Department of Radiation Oncology,Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China,Collaborative Innovation Center for Caner Medicine; Guangzhou 510060,China
Abstract： Objective To develop a MOSAIQ Integration PlatformCHN (MIP) based on the workflow of radiotherapy (RT) and to meet the actual requirements in China and the special needs for the radiotherapy department. Methods MIP used C/S (client-server) structure mode running on the local network in the hospital and its database was based on the Treatment Planning System (TPS) and MOSAIQ database. Five network servers,as the core hardware,supplied data storage and network service based on “cloud services”. The core software was developed based on Microsoft Visual Studio Platform using C# network programming language. The MIP server could simultaneously offer network service for about 200 workstations,including entry,query,statistics,and print of data. Results MIP had 15 core function modules,such as Notice,Appointment,Billing,Document Management (application/execution),and System Management,which almost covered the whole workflow of radiotherapy. Up to June 2016,the recorded data in the MIP were as follows:13546 patients,13533 plan application forms,15475 RT records,14656 RT summaries,567048 billing records,and 506612 workload records. Conclusions The MIP based on the RT workflow has been successfully developed and used in clinical practice. It is an important part of radiotherapy information system construction with the advantages of intuitive operation,real-time performance,data security,and stable operation. It is digital,paperless,user-friendly,and convenient for the retrieval and statistics of data as well as information sharing and department management,and can significantly improve the efficiency of the department. More functions can be added or modified to enhance its potentials in research and clinical practice.
Yang Xin,He Zhenyu,Jiang Xiaobo et al. Development and application of MOSAIQ integration platform based on radiotherapy workflow[J]. Chinese Journal of Radiation Oncology, 2017, 26(8): 918-923.
[1] 刘建强,陈鲁生,邓伟,等.Precise加速器和MOSAIQ升级的探讨[J].中国医疗设备,2015,30(3):133-134,129.DOI:10.3969/j.issn.1674-1633.2015.03.041. Liu JQ,Chen LS,Deng W,et al. Discussion on upgrading of Precise linear accelerator and the MOSAIQ system[J].China Med Dev,2015,30(3):133-134,129.DOI:10.3969/j.issn.1674-1633.2015.03.041. [2] 朱泓政,廖灿培,钟宇行.浅谈Varian ARIA放疗网络系统的建设及应用[J].医疗装备,2015,28(3):18-19.DOI:10.3969/j.issn.1002-2376.2015.03.009. Zhu HZ,Liao CP,Zhong YX.Construction and application of Varian ARIA radiotherapy network system[J].Med Equip,2015,28(3):18-19.DOI:10.3969/j.issn.1002-2376.2015.03.009. [3] 方明明.LANTIS放疗局域网使用中的问题及经验[J].医疗装备,2011,24(11):15-16.DOI:10.3969/j.issn.1002-2376.2011.11.007. Fang MM.Problems and experiences in the use of LANTIS radiotherapy in local area networks[J].Med Equip,2011,24(11):15-16.DOI:10.3969/j.issn.1002-2376.2011.11.007. [4] 陈俊超,王佳舟,徐志勇.放疗网络与信息系统[J].