网络管理对肿瘤放疗流程的优化

Optimization of the radiotherapy procedure using network management

放射治疗的发展已有100多年的历史。近年来，随着科学技术的迅猛发展，放射治疗设备有了明显的改善，由过去以X射线治疗机、60Co远距离治疗机为主，发展到今天以直线加速器、后装治疗机为主要治疗机，辅以模拟定位机、放射治疗计划系统、图像引导装置、多种体位固定方式等的系列设备系统。随着分工的细化，逐步形成了以放疗医师、技师、物理师、工程师、护士等为一体的人员结构。如何将放射治疗中各部门有机的结合并协同有效的管理，确保肿瘤放疗的质量控制与质量保证，减少放射事故的发生，提高肿瘤放疗疗效，是近年来一直困扰研究人员的问题。该文通过讲述引进MOSAIQ系统并结合医院实际情况，建立完整的管理制度和流程，总结了使用MOSAIQ系统对优化肿瘤放疗管理流程的经验，认为MOSAIQ系统的运行模式优化了肿瘤放疗流程，加强了人员及信息管理、放疗质量控制，节省了患者的治疗时间。

Radiation therapy has been developed more than 100 years. Recently, with the rapid development of scientific technology, equipment for radiation therapy has been significantly improved from the application of original X-ray equipment for radiotherapy, 60Co teletherapy unit to a current application of a system including main therapy equipment such as linear accelerator, brachytherapy machine and including auxiliary apparatus such as simulator, treatment planning system, image-guided apparatus and various body position fixing devices and so on. A staff including doctor, therapist, physicist, engineer and nurse was constructed with work dividing deepen. In recent years, researchers have tried their best to manage various departments collaboratively and efficiently, to ensure quality control and quality assurance, to avoid radiation accident, and to improve therapeutic effect in radiation therapy. In this paper, establishment of an integrated management system or workflow by introducing MOSAIQ~ system and combining with actual situation in hospital was described, and experience for optimization of workflow in radiation therapy management with MOSAIQ system was summarized. It was shown that MOSAIQ system could be a potentially tool to optimize workflow in radiation therapy management, strengthen personnel or information management, enhance quality control and save patients＇ treatment time.