河南省肿瘤放射治疗现状调查分析

Investigation of current situation of radiotherapy in Henan province

目的了解2023年度河南省放射治疗人员、设备与技术开展情况。方法采用统一设计的调研问卷,于2023年3月至4月进行在线调查。问卷由河南省肿瘤诊疗质量控制中心下发到全省各医疗机构,调研内容包括各放疗开展单位的人员、放疗设备、质控设备、影像设备配备情况以及放疗技术开展情况。对调研数据进行统计描述。结果截至2023年4月30日,河南省从事放射治疗的单位共168家;从事放射治疗的医师共956人、物理师共365人、技师共680人。全省医用直线加速器共212台、钴60治疗机1台、后装治疗机32台、射波刀4台、CT模拟定位机173台、磁共振模拟定位机2台、常规模拟定位机94台,放疗设备以直线加速器为主,人均保有量为2.15台/百万人。开展二维放疗的单位11家、三维适形放疗24家、静态调强放疗130家、旋转调强放疗41家、立体定向放疗33家。关于物理质控设备,全省共有16家单位配备三维水箱,162家单位配备辐射剂量仪,114家单位配备晨检仪,60家单位配备胶片剂量仪,108家单位配备调强计划验证系统。结论2023年河南省放疗从业人员配备不足,放疗设备配置存在地区间发展不均衡的情况。在放疗技术开展方面,调强放射治疗已经成为河南省放射治疗的主流技术,放疗质控设备的配置以及标准化质控工作需要进一步提高。

ObjectiveTo investigate the status of personnel,facilities,and technology of radiation therapy in Henan province in 2023.MethodsA unified online survey questionnaire was designed and distributed from March to April 2023 by the Henan Cancer Diagnosis and Treatment Quality Control Center to various medical institutions throughout the province to investigate the personnel,radiotherapy equipment,quality control equipment,imaging equipment,and radiotherapy technology development of each radiotherapy unit.Descriptive statistical methods were mainly used.ResultsAs of April 30,2023,there were a total of 168 units engaged in radiation therapy in Henan province.The number of physicians involved in radiation therapy was 956,along with 365 medical physicists and 680 technicians.The equipment inventory included 212 medical linear accelerators,1 cobalt-60 therapy machine,32 afterloading therapy apparatuses,4 Cyber Knife,173 CT simulators,2 MRI simulators and 94 conventional simulators.Linear accelerators were the primary radiotherapy equipment,2.15 units per 1 million population on average.Additionally,there were 11 units offering 2D radiotherapy,24 units offering 3D conformal radiotherapy,130 units offering intensity-modulated radiotherapy,41 units offering rotational intensity-modulated radiotherapy,and 33 units offering stereotactic radiosurgery.Regarding physical quality control equipment,16 units were equipped with three-dimensional water tanks,162 units were equipped with radiation dose meters,114 units were equipped with morning check meters,60 units were equipped with film dose meters,and 108 units were equipped with intensity adjustment plan verification systems.ConclusionsIn 2023,there is a shortage of radiation therapy professionals in Henan province.Disparities are observed in the distribution of radiation therapy equipment among regions.Intensity-modulated radiotherapy has become the mainstream technology for radiation therapy in Henan province.The configuration of radiation therapy quality control equipment and standardized quality control work should be further improved.