Realization and application of automatic independent check software for radiotherapy treatment plans

中华放射肿瘤学杂志 Pub Date : 2019-12-15 DOI:10.3760/CMA.J.ISSN.1004-4221.2019.12.007

Huang Peng, Xu Yingjie, Tian Yuan, Ma Pan, D. Jianrong

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Abstract

Objective To design and implement an automatic independent check software (AutoReview) for the radiotherapy treatment plan and improve the efficiency of independent check. Methods The patient′s electronic treatment plan chart in the record and verify (R&V) system database accessed by the SQL language was read and parsed. Based on the treatment plan information obtained from the chart, AutoReview extracted all parameters related to the treatment plan from the treatment planning system and the R&V system, and saved the structured data into a local database. For different check items, corresponding check logic was designed and the program was written to realize the automatic independent check. In total, 664 clinical treatment plans for one month were selected as a sample to evaluate the clinical application effect. Results Compared with manual check, AutoReview improved the check efficiency by nearly 60 times and the problem detection rate was elevated by 19.2%. In the two-year clinical application, the software operation was stable, and 14509 treatment plans were automatically checked and identified 588 cases with problems, accounting for 4.05%. Conclusion AutoReview can effectively improve the efficiency and accuracy of independent check in radiotherapy treatment plan. Key words: Automatic independent check; Radiotherapy treatment plan; Quality assurance; Quality control

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放射治疗方案自动独立校验软件的实现与应用

目的设计并实现放射治疗方案自动独立审核软件AutoReview，提高独立审核的效率。方法采用SQL语言对病历验证(R&V)系统数据库中患者的电子治疗计划表进行读取和解析。AutoReview根据从图表中获得的治疗计划信息，从治疗计划系统和R&V系统中提取与治疗计划相关的所有参数，并将结构化数据保存到本地数据库中。针对不同的检测项目，设计了相应的检测逻辑，编写了相应的程序，实现了自动独立检测。共选取664个为期1个月的临床治疗方案作为样本，评估临床应用效果。结果与人工检查相比，AutoReview的检查效率提高了近60倍，问题检出率提高了19.2%。在两年的临床应用中，软件运行稳定，自动检查治疗方案14509例，识别出问题病例588例，占4.05%。结论AutoReview能有效提高放射治疗方案独立核查的效率和准确性。关键词:自动独立校验;放疗治疗方案;质量保证;质量控制

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来源期刊

中华放射肿瘤学杂志

自引率

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发文量

6375

期刊介绍： The Chinese Journal of Radiation Oncology is a national academic journal sponsored by the Chinese Medical Association. It was founded in 1992 and the title was written by Chen Minzhang, the former Minister of Health. Its predecessor was the Chinese Journal of Radiation Oncology, which was founded in 1987. The journal is an authoritative journal in the field of radiation oncology in my country. It focuses on clinical tumor radiotherapy, tumor radiation physics, tumor radiation biology, and thermal therapy. Its main readers are middle and senior clinical doctors and scientific researchers. It is now a monthly journal with a large 16-page format and 80 pages of text. For many years, it has adhered to the principle of combining theory with practice and combining improvement with popularization. It now has columns such as monographs, head and neck tumors (monographs), chest tumors (monographs), abdominal tumors (monographs), physics, technology, biology (monographs), reviews, and investigations and research.