JP2008262428A - Radiotherapy operation management system and radiotherapy operation management method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a radiotherapy operation management system and a radiotherapy operation management method, enabling smooth execution of a series of operations while facilitating sharing of information between operation actions. <P>SOLUTION: A storage means 14 stores pre-therapy information and therapy execution information input by a pre-therapy information input means 12 and a therapy execution information input means 13 in association with a patient. A reference means 15 retrieves the pre-therapy information and therapy execution information stored in the storage means 13 with the patient as a key to make a user refer to the information. An input support means 16 supports the input of pretherapy information or therapy execution information by the pre-therapy information input means 12 or the therapy execution information input means 13 by making the user refer to information necessary for the input by the reference means 15. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a radiation therapy service management system and a radiation therapy service management method for managing information necessary for a radiation therapy service.

  Radiotherapy services include various roles such as simulation (positioning), treatment plan, multiple irradiation reservations, reception, irradiation execution according to irradiation reservations, creation of each form, such as doctors, technicians, nurses or receptionists Implemented by different workers. Since these various tasks should be carried out as a series of tasks for one treatment for one patient, the progress management is also necessary for grasping the implementation status of each task.

As a radiation therapy business management system that supports these tasks, register information that occurs in each business activity of radiation therapy work, such as treatment planning, irradiation reservation, reception, irradiation execution, creation of various forms, etc. There is known a system provided with various functions such as exchanging information with a hospital information system.
JP 2003-175119 A

  However, in the conventional system, a series of work is divided into a plurality of functions, and the number of workers who use each function varies, making it difficult to grasp the progress of the work. In addition, the function of sharing information between different functions is weak, and there is a problem that a series of business activities cannot be performed smoothly.

  An object of the present invention is to provide a radiation therapy task management system and a radiation therapy task management method that can easily share information between business activities and can smoothly execute a series of tasks.

The radiation therapy service management system of the present invention is a radiation therapy service management system that manages information necessary for radiation therapy services, and inputs pre-treatment information that is information about a treatment policy or a treatment plan before radiation therapy. Means, treatment execution information input means for inputting treatment execution information, which is information relating to the execution of radiation therapy, the pre-treatment information and the treatment execution information input by the pre-treatment information input means and the treatment execution information input means. Storing means associated with the patient, and reference means for searching the pre-treatment information and the treatment execution information stored in the storage means using the patient as a key and allowing the user to refer to the information. And
According to this radiation therapy business management system, pre-treatment information, which is information related to a treatment policy or treatment plan, and treatment execution information, which is information related to the execution of radiation treatment, are stored in association with a patient before radiation treatment. The pre-treatment information and the treatment execution information can be searched using the patient as a key and referred to by the user, so that information can be easily shared between business activities and a series of operations can be performed smoothly.

  The treatment execution information may be information related to radiation irradiation reservation or information related to radiation irradiation results.

  When inputting the pre-treatment information input means or the treatment execution information by the pre-treatment information input means or the treatment execution information input means, the input is supported by allowing the user to refer to information necessary for the input by the reference means. Input support means may be provided.

The radiotherapy service management system according to the present invention is a radiotherapy service management system for managing information necessary for a radiotherapy service, storage means for sequentially storing radiation therapy results, which are information related to the performed radiotherapy, in association with patients. And a total dose management means for managing the total radiation dose for the patient for each body part by searching and extracting the radiotherapy results stored in the storage means using the patient as a key. And
According to this radiotherapy business management system, the radiotherapy results, which are information on the radiotherapy performed, are sequentially stored in association with the patient, and the stored radiotherapy results are searched and extracted using the patient as a key. Since the total radiation dose to the patient is managed for each body part, the radiation dose for each part can be managed with high accuracy and ease.

The radiotherapy service management method of the present invention is a radiotherapy service management method for managing information necessary for a radiotherapy service, the step of inputting pretreatment information that is information related to a treatment policy or a treatment plan before radiation therapy, A step of inputting treatment execution information which is information relating to the execution of treatment; a step of storing the input pre-treatment information and the treatment execution information in association with a patient; the stored pre-treatment information and the treatment execution Searching for information using the patient as a key, and allowing the user to refer to the information.
According to this radiotherapy business management method, pre-treatment information, which is information related to a treatment policy or treatment plan, and treatment execution information, which is information related to the implementation of radiotherapy, are stored in association with a patient before radiation treatment. The pre-treatment information and the treatment execution information can be searched using the patient as a key and referred to by the user, so that information can be easily shared between business activities and a series of operations can be performed smoothly.

