CT images analysis module, condition-inference module, Target delineations mould
Block, radiotherapy plan module, analog reset module, Beam's eye view image confirm that module, prescription confirm module and plan QA moulds
Block；
The radiotherapy plan module includes radiotherapy planning application unit, radiotherapy planning gets unit, radiotherapy planning is set
It counts unit, radiotherapy planning confirmation unit, radiotherapy planning and verifies unit, radiotherapy planning review and comparing unit；
The system also includes CT images end of scan, doctor's terminal, physics teacher terminal, dosage teacher terminal, analog resets
Terminal, treatment technician terminal, radiotherapy apparatus, first terminal, payment terminal and the corresponding collector of each terminal；
Each module of system is connected respectively with terminating machine and collector, and the collector is connected with server, the clothes
Business device is connected by data cable with PC machine, is connected by network and database.
In specific implementation, doctor's terminal can also add tentative diagnosis information, course for the treatment of information and therapentic part information；
Early period, system sorting was gone to a doctor after doctor, doctor's terminal to first terminal output CT scan cost information, Postural immobilization cost information,
Radiotherapy planning cost information resets verification cost information and accelerator reservation information etc.；
The CT scan cost information of the first terminal examination ＆ verification from doctor's terminal, the Postural immobilization cost information
And the radiotherapy planning cost information, and after the completion of examination ＆ verification, send patient's premium notice；Patient is completed by payment terminal
After expense indicated by patient's premium notice, the identification photo of first terminal acquisition patient, printing with it is described
The corresponding reservation information list of patient, generation reservation card, and print bar code and be attached to reservation information list and reserve card on piece；Tumour is suffered from
After person completes the expense indicated by patient's premium notice by the payment terminal, the first terminal exports Postural immobilization
Application and patient information export CT scan application information and the patient information to CT scan technician to Postural immobilization technician's terminal
Terminal；
Technician's terminal obtains and the patient information and Postural immobilization application, and fixing mould and complete is made for patient in technician
Into after Postural immobilization, execution information is sent to doctor terminal by technician；
CT scan technician's terminal obtains and confirms the patient information and CT scan application, and output CT scan is instructed to CT shadows
As end of scan, CT images end of scan output CT images information is sent to doctor's physics teacher's terminal, and technician sends out execution information
It send to physics teacher's terminal；
Dosage teacher is by obtaining CT images information and establishment file folder in dosage teacher's terminal planning system, in physics teacher's terminal
The middle mission bit stream by doctor's drawing target outline is sent to doctor's terminal；
Doctor in the planning system, is influenced information, drawing target outline according to the CT, and filled out by doctor's terminal
Target delineations physician's name is write, adds radiotherapy planning application, doctor's terminal exports the radiotherapy planning application to the dosage teacher
Terminal；
Dosage teacher terminal obtains plan, and dosage teacher carries out radiotherapy plan, the radiotherapy by the dosage teacher terminal
Instruction to be confirmed is exported to doctor's terminal by the dosage teacher terminal after the completion of plan design；
It after doctor's terminal obtains plan task to be confirmed, carries out confirming the radiotherapy planning into planning system, carry out
Confirm, doctor's terminal will confirm that the result of the radiotherapy planning is sent to the dosage teacher terminal；
The radiotherapy planning is sent to tumor information management system by dosage teacher terminal, and the physics teacher terminal completes radiotherapy
The verification table of plan, and perform before the radiotherapy planning imports and the radiotherapy planning import after launched field parameter comparison after,
The mission bit stream that the radiotherapy planning is checked is sent to the physics teacher terminal；
Physics teacher terminal obtains the verification of the radiotherapy plan and is checked as a result, carrying out the radiotherapy planning with comparing,
Confirm that the radiotherapy plan is completed after errorless, and will confirm that result is sent to doctor's terminal；
Radiotherapy planning described in the physics teacher terminal-pair carries out QA verifications, and is intended to QA verification results and is sent to the doctor
Teacher's terminal；
Mock pendulum position before analog reset technician completes Patients Treated by Radiotherapy by day of appointment, and on patient body-surface and mold
After addition mark, analog reset imaging results are sent to by doctor's terminal by analog reset terminal；
After doctor's terminal check plan prescription result and the reset imaging results, doctor's terminal addition radiotherapy doctor
It advises, and exports radiotherapy cost information to first terminal；
First terminal audits the cost information of radiotherapy doctor's advice, and patient completes patient's premium notice institute by payment terminal
After the expense of instruction, payment information is sent to treatment technician's terminal by the payment terminal；
After the treatment technician terminal verifies the payment information, the radiotherapy planning is exported to radiotherapy system, it is described
Radiotherapy system is in real time managed the radiotherapy progress of patient；
In treatment, the radiotherapy apparatus periodicity sending treatment process information to doctor's terminal；It is swollen in specific implementation,
Patient terminal can also be increased.
