放射治疗中数据记录自动审查程序的设计与应用  

Design and application of auto-review program for data records in radiotherapy

作　　者：洪雅玲 李世杰 高正心 吴云峰 胡巧英 傅深 龚卿 解蔚 Hong Yaling;Li Shijie;Gao Zhengxin;Wu Yunfeng;Hu Qiaoying;Fu Shen;Gong Qing;Xie Wei(Outpatient of Shanghai Concord Tumor,Shanghai 20020,China;Concord Healthcare Group co.,Ltd,Beijing 100020,China)

机构地区：[1]上海美中嘉和肿瘤门诊部,上海200020 [2]美中嘉和医学技术发展集团股份有限公司,北京100020

出　　处：《中国医学装备》2025年第2期170-174,共5页China Medical Equipment

摘　　要：目的:开发设计一款放射治疗中数据记录自动审查程序,以满足放射治疗中治疗表单记录审查的质量保证需求,提高放射治疗中数据记录审查效率和准确性。方法:应用Java、Vue等程序语言解析Aria肿瘤信息管理系统的数据库备份文件,基于行业相关标准中各项放射治疗审查项目,制定相应的审查逻辑,通过编写程序实现各审查项的自动化审查。选取上海美中嘉和肿瘤门诊部2024年1月至3月共10周实际临床放射治疗中的530条数据记录作为样本测试,评估审查效果。比较自动审查与人工审查结果的准确率及时耗。结果:放射治疗中数据记录自动审查程序运行流畅。对10周的放射治疗中数据记录自动审查总体结果显示灵敏度为73.4%,特异度为14.3%,正确率为87.7%,误报率为12.3%。分项结果显示,源皮距(SSD)报错准确率为100%;计划切换对治疗序次报错触发率为100%;实施治疗分次报错与计划变更相关性为100%。其余审查项目与人工审查正确率相同。结论:此程序对放射治疗中数据记录自动审查无报错的结果为全真,人工复查只需确认自动审查后报错的记录,减少了73.4%的审查工作量,可有效提高放射治疗中记录审查效率和准确率。Objective:To develop and design a during-treatment records auto-review program to comply the quality assurance(QA)requirement of radiotherapy chart auditing,and thereby improve the review efficiency and accuracy.Methods:Based on the items the guideline required,the Aria Oncology Information System database backup files was analyzed by Java,Vue,and etc.languages and the corresponding review logic was formulated.A total of 530 treatment records generated at Shanghai Concord Cancer Center from January to March 2024(10 weeks)were auto-reviewed and compared with the manual results for evaluating the accuracy and efficiency of the program.Results:The auto-review program was running smoothly.Overall with the above data,the sensitivity,specificity,accuracy and the error-miss rate were 73.4%,14.3%,87.7%and 12.3%respectively.For sub-set items,the source-skin distance(SSD)error detecting rate was 100%,the wrong session reporting was 100%correlated with the plans switching and the wrong fraction reporting was 100%related to plan revision.For the other items,auto and manual reviews gave out the same accuracy.Conclusion:The none-error results from the program are all true,so the manual rechecking could limit to those auto-review error records,which can reduce the workload by 73.4%,therefore improve the effectiveness and accuracy of the radiotherapy data review.

关 键 词：放射治疗 数据记录审查 质量保证 自动审查 

分 类 号：R811.1[医药卫生—放射医学]