The radiotherapy service management method of the present invention is a radiotherapy service management method for managing information necessary for a radiotherapy service, the step of sequentially storing radiation therapy results, which are information related to the performed radiotherapy, in association with patients, And managing the total radiation dose to the patient for each body part by searching and extracting the stored radiotherapy results using the patient as a key.
According to this radiotherapy business management method, the radiotherapy results, which are information related to the radiotherapy performed, are sequentially stored in association with the patient, and the stored radiotherapy results are searched and extracted using the patient as a key. Since the total radiation dose to the patient is managed for each body part, the radiation dose for each part can be managed with high accuracy and ease.

  According to the radiation therapy business management system of the present invention, pre-treatment information, which is information related to a treatment policy or treatment plan, and treatment execution information, which is information related to the implementation of radiation treatment, are stored in association with a patient before radiation treatment. Since the pre-treatment information and the treatment execution information can be searched using the patient as a key and referred to by the user, information can be easily shared between business activities, and a series of operations can be performed smoothly.

  According to the radiotherapy service management system of the present invention, the radiotherapy results, which are information relating to the radiotherapy performed, are sequentially stored in association with the patient, and the stored radiotherapy results are searched and extracted using the patient as a key. Thus, since the total radiation dose to the patient is managed for each body part, the radiation dose for each part can be managed with high accuracy and easily.

  According to the radiation therapy business management method of the present invention, pre-treatment information that is information related to a treatment policy or treatment plan and treatment execution information that is information related to the implementation of radiation treatment are stored in association with a patient before radiation treatment. Since the pre-treatment information and the treatment execution information can be searched using the patient as a key and referred to by the user, information can be easily shared between business activities, and a series of operations can be performed smoothly.

  According to the radiotherapy business management method of the present invention, the radiotherapy results, which are information related to the radiotherapy performed, are sequentially stored in association with the patient, and the stored radiotherapy results are searched and extracted using the patient as a key. Thus, since the total radiation dose to the patient is managed for each body part, the radiation dose for each part can be managed with high accuracy and easily.

  Hereinafter, an embodiment of a radiation therapy business management system according to the present invention will be described with reference to FIG.

  FIG. 1 is a block diagram showing the configuration of the radiation therapy work management system of this embodiment.

  As shown in FIG. 1, the radiotherapy service management system 1 according to the present embodiment includes an interface 11 that transmits and receives data to and from an external device, and pretreatment information that is information on a treatment policy or treatment plan before radiation treatment. Pre-treatment information input means 12 to be input, treatment execution information input means 13 to input treatment execution information which is information related to the execution of radiation therapy, treatment input by the pre-treatment information input means 12 and the treatment execution information input means 13 Storage means 14 for storing the previous information and treatment execution information in association with the patient, and reference means 15 for searching for the pre-treatment information and the treatment execution information stored in the storage means 14 using the patient as a key and for referring to the user; When inputting the pre-treatment information input means or the treatment execution information by the pre-treatment information input means 12 or the treatment execution information input means 13, It includes an input support means 16 for supporting the input by which refer to the information necessary for the force by reference means 15 to the user, the WEB distribution unit 17 for WEB delivered toward various clinical information about the workers, the.

  As shown in FIG. 1, an electronic medical record 21, a treatment planning device 22, an image management device 23, a collation device 24, a digital camera 25, and a CR device 26 are connected to the radiation therapy work management system 1 via an interface 11. .

  The interface 11 receives a treatment request order, an imaging order (simulation), and patient information from the electronic medical record 21, and transmits information related to reservation, reception execution, irradiation / imaging execution and accounting information to the electronic medical record 21. A plan image and plan information are transmitted from the treatment planning device 22 toward the interface 11. The interface 11 transmits patient information, reservation information, field information, and irradiation execution information to the radiation irradiation device 24. The interface 11 receives a setup image such as the patient's posture from the digital camera 25. The CR device 26 transmits the patient ID and examination information to the interface 11 by MWM.

  Next, operation | movement of the radiation treatment work management system 1 is demonstrated along the flow of a radiation treatment work.

  When a treatment request order serving as a starting point for starting treatment of the cancer disease occurs, the order is acquired via the interface 11 and listed in the order list of the storage unit 14. A user who is a doctor uses the treatment planning device 22 to select a specific order from the order list, and creates and inputs a treatment policy from a screen on which the contents of the order are displayed. The treatment policy is information related to the overall treatment policy such as the basic treatment policy, irradiation method, and purpose. The treatment policy is registered in association with the primary of each individual patient.

