Guo Chenlei, Huang Peng, Li Yexiong, Dai Jianrong
Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Appl Clin Med Phys. 2020 Sep;21(9):252-258. doi: 10.1002/acm2.12959. Epub 2020 Jul 25.
Along with the increasing demand for high-quality radiotherapy and the growing number of high-precision radiotherapy devices, precise radiotherapy workflow management and accurate time evaluation of the entire radiotherapy process are crucial to providing appropriate, timely treatment for cancer patients. This study therefore aimed to establish an accurate, reliable method for evaluating the duration of the radiotherapy process, from beginning to end, based on real-time measurement data. These data are vital for improving the quality and efficiency of radiotherapy delivery.
Altogether, 17 620 cancer patients' radiotherapy experiences were measured in real time in our radiation oncology department. The process was divided into five sequential core modules, with the start and stop times of each module automatically recorded using MOSAIQ software, an automated radiotherapy management system. The duration for each module and the total duration of the entire process were then automatically calculated and qualitatively analyzed.
The analysis showed significant treatment-time differences depending on the tumor site, which provided a practical reference for improvement of previous treatment modules and appointments management. In all, >60% of the cancer patients' total treatment time could be shortened.
We established a reliable method for evaluating the overall duration of radiotherapy protocols. The results pointed out a clear pathway by which we could improve future radiotherapy workflow management and appointment systems.
随着对高质量放射治疗需求的增加以及高精度放射治疗设备数量的增多，精确的放射治疗工作流程管理和对整个放射治疗过程的准确时间评估对于为癌症患者提供恰当、及时的治疗至关重要。因此，本研究旨在基于实时测量数据建立一种从始至终评估放射治疗过程时长的准确、可靠方法。这些数据对于提高放射治疗的质量和效率至关重要。
我们放疗科对17620例癌症患者的放射治疗过程进行了实时测量。该过程被分为五个连续的核心模块，使用自动化放射治疗管理系统MOSAIQ软件自动记录每个模块的开始和结束时间。然后自动计算每个模块的时长以及整个过程的总时长，并进行定性分析。
分析显示，根据肿瘤部位不同，治疗时间存在显著差异，这为改进先前的治疗模块和预约管理提供了实际参考。总体而言，超过60%的癌症患者的总治疗时间可以缩短。
我们建立了一种可靠的方法来评估放射治疗方案的总体时长。研究结果指出了一条明确的途径，通过它我们可以改进未来的放射治疗工作流程管理和预约系统。
