肿瘤放疗信息网络一体化管理平台的研发及临床实践  

Development and clinical application of integrated network management platform for tumor radiotherapy information

作　　者：高兴旺[1] 张广顺[2] 陈利[2] 张罗生[1] 黄劭敏[2] 邓小武[2] 

机构地区：[1]中国人民解放军第458医院肿瘤科放疗中心,广州510602 [2]华南肿瘤学国家重点实验室中山大学肿瘤防治中心放疗科,广州510060

出　　处：《中华放射肿瘤学杂志》2016年第4期395-400,共6页Chinese Journal of Radiation Oncology

基　　金：广东省科技计划项目（2015B020214002）

摘　　要：目的：研制开发流程管理与质量保证功能一体化的肿瘤放疗信息网络管理系统并评估其临床应用价值。方法基于放疗流程和质量保证、质量控制的要求，以客户－服务器端（ C－S）模式，采用SQL SERVER 2008数据库结构和国际标准DICOM 3．0、DICOM RT及HL7协议，通过局域网络系统硬件和自研发软件，搭建放疗信息网络管理系统，并通过临床测试评价系统的运行性能。结果开发了统一界面的交互式一体化管理系统平台与客户端应用功能模块；研发了安全可靠的标准化数据接口，可与主流厂商加速器、治疗计划系统以及医院信息系统等连接使用；完成了放疗流程管理和质量保证管理模块的设计与开发；通过了系统运行前测试并在临床科室上线使用近3年，证实了系统运行安全稳定并实现了系统设计的全部功能。结论一体化管理系统可以满足肿瘤放疗信息数据的应用管理需求，提高了放疗科整体工作效率和质量保证与质量控制水平，可作为肿瘤放疗科工作的良好工具进行推广应用。Objective To develop a network management system for tumor radiotherapy information that integrates process management and quality assurance functions, and to investigate its clinical value. Methods Based on the requirements of radiotherapy process quality assurance and control, the client-server （ C-S） pattern, along with SQL SERVER 2008 database structure, international standard DICOM 3.0, DICOM RT, and HL7 protocols, and system hardware and self-developed software in local area network, was adopted to establish the network management system for radiotherapy information, and clinical tests were performed to evaluate the operation performance of this platform.Results （ 1 ） The interactive integrated management platform and client-side functional modules with a uniform interface were developed.（ 2） The safe and reliable standardized data interface was developed, which could be connected to accelerators, treatment planning systems, and hospital information systems developed by mainstream manufacturers.（ 3） The modules for radiotherapy process management and quality assurance and management were designed and developed.（ 4） The platform passed all the tests before operation and had been used in clinical departments for almost 3 years, which confirmed that the system was safe and stable during operation and that all functions designed were realized.Conclusions The integrated management platform meets the requirements for application and management of radiotherapy information and data, improves the overall work efficiency in radiotherapy department and the level of quality assurance and control, and holds promise for clinical application as a good tool for tumor radiotherapy departments.

关 键 词：放射治疗 信息网络管理系统 质量保证 质量控制 

分 类 号：TP311.52[自动化与计算机技术—计算机软件与理论] R730.55[自动化与计算机技术—计算机科学与技术]