Marchesi V, Peiffert D, Le Tallec P, Aigle D
Département de radiothérapie, institut de cancérologie de Lorraine Alexis-Vautrin, avenue de Bourgogne, 54500 Vandœuvre-lès-Nancy, France.
Cancer Radiother. 2013 Oct;17(5-6):378-82. doi: 10.1016/j.canrad.2013.06.025. Epub 2013 Aug 19.
The planning of irradiation treatments is a task of medical physics, based on the appropriate calculations of a dose distribution from radiation beams, virtually set up on a simulation software. This task is at the centre of the chain of treatment preparation: between the contouring phase and the objective definition, which are specialties of the radiation oncologist, and the joint validation of the treatment plan by the physician and the physicist. Historically, this task has been performed by the medical physicist, but can be delegated to other professionals, especially radiation technologists. The evolution of the techniques and procedures tends to a specialization of the skilled workers toward this new work of dosimetry specialist or treatment planning technician. In this paper, the training, relational and organizational aspects will be described to explain how the delegation of the tasks, in the context of treatment plan preparation between professionals can be set up with the highest level of quality and security for the patient treatment and with the respect of legal obligations and requirements of each profession.
放射治疗计划是医学物理的一项任务，它基于对辐射束剂量分布的适当计算，实际上是在模拟软件上进行设置。这项任务处于治疗准备流程的核心位置：处于放射肿瘤学家专长的轮廓勾画阶段和目标定义之间，以及医生和物理学家对治疗计划的联合验证之间。从历史上看，这项任务一直由医学物理学家执行，但也可以委托给其他专业人员，尤其是放射技师。技术和程序的发展趋势是使技术工人朝着剂量测定专家或治疗计划技术员这一新工作方向专业化。在本文中，将描述培训、关系和组织方面的内容，以解释在专业人员之间的治疗计划准备背景下，如何以最高质量和安全性为患者治疗建立任务委托，同时尊重每个专业的法律义务和要求。
