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再放射治疗患者的医学物理管理。

The Medical Physics Management of Reirradiation Patients.

机构信息

University of Michigan, Department of Radiation Oncology, Ann Arbor, MI.

University of Michigan, Department of Radiation Oncology, Ann Arbor, MI.

出版信息

Semin Radiat Oncol. 2020 Jul;30(3):204-211. doi: 10.1016/j.semradonc.2020.02.008.

DOI:10.1016/j.semradonc.2020.02.008
PMID:32503784
Abstract

Medical physics consultation is critical to the safe and appropriate management of patients undergoing reirradiation. A rigorous and efficient workflow in radiation oncology departments is crucial to ensure the safety and quality of treatment. The need for this service is steadily increasing year after year with the increasing complexity of treatment. This article provides an overview of how the Retreatment Special Medical Physics Consult is performed at the University of Michigan, along with a detailed patient-specific example, the results of a survey of how other institutions approach this workflow, and recommendations for future work to improve this process.

摘要

医学物理学咨询对于接受再放射治疗的患者的安全和适当管理至关重要。在放射肿瘤学部门中,严格高效的工作流程对于确保治疗的安全性和质量至关重要。随着治疗的日益复杂,对这项服务的需求逐年稳步增加。本文概述了密歇根大学如何进行再治疗特殊医学物理咨询,并提供了一个详细的患者具体示例,调查了其他机构如何处理此工作流程的结果,以及对改进该过程的未来工作的建议。

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The Medical Physics Management of Reirradiation Patients.再放射治疗患者的医学物理管理。
Semin Radiat Oncol. 2020 Jul;30(3):204-211. doi: 10.1016/j.semradonc.2020.02.008.
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Quality, safety, outcomes: do we need a unified approach?质量、安全、结果:我们是否需要一种统一的方法?
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Clinical practice workflow in Radiation Oncology should be highly standardized.放射肿瘤学的临床实践工作流程应高度标准化。
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A snapshot of medical physics practice patterns.医学物理实践模式的简要概述。
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Balancing Fractionation and Advanced Technology in Consideration of Reirradiation.在考虑再照射的情况下平衡分割放疗与先进技术
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Continued emphasis on quality and safety jeopardizes clinical medical physics careers in radiation oncology: What can be done about it?对质量和安全的持续强调危及放射肿瘤学领域的临床医学物理职业:对此能做些什么?
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Re-irradiation with curative intent in patients with squamous cell carcinoma of the head and neck: a national survey of usual practice on behalf of the Italian Association of Radiation Oncology (AIRO).头颈部鳞状细胞癌患者的根治性再照射:代表意大利放射肿瘤学会(AIRO)进行的全国常规实践调查。
Eur Arch Otorhinolaryngol. 2018 Feb;275(2):561-567. doi: 10.1007/s00405-017-4853-8. Epub 2017 Dec 26.

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Clinical workflow for reirradiation: national consensus recommendations on imaging, treatment planning, dose accumulation, and treatment delivery.再照射的临床工作流程:关于成像、治疗计划、剂量累积和治疗实施的国家共识建议。
Acta Oncol. 2025 Jul 24;64:946-956. doi: 10.2340/1651-226X.2025.43567.
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AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT.
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