Paterson Dean B, Pearson Shelley M, Johnson Carol A
Radiation Treatment Department, Blood and Cancer Centre, Wellington Regional Hospital, Wellington, New Zealand.
J Med Radiat Sci. 2019 Jun;66(2):133-138. doi: 10.1002/jmrs.329. Epub 2019 Mar 4.
Vaginal vault brachytherapy is a common treatment for endometrial cancer. Historically, applicator insertion has been the domain of a radiation oncologist (RO). This commentary outlines a project to improve efficiency and workforce utilisation by introducing a competency framework and training module allowing entitled radiation therapists to perform single-channel cylinder applicator insertions and treatment delivery under RO supervision for fraction one and without supervision for subsequent fractions. The rationale, relevant regulations, implementation process and barriers are explored.
阴道穹窿近距离放射治疗是子宫内膜癌的常见治疗方法。从历史上看，施源器插入一直是放射肿瘤学家（RO）的工作范畴。本评论概述了一个项目，该项目通过引入一个能力框架和培训模块来提高效率和劳动力利用率，使有资格的放射治疗师能够在RO的监督下进行单通道圆柱体施源器的插入并在第1次分割时进行治疗，后续分割则无需监督。文中探讨了其原理、相关规定、实施过程及障碍。
