Doppke K P, Goitein M
Department of Radiation Medicine, Massachusetts General Hospital Cancer Center, Boston 02114.
Med Phys. 1988 Mar-Apr;15(2):258-62. doi: 10.1118/1.596302.
We designed a questionnaire to be filled out by the physicist at the time of planning treatment with the aid of a computer in order to assess what was learned during the course of the planning session. We analyzed the results to gauge the impact of the 70 treatment planning sessions conducted during the one month period in our department in which questionnaires were completed (about 72% of all external beam plans made in that period). In 65 instances (93%) an initial judgment as to how treatment would be delivered had already been made and in 56 of these cases the patient's treatment had already been simulated by the time the computer calculation was made. Changes in the intended plan were made in eight of the 65 cases (12%). In 38% of the cases, more than one plan was developed and, when this was the case, on average records of 2.6 plans were made. Those performing the plans were asked to judge their value to the overall treatment of the patient, and the results were as follows: essential-19 cases (27%); very helpful-22 cases (31%); and somewhat helpful-29 cases (41%).
我们设计了一份问卷,供物理学家在借助计算机进行治疗计划制定时填写,以便评估在计划制定过程中学到了什么。我们分析了结果,以衡量在我们科室一个月内完成问卷的70次治疗计划制定(约占该时期所有外照射计划的72%)的影响。在65个案例(93%)中,已经对治疗将如何实施做出了初步判断,其中56个案例在进行计算机计算时患者的治疗已经过模拟。65个案例中有8个(12%)对预期计划进行了更改。在38%的案例中,制定了不止一个计划,当出现这种情况时,平均记录了2.6个计划。执行计划的人员被要求判断这些计划对患者整体治疗的价值,结果如下:必不可少的——19个案例(27%);非常有帮助的——22个案例(31%);以及有些帮助的——29个案例(41%)。