JP2010148534A - System and method for linking particle beam treatment plan - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a particle beam treatment plan linking system for fetching the treatment progression information of a patient together with the compatibility of other institutions when planning re-treatment, and preparing a re-treatment plan with continuity. <P>SOLUTION: At the interruption of treatment in a present institution, the compatibility of the other institutions is evaluated to select the other institution allowing treatment on the basis of the apparatus parameters of the other institutions, the lesion information of the patient and patient treatment progression information, and a treatment plan for the patient to receive the treatment in the other selected institution is prepared on the basis of the apparatus parameter of the other selected institution, the lesion information of the patient and the patient treatment progression information. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  In this invention, when a patient in the middle of treatment is moved from his / her own facility to another facility for retreatment, the device parameters of the other facility are checked, the suitability of the other facility is evaluated, and another facility that can be treated is selected. The present invention relates to a particle beam treatment plan cooperation system and a particle beam treatment plan cooperation method for creating a continuous treatment plan.

A conventional radiotherapy cooperation system connects a plurality of radiotherapy planning devices and a plurality of radiotherapy devices via a network, and each of the radiotherapy planning devices has parameters of beamline devices of a plurality of radiotherapy devices. It is possible to plan and approve a radiotherapy plan using an arbitrary radiotherapy apparatus with an arbitrary radiotherapy planning apparatus (for example, Patent Document 1).
Patent Document 2 discloses a radiation therapy cooperation system that inquires about information on individual radiotherapy apparatuses by inputting information on affected areas of patients and presents radiotherapy apparatuses that can be used for therapy.

JP 2000-242722 (paragraphs 0011-0013, FIG. 1 and FIG. 2) JP 2008-206619 A (Embodiment 1, FIGS. 1 to 5)

However, in the conventional particle beam treatment plan cooperation system, a treatment plan is created by checking conditions unique to other facilities, but there is a problem that continuity from the initial treatment is lacking.
The present invention was made to solve the above-mentioned problems, and at the time of re-treatment planning, along with the suitability of other facilities, capture the patient's treatment progress information to create a continuous re-treatment plan. An object is to obtain a particle beam treatment plan cooperation system and a particle beam treatment plan cooperation method.

  The particle beam treatment plan cooperation system according to the present invention includes a plurality of particle beam therapy devices each having a device that irradiates a particle beam installed in the own facility and other facilities, and the patient is installed in the own facility and other facilities, and the patient In a particle beam treatment plan cooperation system having a plurality of particle beam treatment plan devices for creating a treatment plan for receiving treatment with an ion therapy device, each of the particle beam treatment plan devices includes a plurality of the particle beams of its own facility and other facilities Device information for storing the parameters of the devices each of the treatment apparatus has, and a patient basic database for storing information on the affected area of the patient, the device parameters of the own facility stored in the device information and the patient information of the patient basic database Create a patient treatment plan based on the affected area information, and store a patient treatment progress database that stores patient treatment progress information, and treatment at the institution At the time, the suitability of the other facilities can be evaluated and treated based on the device parameters stored in the device information, the affected part information of the patient in the patient basic database, and the patient treatment progress information in the patient treatment progress database. Compatibility check means for selecting other facilities, device parameters stored in the device information of the other facilities selected by the compatibility check means, affected area information of the patient in the patient basic database, and the patient treatment process A treatment plan creation means for creating a treatment plan for the patient to receive treatment at the selected other facility based on the patient treatment progress information in the database, and continuing when moving from the own facility to the other facility during the treatment The treatment plan was made.

  In addition, the particle beam treatment plan cooperation method according to the present invention includes a plurality of particle beam treatment apparatuses installed in the own facility and other facilities, each having a device for irradiating the particle beam, and installed in the own facility and the other facility. In the particle beam treatment plan cooperation method having a plurality of particle beam treatment plan apparatuses for creating a treatment plan for receiving treatment with the particle beam treatment apparatus, each of the particle beam treatment plan apparatuses includes a plurality of the particle beam treatment plan apparatuses of the own facility and other facilities. A device parameter of the own facility stored in the device information, comprising: recording device parameters of the particle beam therapy system in device information; and registering patient's affected area information in a patient basic database. Based on the information on the affected area of the patient in the patient basic database, the patient treatment plan is created and the patient treatment progress information is recorded in the patient treatment progress database. Step, and when the treatment is interrupted at the own facility, the other parameters based on the device parameters stored in the device information, the affected part information of the patient in the patient basic database, and the patient treatment progress information in the patient treatment progress database A step of evaluating the suitability of the facility and selecting another facility that can be treated; the equipment parameter stored in the equipment information of the other facility selected by the suitability check means; and the affected area of the patient in the patient basic database Creating a treatment plan for the patient to receive treatment at the selected other facility based on the information and the patient treatment progress information in the patient treatment progress database, and from the own facility to the other facility during the treatment. When moving, a continuous treatment plan is created.

