直线加速器设备稳定性评价指标体系建构研究

doi:10.3760/cma.j.cn113030-20210124-00042

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Abstract Objective To build an evaluation index system for linac stability and establish a scientific, systematic and Objective evaluation standard for the stability of linac equipment. Methods Based on the Delphi and AHP methods, a three-level index system for the stability of linac equipment was established, and the correlation coefficients and weights were calculated using Microsoft Excel 2007 and SPSS 16.0. Results The enthusiasm of experts in two rounds was 85%(17/20) and 92%(23/25), the authority coefficients were 0.79 and 0.87, and the expert Kendall coordination coefficients were 0.957(first-level index, P<0.05), 0.637(second-level index, P<0.05) and 0.527(third-level index, P<0.05), respectively. Finally, a three-level index system covering 2 first-level indicators of mechanical treatment system and accessory system, 9second-level indicators and 32 third-level indicators was established. The CVs of all levels of indicators were less than 0.25 and passed the consistency test. Conclusion The evaluation index system for linac equipment stability has good scientificity, operability and versatility, which can provide theoretical and quantitative reference for linac stability evaluation and equipment purchase.

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	Articles by authors
	Yuan Jinhui
	Li Qingsong
	Shen Yan

Key words： Linear accelerator Delphi Index system

Received: 24 January 2021

Cite this article:

Yuan Jinhui,Li Qingsong,Shen Yan. Study of establishment of evaluation index system for stability of linac equipment[J]. Chinese Journal of Radiation Oncology, 2022, 31(2): 182-186.

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http://journal12.magtechjournal.com/Jweb_fszlx/EN/10.3760/cma.j.cn113030-20210124-00042 OR http://journal12.magtechjournal.com/Jweb_fszlx/EN/Y2022/V31/I2/182

