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基于虚拟环境的放射治疗患者摆位训练系统的实用性

The Usefulness of a Virtual Environment-Based Patient Setup Training System for Radiation Therapy.

作者信息

Fujibuchi Toshioh, Kaneko Kosuke, Arakawa Hiroyuki, Okada Yoshihiro

机构信息

Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Robert T. Huang Entrepreneurship Center, Kyushu University, Fukuoka 819-0395, Japan.

出版信息

J Imaging. 2024 Jul 30;10(8):184. doi: 10.3390/jimaging10080184.

DOI:10.3390/jimaging10080184
PMID:39194973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11355315/
Abstract

In radiation therapy, patient setup is important for improving treatment accuracy. The six-axis couch semi-automatically adjusts the patient's position; however, adjusting the patient to twist is difficult. In this study, we developed and evaluated a virtual reality setup training tool for medical students to understand and improve their patient setup skills for radiation therapy. First, we set up a simulated patient in a virtual space to reproduce the radiation treatment room. A gyro sensor was attached to the patient phantom in real space, and the twist of the phantom was linked to the patient in the virtual space. Training was conducted for 24 students, and their operation records were analyzed and evaluated. The training's efficacy was also evaluated through questionnaires provided at the end of the training. The total time required for patient setup tests before and after training decreased significantly from 331.9 s to 146.2 s. As a result of the questionnaire regarding the usability of training to the trainee, most were highly evaluated. We found that training significantly improved students' understanding of the patient setup. With the proposed system, trainees can experience a simulated setup that can aid in deepening their understanding of radiation therapy treatments.

摘要

在放射治疗中,患者摆位对于提高治疗精度很重要。六轴治疗床可半自动调整患者位置;然而,调整患者使其扭转却很困难。在本研究中,我们开发并评估了一种虚拟现实摆位训练工具,用于帮助医学生理解并提高其放射治疗的患者摆位技能。首先,我们在虚拟空间中设置了一个模拟患者以重现放射治疗室。在真实空间中,一个陀螺仪传感器被附着在患者体模上,体模的扭转与虚拟空间中的患者相关联。对24名学生进行了训练,并对他们的操作记录进行了分析和评估。训练效果也通过训练结束时提供的问卷进行了评估。训练前后患者摆位测试所需的总时间从331.9秒显著减少到146.2秒。关于训练对学员可用性的问卷结果显示,大多数得到了高度评价。我们发现训练显著提高了学生对患者摆位的理解。通过所提出的系统,学员可以体验模拟摆位,这有助于加深他们对放射治疗的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a31/11355315/de2c79d04666/jimaging-10-00184-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a31/11355315/d130239edb52/jimaging-10-00184-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a31/11355315/de2c79d04666/jimaging-10-00184-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a31/11355315/d130239edb52/jimaging-10-00184-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a31/11355315/de2c79d04666/jimaging-10-00184-g008.jpg

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本文引用的文献

1
Developing simulation-based learning application for radiation therapy students at pre-clinical stage.开发基于模拟的学习应用程序,供临床前阶段的放射治疗学生使用。
J Med Imaging Radiat Sci. 2024 Sep;55(3):101412. doi: 10.1016/j.jmir.2024.04.005. Epub 2024 Apr 27.
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A novel approach to predict acute radiation dermatitis in patients with head and neck cancer using a model based on Bayesian probability.一种基于贝叶斯概率的新型模型预测头颈部癌症患者急性放射性皮炎的方法。
Phys Med. 2023 Dec;116:103181. doi: 10.1016/j.ejmp.2023.103181. Epub 2023 Nov 24.
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Dose estimation for cone-beam computed tomography in image-guided radiation therapy for pelvic cancer using adult mesh-type reference computational phantoms.
使用成人网格型参考计算体模对骨盆癌图像引导放射治疗中的锥形束 CT 进行剂量估算。
Radiol Phys Technol. 2023 Jun;16(2):203-211. doi: 10.1007/s12194-023-00708-3. Epub 2023 Mar 6.
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Development and evaluation of the effectiveness of educational material for radiological protection that uses augmented reality and virtual reality to visualise the behaviour of scattered radiation.利用增强现实和虚拟现实技术来可视化散射辐射行为的放射防护教育材料的开发与效果评估。
J Radiol Prot. 2022 Jan 17;42(1). doi: 10.1088/1361-6498/ac3e0a.
5
Radiation protection education using virtual reality for the visualisation of scattered distributions during radiological examinations.利用虚拟现实进行放射检查中散射分布的可视化的放射防护教育。
J Radiol Prot. 2021 Sep 27;41(4). doi: 10.1088/1361-6498/ac16b1.
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Development of an application to visualise the spread of scattered radiation in radiography using augmented reality.开发一款利用增强现实技术可视化放射成像中散射辐射传播情况的应用程序。
J Radiol Prot. 2020 Nov 11;40(4). doi: 10.1088/1361-6498/abc14b.
7
Simulation of scattered radiation during intraoperative imaging in a virtual reality learning environment.虚拟现实学习环境中术中成像时散射辐射的模拟。
Int J Comput Assist Radiol Surg. 2020 Apr;15(4):691-702. doi: 10.1007/s11548-020-02126-x. Epub 2020 Mar 4.
8
Development of twist-correction system for radiotherapy of head and neck cancer patients.开发用于头颈部癌症患者放射治疗的扭转校正系统。
J Appl Clin Med Phys. 2019 Jul;20(7):128-134. doi: 10.1002/acm2.12667. Epub 2019 Jun 20.
9
Evaluation of setup and intrafraction motion for surface guided whole-breast cancer radiotherapy.表面引导全乳腺癌放射治疗的摆位和分次内运动评估。
J Appl Clin Med Phys. 2019 Jun;20(6):39-44. doi: 10.1002/acm2.12599.
10
Development of a rotational set-up correction device for stereotactic head radiation therapy: A performance evaluation.立体定向头部放射治疗旋转设置校正装置的研制:性能评估。
J Appl Clin Med Phys. 2019 Jun;20(6):206-212. doi: 10.1002/acm2.12616. Epub 2019 May 21.