  According to the particle beam treatment plan cooperation system and the particle beam treatment plan cooperation method of the present invention, when the treatment is interrupted at the own facility, the other facility's equipment parameter, the affected part information of the patient, and the patient treatment progress information are used. A treatment plan in which the patient is treated at the selected other facility based on the equipment parameters of the selected other facility, information on the affected area of the patient, and patient treatment progress information Therefore, when moving from the own facility to the other facility during the treatment, it is possible to quickly create a continuous treatment plan, and it is possible to continue the treatment with the same or acceptable difference. In this way, the diagnosis doctor / treatment planner who has made a treatment plan at his / her own facility in the early stage of treatment can also make a treatment plan at another facility during the treatment, thus maintaining the continuity of treatment.

Embodiment 1 FIG.
In some cases, the particle beam therapy system at the patient's facility where the patient is being treated stops for a long time due to failure or inspection. Even in such a case, a particle beam treatment plan cooperation system in which a plurality of treatment facilities cooperate in order to continuously provide a patient with the same or acceptable difference in particle beam treatment over a certain period of time. Then, in order to reduce the damage to the normal site as much as possible, the characteristics of other facilities (the presence or absence of gantry, Considering the position / sitting position table, non-coplanar table, treatment energy, and ridge filter characteristics), the compatibility of other facilities is evaluated, and the particle beam therapy facility of the other facility that has the same performance as the own facility. Select.

  FIG. 1 is a block diagram showing a particle beam treatment plan cooperation system according to Embodiment 1 of the present invention. FIG. 1 shows a configuration example in the case where there are three linked particle beam therapy facilities A, B, and C, but it is sufficient that there are two or more facilities. Each facility is connected to each other via a network and exchanges data with each other. However, data of device parameters of other facilities may be taken in by a recording medium such as a CD (compact disk). Each particle beam therapy facility A, B, C has a particle beam therapy system 1, respectively. Furthermore, it has the treatment plan terminal 2 and the treatment information management server 3 which comprise a treatment plan apparatus using a computer, is connected with other particle beam treatment facilities via the network by the maintenance terminal 4, and data exchange is performed. The treatment plan terminal 2 has an input means and a display (display means). With the configuration of FIG. 1, the maintenance terminal 4 writes and retrieves data, sends data to other particle beam treatment facilities, and receives data from other particle beam treatment facilities.

FIG. 2 is a block diagram showing a software configuration database (abbreviated as D / B) and functional means in the treatment planning apparatus of the particle beam treatment facility A in the first embodiment. These D / B and functional means are stored in the treatment information management server 3 of the particle beam treatment facility A in FIG. A device geometry data D / B and A device radiation source data D / B, which are device parameters of the own facility (facility A), and B device geometry data D / B, which is a device parameter of another facility (facility B) And B equipment source data D / B, as well as C equipment geometry data D / B and C equipment source data D / B which are equipment parameters of other facilities (facility C). Information 6 is configured. Furthermore, it has patient basic data D / B7, patient treatment progress D / B8, treatment protocol D / B9, treatment plan D / B10, treatment plan creation means 11, and compatibility check means 12. The above shows the treatment planning device 5 of the particle beam treatment facility A, but the particle beam treatment facilities B, C
The same treatment plan apparatus also has the same (common) D / B and function means and the treatment plan terminal 2.

  The geometry data of the A, B, C device geometry data D / B is data indicating the coordinates of the components inside the particle beam therapy system 1 of the particle beam therapy facility A, B, C, respectively. The source data of the A, B, C equipment source data D / B is data related to the source of the particle beam therapy system 1 of the particle beam therapy facility A, B, C, respectively. Data of patient basic D / B7 includes patient ID, patient name, diagnosis name which is information on affected area of patient, classification symbol of affected area (tumor), location and size of important organ weak to radiation, size and maximum depth of affected area Etc. The patient treatment progress information of the patient treatment progress D / B8 is the progress information since the patient for each patient started the treatment. The total dose, the irradiation start date, the number of times of irradiation, the beam direction, the number of beams, the beam Information, affected area follow-up information, etc. The treatment protocol data of the treatment protocol D / B9 is data for identifying the particle type, the prescription dose, the number of beams, the number of divisions, the suitability of the ridge filter (RGF), the suitability of the treatment site, and the suitability of the treatment room.

  The treatment plan creation means 11 is a dose distribution of the particle beam irradiated to the patient based on the equipment parameters of the own facility stored in the equipment information 6 and the affected area information of the patient of the patient basic D / B 7 in the treatment of the patient. The patient's treatment plan is created by performing calculations. When the particle beam therapy system 1 in the own facility A breaks down or inspection stops and the treatment in the own facility is interrupted, the treatment planning apparatus 5 in the facility A uses the device information 6 in the compatibility check function 12. Differences that are equivalent or acceptable using treatment protocol D / B9, based on device parameters of other facilities, patient information of patient basic D / B7 and patient treatment progress D / B8 We will evaluate the suitability of other facilities and select other facilities that can be treated. Subsequently, in the treatment plan creation means 11, the equipment parameters stored in the equipment information 6 of the other facility selected by the compatibility check means 12, the affected part information of the patient in the patient basic D / B 7, and the patient treatment progress D / Based on the patient treatment progress information of B8, an optimal treatment plan (re-treatment plan) for the patient to continue treatment at the selected other facility is created. The created treatment plan data is recorded in the treatment plan D / B10.

