机构地区:[1]中山大学附属肿瘤医院甘肃医院(甘肃省肿瘤医院)放疗科,甘肃省肿瘤放射治疗专业质控中心,兰州730050
出 处:《中华放射肿瘤学杂志》2025年第3期226-232,共7页Chinese Journal of Radiation Oncology
摘 要:目的调查甘肃省各放疗单位的人员、设备、放疗技术等情况,深入了解甘肃省放疗现状。方法2023年3月至2024年3月甘肃省肿瘤放射治疗专业质控中心组织人员采用线上网络问卷调研与线下实地走访相结合的方式,对甘肃省各放疗单位的放疗人员、设备、放疗技术开展等情况进行调研。对有疑问的数据重新审核,进行逻辑性校验和异常值识别,所有信息按照双人录入原则进行质控。定性资料以频数(百分比)的形式进行统计描述。结果截至2024年3月,甘肃省共有放疗单位26家,省会兰州市内有放疗单位7家,临夏回族自治州、甘南藏族自治州无放疗单位。放疗医生与物理师的比例为2.71∶1,低于全国3.51∶1,放疗医师中级和高级职称医师占总医师的62.2%,物理师中级和高级职称占总物理师的54%,放射治疗师中级和高级职称只占总放射治疗师的34.0%。甘肃省每百万人口拥有1.70台加速器。全省42台加速器中,电子直线加速器40台,重离子加速器2台。兰州市的7家放疗单位拥有电子直线加速器17台,其余11个城市共有23台。40台电子直线加速器均可执行三维适形和调强放疗。高端放疗设备均可应用容积旋转调强放疗、体部立体定向放疗、光学体表引导放疗、自适应放疗等先进技术。相关数据与2006年、2015年、2019年的全国调研中甘肃省的数据相比,均有所提高。结论甘肃省放疗行业发展有所进步,仍存在地区发展不均衡的现象。应根据各地区设备、人才、技术实际需求,调整结构,偏向省内不发达市、县,以满足当地患者医疗需求。ObjectiveTo investigate the personnel,equipment,new technology of various radiotherapy units in Gansu Province,aiming to deeply understand the current status of radiotherapy in Gansu Province.MethodsFrom March 2023 to March 2024,the data of personnel,equipment and technology of different radiotherapy units in Gansu Province were investigated via online questionnaire survey and offline field visits by Gansu Provincial Quality Control Center for Radiation Oncology.The questionable data were reviewed,logical verification and outlier identification were conducted,and all information was entered according to the principle of double entry.Qualitative data were described by frequency(percentage).ResultsAs of March 2024,there are 26 radiotherapy units in Gansu Province,including 7 units in Lanzhou,capital city of Gansu Province and none in Linxia Hui Autonomous Prefecture and Gannan Tibetan Autonomous Prefecture.The ratio of radiotherapy physicians and physicists was 2.71 vs.1,lower than the national level of 3.51 vs.1.Radiotherapy physicians with intermediate and senior titles accounted for 66.2%,54%for physicists with intermediate and senior titles and 34.0%for therapists with intermediate and senior titles,respectively.There were 1.70 accelerators per million population in Gansu Province.Among 42 accelerators in Gansu Province,40 were linac and 2 heavy ion accelerators.In Lanzhou,7 radiotherapy units had 17 linac,and the remaining 11 cities had 23 linac.All 40 linac could perform 3D conformal radiotherapy and intensity-modulated radiotherapy.The high-end equipment could apply advanced technologies such as volumetric modulated arc radiotherapy,stereotactic body radiotherapy,optical surface-guided radiation therapy and adaptive radiation therapy,etc.Relevant data in this survey were improved compared with those in the national surveys conducted in 2006,2015 and 2019.ConclusionsThe radiotherapy status has developed in Gansu Province,whereas uneven development still exists among regions.According to the actual demands of
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