Examples of treatment policy input items are as follows.
(1) Treatment type: The method of irradiation is specified. The irradiation methods of this treatment, such as external irradiation, RALS, and hermetic brachytherapy, are included.
(2) Current treatment: It is specified what kind of disease the treatment is for. Freshness, metastasis, recurrence etc.
(3) Treatment policy: radical cure, palliatives, etc.
(4) Treatment method: Overall procedure for this disease, such as surgery + irradiation.
(5) Irradiation policy: Radiation, palliative, or irradiation policy in the whole treatment method.
(6) Treatment start PS: Patient condition.
(7) Comments during treatment policy: Comments from doctors.
(8) Primary site: Primary information on the current disease target.
(9) Treatment site information: site name, year, frontal (c, p, r), primary TNM classification, G (G of treatment target site), stage (stage of treatment target site), lesion (primary + transfer, etc.) , Lesion pathology), planned total dose (scheduled total dose for the current treatment site).

These input items are combined with the following search items.
(1) Date: Date of occurrence of treatment order and last date of search condition.
(2) Patient ID: Target patient ID of treatment order.
(3) Patient name: Kanji name of the target patient of the treatment order.
(4) Patient Kana Name: Name of the patient who is the subject of the treatment order.
(5) Presence / absence of treatment policy: treatment policy not created / treatment policy created.
(6) Plan creation / non-planning: identification of plan not created / plan created.
(7) Whether or not a treatment start report has been created: Whether a treatment start report has not been created / treatment start report has been created.
(8) Presence / absence of treatment progress report: Identification of treatment progress report not created / treatment progress report completed.
(9) Whether or not a treatment end report has been created: Identification of whether a treatment end report has not been created or a treatment end report has been created.
(10) Request department: Treatment request order request department.
(11) Physician in charge: Physician in charge at the time of requesting a treatment request order.
(12) Hospitalization / outpatient: identification of inpatient / outpatient.

  The treatment policy input items and search items entered using the treatment planning device 22 are taken into the radiation treatment business management system 1 via the interface 11 and stored in the storage means 14 by the pre-treatment information input means 12. The input item of the treatment policy corresponds to “pre-treatment information”.

  Next, the user can input irradiation basic information on the screen using the treatment planning device 22. The basic irradiation information is plan information that is a more specific treatment policy, and corresponds to “pre-treatment information”. One irradiation basic information is created for each treatment site.

  When the basic irradiation information is input, the treatment policy already stored in the storage means 14 is taken into the treatment planning device 22 by the input support means 16 via the reference means 15 and the interface 11, and the information is appropriately displayed on the screen. In addition to being displayed, it is transferred to the input item of basic irradiation information. The treatment policy can be searched using any combination of the above-mentioned search items including the patient ID as a search key. In this case, the reference unit 15 uses the searched and extracted treatment policy (irradiation basic information) to the treatment planning device 22. To give. The user can refer to the treatment policy on the screen of the treatment planning device 22.

Examples of input items for basic irradiation information are as follows.
(1) Irradiation type: An irradiation method to a site to be treated. Inherit the treatment type basically determined by the treatment policy.
(2) Detailed irradiation type: Redefining a specific irradiation method in view of the irradiation method. The initial display is the same as the above irradiation type.
(3) Irradiation room: A room for irradiation. Since the treatment machine that can output the most suitable line according to the pathological condition is naturally determined, a room corresponding to the pathological condition is selected.
(4) Treatment site: treatment site. The treatment site determined by the treatment policy is displayed. When a plurality of treatment sites are input according to the treatment policy, a treatment site list for selecting one site from among them is displayed.
(5) Irradiation site: irradiation target site. The irradiation site determined by the treatment policy is initially displayed, but can be changed.
(6) Irradiation method: Detailed irradiation method. For example, if the treatment type is external irradiation, it can be designated as two opposing gates, four opposing gates, and the like.
(7) Radiation quality: Irradiation radiation quality (8) 1 line quantity (9) Irradiation twice a day: Flag specified when irradiating twice a day.
(10) Scheduled total dose: Scheduled total dose to be irradiated in this plan.
(11) Cumulative dose: Cumulative dose planned when irradiation is actually performed in this plan.
(12) Number of irradiations: Scheduled number of irradiations.
(13) Cumulative dose target: Manage the total dose for the same treatment site associated with one treatment policy. When there are multiple plans for one treatment policy, the total dose for multiple plans including this plan is targeted.
(14) Risk organ: When the irradiation field to the treatment target region is on the risk organ, the information is defined.
(15) Start date (16) Scheduled end date (17) Irradiation schedule: An irradiation schedule for designating an irradiation date in units of one week.
(18) Irradiation period: A period determined from the start date, the scheduled number of times, and the schedule.
(19) Actual irradiation period: Total irradiation period scheduled when irradiation is actually performed in this plan. Updated with each irradiation.
(20) Actual start date: Actual irradiation start date.
(21) Actual end date: Actual irradiation end date.
(22) Image: An image such as a dose distribution chart. What is commonly called a plan image. The original image that can be acquired from the DICOM viewer and selected by clicking from the thumbnail display of the acquired image list is displayed on the DCOM viewer.
(23) Setup: Names of treatment aids such as fixing tools, attributes for the treatment aids (eg, large, medium, small), the number of treatment aids, units, setup images (eg, the patient is actually in the bed of the treatment machine) Image taken with the digital camera 25).
(24) Field information: parameters of treatment device and treatment machine gate (radiation quality, irradiation technique, gantry angle, collimator angle, table angle, Wedge, Depth, upper aperture angle, lower aperture angle, field size, rotation start Angle, rotation end angle, rotation direction, MU, dose, dose rate, manual calculation DMU, planning device DMU, DMU error (manual calculation DMU ÷ planning device DMU; for checking treatment accuracy)).

