探讨建立射波刀治疗肝癌的流程质量控制方案  

Study on Establishing a Project Concerning the Process Quality Control of Treating Liver Cancer with CyberKnife

作　　者：徐慧军[1] 李玉[1] 张素静[1] 杨晓[1] 张军华[1] 

机构地区：[1]解放军第302医院肿瘤放射治疗中心,北京100039

出　　处：《生物医学工程学杂志》2014年第2期298-301,共4页Journal of Biomedical Engineering

基　　金：军事医学计量专项课题资助(2011-JL2-050)

摘　　要：为了保证整个治疗的安全与精确,更好地衔接治疗中的每个环节,探讨建立一套射波刀治疗肝癌的流程质量控制(PQC)方案。从安全和精确的角度考虑,把射波刀治疗肝癌的整个流程分成10个环节,分别为患者信息登记、金标植入、体位固定、CT定位、靶区勾画、治疗计划设计、物理上的质量保证、治疗执行、正确性检查、资料归档。分析每个环节可能出现的错误,以及出错后带来的后果。为了环节之间能够顺利衔接,在环节之间用"重要提醒"相连。结果表明:列出的每个环节可能影响治疗安全性和精确性的各种错误的操作,并说明错误操作后带来的后果。环节之间的"重要提醒",可以为下一步操作提供重要信息,能够起到提醒、警示作用。PQC方案涵盖了肝脏肿瘤射波刀治疗过程中的重要环节,能够起到规范、提醒、警示作用,让治疗更加安全、精确,工作衔接更加流畅。In order to guarantee the safety and accuracy of the whole treating process as well as better link up of each section during the treatment, we did research in order to establish a project concerning the process quality control （PQC） of treating liver cancer with CyberKnife. From the safety and accuracy point of view, we divided the whole process of treating liver cancer with CyberKnife into ten links, i.e. the registration of patients＇ information, the im plantation of fiducial markers, fixation of body posture, CT localization, target delineation, design of the treatment plan, quality assurance in physics, implementation of the treatment plan, inspection on the correctness and data ar- chiving. We analyzed the possible mistakes in each link and the consequences brought by them. To smoothly connect all the links, a special part ＂Attention＂ was added between every two links. Various wrong operations which may in- fluence the safety and accuracy of treatment were illustrated, and the consequences brought by them were also ex- plained. The ＂Attention＂ part among links offers important information for the next step, and gives us reminding and warnings. The project of quality control covers all the important links when treating liver cancer with Cy- berKnife. It offers regulations, reminding and warning for us so that the safety and accuracy of treatment can be guaranteed, and the work of all staff could be closely connected.

关 键 词：射波刀 肝癌 流程质量控制 

分 类 号：R735.7[医药卫生—肿瘤]