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[放射治疗中监测单位计算的人为误差]

[Human errors in the calculation of the Monitor Unit in radiotherapy].

作者信息

Calandrino R, Cattaneo G M, Del Vecchio A, Fiorino C, Longobardi B, Signorotto P

机构信息

Servizio di Fisica Sanitaria, Istituto Scientifico H. S. Raffaele, Milano.

出版信息

Radiol Med. 1993 Oct;86(4):521-3.

PMID:8248592
Abstract

Human mistakes are a major source of error from the definition to the execution of a treatment planning. An unrevealed serious human error can cause therapy to fail therefore it is of fundamental importance to eliminate serious human errors during MU calculation. In this work the human error incidence in MU calculation is evaluated by an independent check. The investigation refers to 1,926 controls collected in about 18 months. Serious daily errors rate (errors causing a 5%, or higher, discrepancy on the daily reference dose) was 1.4% (27/1926). Serious global errors incidence (errors causing a 5%, or higher, discrepancy on the total reference dose) was 0.9% (15/1,731). The data show that the human error in MU calculation is not negligible; they also indicate the value of the independent control of MU, which is an important tool for quality assurance in radiotherapy (like in vivo dosimetry and portal imaging.

摘要

从治疗计划的定义到执行,人为失误是主要的误差来源。一个未被发现的严重人为失误可能导致治疗失败,因此在计算MU期间消除严重人为失误至关重要。在这项工作中,通过独立检查来评估MU计算中的人为失误发生率。该调查涉及在约18个月内收集的1926次检查。严重每日误差率(导致每日参考剂量出现5%或更高差异的误差)为1.4%(27/1926)。严重总体误差发生率(导致总参考剂量出现5%或更高差异的误差)为0.9%(15/1731)。数据表明,MU计算中的人为失误不可忽视;它们还表明了MU独立检查的价值,这是放射治疗质量保证的重要工具(如体内剂量测定和射野成像)。

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