  Radiation basic information input using the treatment planning device 22 is taken into the radiation treatment business management system 1 via the interface 11 and stored in the storage means 14 in association with the treatment policy by the pretreatment information input means 12. The However, the image data is stored in the image management apparatus 23 in association with the irradiation basic information. The field information is stored in the collation device 24 in association with the irradiation basic information.

  When plan information (irradiation basic information) is created, a doctor or engineer who is a user acquires an irradiation reservation based on the plan information using a treatment planning device or other terminal device. The irradiation reservation is generated based on a schedule defined by the plan information. An irradiation reservation is usually composed of a plurality of reservations for one piece of plan information. At the time of acquisition of irradiation reservation, the plan information stored in the storage means 14 is taken into the terminal device by the input support means 16 via the reference means 15 and the interface 11, and the information is appropriately displayed on the screen. , Will be carried over to the input item. The plan information can be arbitrarily searched by the above search items. In this case, the input support means 16 gives the terminal apparatus the information searched and extracted via the reference means 15. The user can refer to the plan information on the screen of the terminal device.

Examples of irradiation reservation items are shown below.
(1) Irradiation room name: Although the irradiation room determined by the plan information is initially displayed, it can be changed.
(2) Reservation date: The first date if there are multiple reservations.
(3) Continuous: Number of times this reservation is acquired.
(4) Day of the week (Monday-Sunday): Implementation day in a week. Initially displayed according to the schedule determined by the plan information, but can be changed.
(5) Time designation: Scheduled time (6) On-call: Calling to a hospital room by telephone or the like. Select this if you do not decide the time.
(7) Comments

  The created irradiation reservation is stored in the storage means 14 via the interface 11 and the treatment execution information input means 13 as treatment execution information.

  Note that the irradiation reservation stored in the storage unit 14 can be referred to by the reception unit 15 using the terminal device by the reference unit 15 and can be given a received status. The received status is stored in the storage unit 14 together with the irradiation reservation.

  After receiving an irradiation reservation, treatment is performed. When the treatment is performed, the accepted irradiation reservation, plan information (irradiation basic information) or treatment policy stored in the storage unit 14 is taken into the verification device 24 via the reference unit 15 and the interface 11, and the information is appropriately stored. Displayed on the screen. The accepted irradiation reservation, plan information, and treatment policy can be arbitrarily searched using the above search items, and the reference unit 15 provides the collated device 24 with the searched and extracted information. A doctor or engineer who is a user can perform treatment while referring to the plan information or treatment policy on the screen of the verification device 24 or the like.

  After the treatment is completed, the irradiation result information is transmitted from the verification device 24 toward the interface 11 and stored in the storage unit 14 via the treatment execution information input unit 13. The irradiation record information corresponds to “radiation therapy record”. The content of the irradiation result information corresponds to the field information included in the plan information.

  The irradiation result information can also be created by the user editing field information on the screen of the verification device 42. The created irradiation result information is similarly stored in the storage means 14. In this case, the field information is taken into the collation device 24 by the input support means 16 via the reference means 15 and the interface 11, and the information is appropriately displayed on the screen.

  The irradiation result information stored in the storage unit 14 is managed and used as an irradiation record.