Further, in specific implementation, CT images analysis module specifically includes image receiving unit, history image is led
Enter unit, image analyzing unit, all previous image comparing unit, CT images reporting unit and transmission unit；
Wherein, described image receiving unit and history image import unit input terminal are connected with server, and image receives single
First output terminal is connected respectively with image analyzing unit and all previous image comparing unit input terminal, history image import unit output terminal
Be connected with all previous image comparing unit input terminal, CT images reporting unit input terminal respectively with image analyzing unit and all previous image
Comparing unit output terminal is connected, and CT images reporting unit is sent to server by transmission unit.
Summarize in addition, the condition-inference module includes CT images report receiving unit, illness analysis input unit, the state of an illness
Analytic unit, diagnosis report unit, remedy measures unit；
The remedy measures unit independently selects subelement and remedy measures to input subelement including remedy measures；
Wherein, the CT images report receiving unit input terminal is connected with server, CT images report receiving unit output
End is connected with illness analysis unit input terminal, and illness analysis unit output terminal is connected with diagnosis report unit input terminal, diagnosis report
It accuses unit output terminal with remedy measures unit input terminal to be connected, remedy measures unit output terminal is connected with server.
Further, the Target delineations module includes affected part positioning unit and affected part size assessment unit；
The affected part positioning unit input terminal is connected with doctor's terminal, output terminal and radiotherapy plan module input phase
Even, the affected part size assessment unit input terminal is connected with doctor's terminal, and output terminal is inputted with radiotherapy plan module
End is connected.
The advantageous effect that technical solution provided in an embodiment of the present invention is brought is：
1st, an embodiment of the present invention provides a kind of radiation therapy process and quality management and control system, radiated for radiotherapy department
Treatment built polygonal color and the Case management platform of multitask, be a set of efficient information system come to entire Patients During Radiotherapy into
Row management and arrangement；
2nd, the present embodiments relate to a kind of radiation therapy process and quality management and control system pass through work-up
The interaction of information and multiple terminals, by the work of the personnel such as the clinician, physics teacher, technician, the nurse that participate in therapeutic process
It is served as theme and connected with conditions of patients information flow with the task of patient simulation's machine, the equipment such as acquisition of CT, MRI positioning image,
Information is transferred in time, accurately, efficiently；
3rd, a kind of radiation therapy process of the embodiment of the present invention and quality management and control system are repeatedly hooked for including target area
Radiotherapy planning in being drawn in is checked, review, it is ensured that accurate, the safety of therapeutic process, so as to promote curative effect；
4th, a kind of embodiment of the present invention is provided radiation therapy process and quality management and control system have the structure tight
It gathers, is easy to use, it is easy to operate, greatly improve the efficiency and accuracy of management.
It should be noted that：A kind of tumor patient radiotherapy management of process and quality control system that above-described embodiment provides exist
When triggering radiotherapy management of process and quality control business, only carried out with the division of above-mentioned each function module for example, actual should
In, it can be completed, i.e., divided the internal structure of system by different function modules as needed and by above-mentioned function distribution
Into different function modules, to complete all or part of function described above.
In addition, a kind of tumor patient radiotherapy management of process of above-described embodiment offer and quality control system and a kind of tumour
Patients Treated by Radiotherapy management of process and method of quality control embodiment belong to same design, and specific implementation process refers to method implementation
Example, which is not described herein again.
One of ordinary skill in the art will appreciate that hardware can be passed through by realizing all or part of step of above-described embodiment
It completes, relevant hardware can also be instructed to complete by program, the program can be stored in a kind of computer-readable
In storage medium, storage medium mentioned above can be read-only memory, disk or CD etc..
The foregoing is merely presently preferred embodiments of the present invention, is not intended to limit the invention, it is all the present invention spirit and
Within principle, any modifications, equivalent replacements and improvements are made should all be included in the protection scope of the present invention.
Claims (10)
1. a kind of tumor patient radiotherapy management of process and method of quality control, which is characterized in that the described method includes：
The CT images information of tumor patient is directed into doctor's terminal by S1, CT images end of scan；
S2, doctor's terminal obtain CT images information, doctor's typing condition-inference conclusion information of going to a doctor, and carry out Target delineations；It will
The Target delineations information and radiotherapy planning application are exported to dosage teacher's terminal；
S3, dosage teacher terminal obtain radiotherapy planning application and Target delineations information, carry out radiotherapy plan, the radiotherapy planning
Instruction to be confirmed is exported to doctor's terminal by the dosage teacher terminal after the completion of design；
S4, doctor's terminal obtain radiotherapy plan information, and are confirmed, radiotherapy planning is verified result information and sent out by dosage teacher
It send to physics teacher's terminal；
S5, physics teacher terminal obtain radiotherapy planning and verify result information, carry out radiotherapy planning review and are compared with comparing, and by review
Confirmation message is sent to doctor's terminal；
S6, doctor's terminal obtain radiotherapy planning and check comparison confirmation message, true including plan design confirmation message and reset image
Recognize information, add radiotherapy doctor's advice, the radiotherapy planning information is exported to radiotherapy apparatus, starts radiotherapy process；
In treatment, the radiotherapy apparatus periodicity sending radiotherapy progress information to doctor's terminal.
