AbstractObjective To discover the existing problems and provide appropriate suggestions and countermeasures through the quality control inspection. MethodsA comprehensive quality control inspection was conducted for the radiotherapy equipment in 45 hospitals in Zhejiang province. The physical, technical, clinical and radiotherapy process and the parameters related to quality control were evaluated. Results As of December 31, 2017, a total of 62 linear accelerators from 45 hospitals have been assessed. In the radiotherapy process, multiple quality control problems were identified in terms of radiotherapy equipment configuration, clinical work quality, radiotherapy technology and personnel qualifications. Besides, unreasonable equipment configuration, shortage of radiotherapy staff, clinical work flow and the quality assurance of physical radiotherapy remained to be resolved. Conclusion Regular quality control of radiotherapy plays a pivotal role in ensuring the accuracy, effectiveness and medical safety of radiotherapy.
Zhejiang Cancer Diagnosis and Treatment QalityControl Center,Chen Xiaozhong,Zhu Yuan et al. Quality control report of tumor radiotherapy in Zhejiang province[J]. Chinese Journal of Radiation Oncology, 2019, 28(5): 321-325.
Zhejiang Cancer Diagnosis and Treatment QalityControl Center,Chen Xiaozhong,Zhu Yuan et al. Quality control report of tumor radiotherapy in Zhejiang province[J]. Chinese Journal of Radiation Oncology, 2019, 28(5): 321-325.
[1] 国家癌症中心/国家肿瘤诊疗质控中心.放疗质量控制基本指南[M].北京:国家癌症中心/国家肿瘤诊疗质控中心,2017.National cancer centre/National centre for the diagnosis and treatment of oncology. Basic guide to quality control of radiotherapy[M]. Beijing:Nationalcancer center/ for the diagnosis and treatment of oncology,2017. [2] 马攀,戴建荣.放疗质量管理新方法[J].中华放射肿瘤学杂志,2015,24(6):732-735.DOI:10.3760/cma.j.issn.1004-4221.2015.06.0320. Ma P,Dai JR,A new method for quality control of radiotherapy[J].Chin J Radiat Oncol,2015,24(6):732-735.DOI:10.3760/cma.j.issn.1004-4221.2015.06.0320. [3] Setting up a radiotherapy programme:clinical,medical physics,radiation protection and safety aspects[Z].Wien:IAEA.2008. [4] 谷铣之,冯宁远,余耘.关于我国放疗队伍的组成、设备和技术水平的调查报告[J].中国放射肿瘤学,1989,3(1):41-43. Gu XZ,FengNY,YuY.Investigation report on the composition, equipment and technical level of radiotherapy teams in China[J]. Chin RadiatOncol,1989,3(1):41-43. [5] 中华医学会放射肿瘤学分会,殷蔚伯,陈波,等.2011年中国大陆地区第六次放疗人员及设备调查[J].中华放射肿瘤学杂志,2011,20(6):453-457.DOI:10.0376/cma.j.issn.1004-4221.2011.06.002. Radiationoncology branch of Chinese medical association,Ying WB,Chen B,et al. Investigation of the sixth radiotherapy personnel and equipment in mainland China in 2011[J].Chin J Radiat Oncol,2011,20(6):453-457.DOI:10.0376/cma.j.issn.1004-4221.2011.06.002. [6] 郞锦义,王培,吴大可.2015年中国大陆放疗基本情况调查研究[J].中华放射肿瘤学杂志,2016,25(6):541-545.DOI:10.0376/cma.j.issn.1001-4221.2016.06.001. Lang JY,WangP,WuDK.Investigation on the basic situation of radiotherapy in mainland China in 2015[J].Chin J Radiat Oncol,2016,25(6):541-545.DOI:10.0376/cma.j.issn.1001-4221.2016.06.001. [7] Kalapurakal JA,Zafirovski A,Smith J,et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology:value of voluntary error reporting and checklists[J].Int J Radiat Oncol BiolPhys,2013,86(2):241-248.DOI:10.1016/j.ijrobp.2013.02.003. [8] Ford EC,TerezakisS.How safe is safe? Risk in radiotherapy[J].Int J Radiat Oncol Biol Phys,2010,78(2):321-322.DOI:10.1016/j.ijrobp.2010.04.047. [9] TerezakisSA,HarrisKM,FordF,et al. An evaluation of departmental radiation oncology incident report:anticipating a national report ing system[J].Int J Radiat Oncol Biol Phys,2012,85(4):919-923.DOI:10.1016/j.ijrobp.2012.09.013.
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