  The irradiation record is also used as data for managing the total radiation dose to the patient for each body part. Since the irradiation result information includes the dose, number of irradiations, and angle of irradiation, a detailed dose distribution map of the irradiated radiation is created by searching and extracting all irradiation result information for each patient. can do. Therefore, the total radiation dose to the patient can be managed for each body part. The total dose for each part is stored in the storage means 14 and can be referred to in a timely manner. The total dose can be managed and referenced for each treatment, and the total cumulative dose for multiple treatments can be managed and referenced for each region. The total dose for each part can be managed not only for a part to be irradiated as a treatment target but also for a target part such as a dangerous part, CTV, PTV, GTV and the like. Moreover, the irradiation dose by inspection can also be managed.

  As described above, according to the radiation therapy business management system of the present embodiment, conventionally, medical information that has been created by handwriting or paper-outputted for each peripheral device is input on a common screen, or from a peripheral device. Since it can be acquired and integrated into a single database, medical information can be created and managed efficiently. In addition, each worker in various tasks can easily grasp the progress of the treatment task. Therefore, a series of business activities can be performed smoothly.

  In addition, by managing the total dose for each part, it is possible to accumulate the irradiation dose when there are multiple irradiation results, which was conventionally difficult with the operation of paper documents, and the irradiation dose other than treatment irradiation as data. Irradiation dose can be easily managed with high accuracy.

  As described above, according to the radiation therapy business management system of the present invention, pre-treatment information that is information related to a treatment policy or treatment plan and treatment execution information that is information related to the implementation of radiation treatment are handled for a patient before radiation treatment. The stored pre-treatment information and treatment execution information can be searched using the patient as a key and referred to by the user, making it easy to share information between business activities and smoothly performing a series of operations. it can. In addition, according to the radiation therapy business management system of the present invention, the results of radiotherapy, which are information related to the performed radiotherapy, are sequentially stored in association with the patient, and the stored radiotherapy results are searched using the patient as a key. By extracting, the total radiation dose to the patient is managed for each body part, so that the radiation dose for each part can be managed with high accuracy and easily.

  The scope of application of the present invention is not limited to the above embodiment. The present invention can be widely applied to a radiation therapy service management system and a radiation therapy service management method for managing information necessary for a radiation therapy service.

The block diagram which shows the structure of the radiotherapy business management system of one Embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Radiotherapy business management system 12 Pretreatment information input means 13 Treatment implementation information input means 14 Storage means 15 Reference means 16 Input support means

Claims (6)

In a radiation therapy business management system that manages information necessary for radiation therapy services,
A pre-treatment information input means for inputting pre-treatment information which is information on a treatment policy or treatment plan before radiation treatment;
Treatment implementation information input means for inputting treatment implementation information, which is information related to the implementation of radiation therapy,
Storage means for storing the pre-treatment information and the treatment execution information input by the pre-treatment information input means and the treatment execution information input means in association with a patient;
Reference means for retrieving the pre-treatment information and the treatment execution information stored in the storage means by using a patient as a key and allowing a user to refer to the information,
A radiation therapy business management system comprising: The radiotherapy service management system according to claim 1, wherein the treatment execution information is information related to radiation irradiation reservation or information related to radiation irradiation results. When inputting the pre-treatment information input means or the treatment execution information by the pre-treatment information input means or the treatment execution information input means, the input is supported by allowing the user to refer to information necessary for the input by the reference means. The radiation therapy work management system according to claim 1, further comprising an input support unit configured to perform the input support. In a radiation therapy business management system that manages information necessary for radiation therapy services,
Storage means for sequentially storing radiotherapy results, which are information related to performed radiotherapy, in association with patients;
The total dose management means for managing the total radiation dose for the patient for each body part by searching and extracting the radiotherapy results stored in the storage means as a key, and
A radiation therapy business management system comprising: In the radiation therapy business management method for managing information necessary for radiation therapy business,
Entering pre-treatment information, which is information about a treatment policy or treatment plan prior to radiation treatment;
Inputting treatment implementation information, which is information relating to the implementation of radiation therapy;
Storing the input pre-treatment information and the treatment execution information in association with a patient;
Searching the stored pre-treatment information and the treatment execution information using a patient as a key and allowing a user to refer to the information;
A radiation therapy business management method comprising: In the radiation therapy business management method for managing information necessary for radiation therapy business,
A step of sequentially storing radiotherapy results, which are information on the radiotherapy performed, in association with patients;
Managing the total radiation dose for the patient for each body part by searching and extracting the stored radiotherapy results using the patient as a key; and
A radiation therapy business management method comprising:

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