2. tumor patient radiotherapy management of process according to claim 1 and method of quality control, which is characterized in that the step
Rapid S2 traditional Chinese physicians terminal obtains CT images information, and medical doctor's typing condition-inference conclusion information specifically includes：
S2a, doctor's terminal obtain and confirm tumor patient information and CT scan application after output CT scan instruct to CT images and sweep
It retouches the CT images information of terminal acquisition and/or tumor patient history image information is transferred from database；
S2b, medical doctor analyze the CT images information that CT scan terminal obtains, and are compared in combination with history image
It is right, diagnosis is provided according to comparison result.
3. tumor patient radiotherapy management of process according to claim 1 and method of quality control, which is characterized in that the step
Target delineations information specifically includes affected part location information and affected part size assessment information in rapid S2, for determining the tumour state of an illness
Degree and corresponding therapeutic scheme.
4. tumor patient radiotherapy management of process and method of quality control according to claim 1 or 3, which is characterized in that institute
The acquisition for stating Target delineations information in step S2 specifically includes：
CT images information flow gives medical doctor to carry out Target delineations and/or delineated by the automatic tissue of ABAS softwares progress.
5. tumor patient radiotherapy management of process according to claim 1 and method of quality control, which is characterized in that the step
Design of Radiotherapy plan includes radiotherapy position and course for the treatment of waiting in rapid S3；
If the radiotherapy position needs multistage to treat, the Design of Radiotherapy plan further includes the hop count of single therapy.
6. tumor patient radiotherapy management of process according to claim 1 and method of quality control, which is characterized in that the step
Rapid S4 doctor's terminal obtains radiotherapy plan information, and is confirmed, radiotherapy planning is verified result information and sent by dosage teacher
It is specifically included to physics teacher's terminal：
The dosage teacher terminal completes the verification table of radiotherapy planning, and performs the radiotherapy planning and import the preceding and radiotherapy meter
After drawing the launched field parameter comparison after importing, the mission bit stream that the radiotherapy planning is checked is sent to the physics teacher terminal.
7. tumor patient radiotherapy management of process according to claim 1 and method of quality control, which is characterized in that the step
Physics teacher terminal obtains radiotherapy planning and verifies result information in rapid S5, carries out radiotherapy planning review and is compared with comparing, and by review
Confirmation message is sent to doctor's terminal and specifically includes：
Radiotherapy planning described in S5a, the physics teacher terminal-pair carries out QA verifications, and is intended to QA verification results and is sent to the doctor
Teacher's terminal；
S5b, analog reset technician complete the personalized mock pendulum position before tumor patient radiotherapy, and in tumor patient body surface and mold
Analog reset imaging results are sent to doctor's terminal by upper addition mark by analog reset terminal.
8. tumor patient radiotherapy management of process according to claim 1 and method of quality control, which is characterized in that the step
Rapid S6 traditional Chinese physicians terminal obtains radiotherapy planning review and compares confirmation message, confirms including planning design confirmation message and resetting image
The step of after information, adding radiotherapy doctor's advice, the radiotherapy planning information is exported to radiotherapy apparatus, starts radiotherapy process is also wrapped
It includes：
Cost information in S6a, first terminal examination ＆ verification radiotherapy doctor's advice, tumor patient complete the tumor patient by payment terminal
After expense indicated by premium notice, payment information is sent to treatment technician's terminal by the payment terminal；
After S6b, treatment technician terminal verify the payment information, the radiotherapy planning is exported to radiotherapy apparatus, the radiotherapy
System is in real time managed the radiotherapy progress of patient.
9. a kind of tumor patient radiotherapy management of process and quality control system, which is characterized in that the system comprises：
CT images scan module, CT images import modul, condition-inference module, Target delineations module, are put at CT images analysis module
It treats plan design module, analog reset module, Beam's eye view image and confirms that module, prescription confirm module and plan QA modules；
The radiotherapy plan module includes radiotherapy planning application unit, radiotherapy planning gets unit, radiotherapy plan list
Member, radiotherapy planning confirmation unit, radiotherapy planning verify unit, radiotherapy planning review and comparing unit；
The system also includes CT images end of scan, doctor's terminal, physics teacher terminal, dosage teacher terminal, analog reset terminal,
Treat technician's terminal, radiotherapy apparatus, first terminal, payment terminal and the corresponding collector of each terminal；
Each module of system is connected respectively with terminating machine and collector, and the collector is connected with server, the server
It is connected with PC machine by data cable, is connected by network and database.
10. tumor patient radiotherapy management of process according to claim 9 and quality control system, which is characterized in that described
Target delineations module includes affected part positioning unit and affected part size assessment unit；
The affected part positioning unit input terminal is connected with doctor's terminal, and output terminal is connected with radiotherapy plan module input,
The affected part size assessment unit input terminal is connected with doctor's terminal, output terminal and radiotherapy plan module input phase
Even.
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| PCT/CN2018/095804 WO2019071991A1 (en) | 2017-10-10 | 2018-07-16 | Tumor patient radiotherapy process management and quality control method and system |
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| CN108053869B (en) | 2021-03-16 |
| WO2019071991A1 (en) | 2019-04-18 |
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