中国医学物理学杂志,2011,28(5):2913-2916.DOI:10.3969/j.issn.1005-202X.2011.05.020. Chen JC,Wang JZ,Xu ZY.The network and information system in radiation oncology[J].Chin J Med Phys,2011,28(5):2913-2916.DOI:10.3969/j.issn.1005-202X.2011.05.020. [5] 翟福山,刘明,王安峰,等.放疗网络的临床应用[J].中华放射肿瘤学杂志,2005,14(1):56-58.DOI:10.3760/j.issn:1004-4221.2005.01.012. Zhai FS,Liu M,Wang AF,et al. Clinical application of local network in radiotherapy[J].Chin J Radiat Oncol,2005,14(1):56-58.DOI:10.3760/j.issn:1004-4221.2005.01.012. [6] 吴智理,张九堂,倪千喜,等.放疗信息管理系统的研发与应用[J].中华放射肿瘤学杂志,2015,24(6):680-683.DOI:10.3760/cma.j.issn.1004-4221.2015.06.018. Wu ZL,Zhang JT,Ni QX,et al. The development and application of the radiotherapy information management system[J].Chin J Radiat Oncol,2015,24(6):680-683.DOI:10.3760/cma.j.issn.1004-4221.2015.06.018. [7] 吴钦宏,李高峰,钟秋子,等.基于放疗流程的放疗信息管理系统软件设计与实践[J].中华放射肿瘤学杂志,2012,21(2):160-162.DOI:10.3760/cma.j.issn.1004-4221.2012.02.019. Wu QH,Li GF,Zhong QZ,et al. The design and implementation of the radiation therapy information management system (RTIMS) based on the workflow of radiation therapy[J].Chin J Radiat Oncol,2012,21(2):160-162.DOI:10.3760/cma.j.issn.1004-4221.2012.02.019. [8] 高兴旺,张广顺,陈利,等.肿瘤放疗信息网络一体化管理平台的研发及临床实践[J].中华放射肿瘤学杂志,2016,25(4):395-400.DOI:10.3760/cma.j.issn.1004-4221.2016.04.020. Gao XW,Zhang GS,Chen L,et al. Development and clinical application of integrated network management platform for tumor radiotherapy information[J].Chin J Radiat Oncol,2016,25(4):395-400.DOI:10.3760/cma.j.issn.1004-4221.2016.04.020. [9] 徐志勇,傅小龙,宋亮,等.放疗网络系统的研制和应用[J].中华放射肿瘤学杂志,2006,15(5):416-418.DOI:10.3760/j.issn:1004-4221.2006.05.014. Xu ZY,Fu XL,Song L,et al. Development and application of network system in radiotherapy[J].Chin J Radiat Oncol,2006,15(5):416-418.DOI:10.3760/j.issn:1004-4221.2006.05.014. [10] 胡晓平,杜云翔.放疗网络的研制[J].中华放射肿瘤学杂志,2004,13(4):332-334.DOI:10.3760/j.issn:1004-4221.2004.04.034. Hu XP,Du YX.Development of radiotherapy network[J]Chin J Radiat Oncol,2004,13(4):332-334.DOI:10.3760/j.issn:1004-4221.2004.04.034. [11] 赵于飞,张红雁,马军,等.放疗计算机信息管理系统的开发与应用[J].中华放射肿瘤学杂志,2004,13(2):131-133.DOI:10.3760/j.issn:1004-4221.2004.02.015. Zhao YF,Zhang HY,Ma J,et al. Development and application of the computer information administration system in radiotherapy[J].Chin J Radiat Oncol,2004,13(2):131-133.DOI:10.3760/j.issn:1004-4221.2004.02.015. [12] Yang DS,Wu Y,Brame RS,et al. Technical Note:electronic chart checks in a paperless radiation therapy clinic[J].Med Phys,2012,39(8):4726-4732.DOI:10.1118/1.4736825. [13] Bailey DW,Kumaraswamy L,Podgorsak MB.A fully electronic intensity-modulated radiation therapy quality assurance (IMRT QA) process implemented in a network comprised of independent treatment planning,record and verify,and delivery systems[J].Radiol Oncol,2014,44(2):124-130.DOI:10.2478/v10019-010-0017-9. [14] 张妮莉,赵静.基于2009—2013年相关文献的医疗纠纷案例统计分析[J].医学与社会,2014,27(6):55-58.DOI:10.13723/j.yxysh.2014.06.018. Zhang NL,Zhao J.Statistical analysis of medical dispute cases based on related literatures from 2009 to 2013[J].Med Soc,2014,27(6):55-58.DOI:10.13723/j.yxysh.2014.06.018.
2017, Vol. 26 