[1] 郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J]. 中华肿瘤杂志,2019, 41(1):19-28. DOI:10.3760/cma.j.issn.0253-3766.2019.01.008.
Zheng RS, Sun KX, Zhang SW, et al. Report of cancer epidemiology in China, 2015[J]. Chin J Oncol, 2019, 41(1):19-28. DOI:10.3760/cma.j.issn.0253-3766.2019.01.008.
[2] 全力. 我国医用直线加速器发展现状与进展[J]. 中国科技信息,2017(5):93-94. DOI:10.3969/j.issn.1001-8972.2017.05.035.
Quan L. Development status and progress of medical linear accelerators in China[J]. Chin Sci-Tech Infor, 2017(5):93-94. DOI:10.3969/j.issn.1001-8972.2017.05.035.
[3] 郎朗,谭赢,赵鹏,等. 基于德尔菲专家咨询法构建放疗加速器设备售后服务质量指标体系的初探研究[J]. 肿瘤预防与治疗,2020, 33(10):865-869. DOI:10.3969/j.issn.1674-0904.2020.10.008.
Lang L, Tan Y, Zhao P, et al. An index system for after-sales service quality of radiotherapy accelerators based on delphi expert consensus method:a preliminary study[J]. J Cancer Contr Treat, 2020, 33(10):865-869. DOI:10.3969/j.issn.1674-0904.2020.10.008.
[4] 杜翔,杨春勇,周献锋,等. 江苏省部分医用电子直线加速器质量控制检测结果分析[J]. 中华放射医学与防护杂志,2014, 34(9):697-699. DOI:10.3760/cma.j.issn.0254-5098.2014.09.015.
Du X, Yang CY, Zhou XF, et al. Analysis of quality control test results of some medical electronic linear accelerators in Jiangsu province[J]. Chin J Radiol Med Prot, 2014, 34(9):697-699. DOI:10.3760/cma.j.issn.0254-5098.2014.09.015.
[5] Humphrey-MurtoS, Wood TJ, Gonsalves C, et al. The delphi method[J]. Acade Med, 2020, 95(1):168. DOI:10.1097/ACM.0000000000002887.
[6] 苟茹君,韩迎春,吕辉. 设备跟踪质量综合评定方法应用[J]. 无线电工程,2017, 47(5):79-83. DOI:10.3969/j.issn.1003-3106.2017.05.19.
Gou RJ, Han YC, Lyu H. Application of method for evaluating the tracking quality of measurement equipment[J]. Radio Engin, 2017, 47(5):79-83.DOI:10.3969/j.issn.1003-3106.2017.05.19.
[7] 韩鹏. 北市某三级甲等综合医院医学人文关怀指标体系建立的理论与实证研究[D]. 长春:吉林大学,2016.
HanP. Theoretical and empirical research on the establishment of a medical humanistic care index system in a tertiary general hospital in Beijing[D]. Changchun:Jilin University, 2016.
[8] 周怀恒,陈雄,杨康基. 医用直线加速器的基本结构和日常保养[J]. 医疗装备,2016, 29(3):80-81. DOI:10.3969/j.issn.1002-2376.2016.03.049.
Zhou HH, Chen X, Yang KJ. Basic structure and daily maintenance of medical linear accelerator[J]. Med Equip, 2016, 29(3):80-81. DOI:10.3969/j.issn.1002-2376.2016.03.049.
[9] 许章顶. BJ—6B医用直线加速器结构原理及维修[J]. 医疗装备,2014, 27(8):57-58. DOI:10.3969/j.issn.1002-2376.2014.08.032.
Xu ZD. Structural principle and maintenance of BJ-6B medical linear accelerator[J]. Med Equip, 2014, 27(8):57-58. DOI:10.3969/j.issn.1002-2376.2014.08.032.
[10] 张朋,李坚. Elekta加速器运动系统工作原理及故障维修[J]. 中国医疗设备,2019, 34(11):187-188. DOI:10.3969/j.issn.1674-1633.2019.11.048.
Zhang P, Li J. Working principle and troubleshooting of elekta accelerator motion system[J]. Chin Med Device, 2019, 34(11):187-188. DOI:10.3969/j.issn.1674-1633.2019.11.048.
[11] Saaty TL. Decision making, scaling, and number crunching[J]. Dec Sci, 1989, 20:404-409.
[12] 夏萍,汪凯,李宁秀,等. 层次分析法中求权重的一种改进[J]. 中国卫生统计,2011, 28(2):151-154. DOI:10.3969/j.issn.1002-3674.2011.02.011.
Xia P, Wang K, Li NX, et al. Improvement of index weight in analytic hierarchy process[J]. Chin Health Statis, 2011, 28(2):151-154,157. DOI:10.3969/j.issn.1002-3674.2011.02.011.
[13] 孙振球,王乐山. 医学综合评价方法及其应用[M]. 北京:化学工业出版社,2006.
Sun ZQ, Wang LS. Comprehensive medical evaluation method and application[M]. Beijing:Chemical Industry Press, 2006.
[14] Lee M. Strategies for promoting the medical device industry inKorea:an analytical hierarchy process analysis[J]. Int J Environ Res Public Health, 2018, 15(12):pII:E2659. DOI:10.3390/ijerph15122659.
[15] Wu SH, Xie J, Liu XD, et al. Marginal optimization methodto improve the inconsistent comparison matrix in the analytichierarchy process[J]. J Syst Eng Electron, 2017, 28(6):1141-1151.
[16] 曾光. 现代流行病学方法与应用[M]. 北京:北京医科大学、中国协和医科大学联合出版社, 1994:250-259.
Zeng G. Modern epidemiological methods and applications[M]. Beijing:Beijing Medical University and Peking Union Medical University Joint Press, 1994:250-259.
[17] 薛浩,贾文霄,程敬亮,等. MRI设备可靠性评价指标体系的构建[J]. 中国医学影像技术,2020, 36(1):134-137. DOI:10.13929/j.issn.1003-3289.2020.01.037.
Xue H, Jia WX, Cheng JL, et al. Construction of evaluation index system for reliability of MR equipment[J]. ChinJ Med Imaging Tech, 2020, 36(1):134-137. DOI:10.13929/j.issn.1003-3289.2020.01.037.
[18] 唐志全,谢源贵,曾勇,等. 瓦里安2300CD加速器电离室隐性故障一例分析[J]. 中华放射肿瘤学杂志,2017, 26(12):1449-1450. DOI:10.3760/cma.j.issn.1004-4221.2017.12.020.
Tang ZQ, Xie YG, Zeng Y, et al. Analysis of a case of hidden failure of the ionization chamber of Varian 2300CD accelerator[J]. Chin J Radiat Oncol, 2017, 26(12):1449-1450. DOI:10.3760/cma.j.issn.1004-4221.2017.12.020.
[19] 谭庭强,李黎,黄仁炳.23EX直线加速器 7年故障统计分析经验[J]. 中华放射肿瘤学杂志,2016, 25(12):1341-1344. DOI:10.3760/cma.j.issn.1004?4221.2016.12.015.
Tan TQ, Li L, Huang RB. Experience instatistical analysis of failures of a23EX linear accelerator with 7-years[J]. Chin J Radiat Oncol, 2016, 25(12):1341-1344. DOI:10.3760/cma.j.issn.1004?4221.2016.12.015.