  In this way, by holding the source data, geometry data, and treatment protocol D / B9 of other facilities in advance, the patient having the affected area information of the patient and the patient treatment progress information can continue to receive the progress from the initial stage of treatment. In the state of treatment, a treatment plan based on the parameters of the particle beam treatment facility by another facility is made during the treatment. As a result, a diagnostician / treatment planner who has made a treatment plan at his / her own facility in the early stage of treatment can also make a treatment plan at another facility during the treatment, thus maintaining continuity of treatment. Diagnostic physicians and treatment planners at their facilities can continue to meet treatment plans even if equipment is different at other facilities. A warning can be issued to alert the part where the parameters of the equipment of the own facility and the equipment of the other facility are different.

  More specifically, the treatment planning device 5 constituted by the treatment planning terminal 2 and the treatment information management server 3 in the particle beam treatment facility A has the A device geometry data, the A device radiation source data of the particle beam treatment facility A, the patient's A treatment plan for treating the patient is created based on the affected area information, and treatment in the particle beam treatment apparatus 1 is started based on the treatment plan. During the period when the treatment is started and the treatment is still continuing, the particle beam therapy system 1 at the facility A may break down, stop the inspection, and the treatment at the own facility may be interrupted. In this case, it is required to continue treatment with the particle beam therapy system 1 of another facility that cooperates. FIG. 3 is a flowchart of re-treatment planning and operation so that treatment can be received at another linked facility when treatment is interrupted in the first embodiment. In other words, since the treatment was interrupted in the middle of the treatment, the re-treatment plan is created and operated by the treatment planning apparatus 5 of the particle beam treatment facility A so that the treatment can be received at the other particle beam treatment facility B or C. is there.

  The particle beam treatment facility A has a computed tomography apparatus CT, a magnetic resonance imaging apparatus MR, and a positron tomography apparatus PET as main devices for examining and diagnosing patients undergoing particle beam therapy. In FIG. 3, at the particle beam treatment facility A, patient registration / CT / MR registration 21 (step 21 is shown, and the reference numerals in FIG. 3 indicate each step), patient registration and CT used for diagnosis at this time , MR data and affected area information are registered in the patient basic D / B7. In the treatment plan 22, the treatment plan in the treatment plan device 5 is executed based on the affected part information of the patient of the patient basic D / B 7, the A device geometry data, and the A device radiation source data. Determine the parameters for performing irradiation (for example, which range, from which direction and how much dose, allowable error and margin, position and weight of each beam), and treat the created treatment plan data Register in plan D / B10. The patient is treated with the treatment 23 according to the registered treatment plan. The patient's treatment progress information is registered in the patient treatment progress D / B8.

  If the particle beam treatment facility A becomes unusable due to failure or inspection during the period when the patient is being treated, the treatment must be interrupted at the treatment interruption 24. At this time, the re-treatment plan 25 for the patient is performed by using the software configuration of the treatment planning device 5 at the particle beam treatment facility A. FIG. 4 is a flowchart showing details of selection of another facility at the time of re-treatment planning in FIG. When the treatment is interrupted at the own facility, it is equivalent or based on the device parameters of other facilities stored in the device information 6, the patient information of the patient basic D / B7, and the patient treatment progress information of the patient treatment progress D / B8. In order to continue treatment with acceptable differences, the suitability of other facilities in cooperation with each other is evaluated in sequence, and other facilities capable of providing optimal treatment are selected.

  In the evaluation method, the course, gantry angle, beam parameter and the like of each facility included in the equipment information are collated, and whether they are in agreement or within the parameter allowable range is identified and evaluated, and the results are listed. At the time of listing, the contents of the differences are displayed and grouped together so that the re-treatment plan can be planned. In the re-treatment plan 25, in the treatment site suitability 41 (step 41 is shown, and the reference numerals in FIG. 4 indicate the respective steps), the bone and soft part, prostate, liver, lung, mammary gland, head and neck part, and pelvis part that are treatment parts Evaluate its suitability for etc. FIG. 5 is a check diagram showing the result of evaluating the suitability of each facility according to the treatment site, whereby a facility capable of providing treatment corresponding to the treatment site can be selected, and the processing at the time of treatment cooperation is smoothly performed.

  In the nuclide compatibility 42, the compatibility of carbon beams, proton beams, and the like is evaluated. In treatment room suitability 43, course (gantry, horizontal, vertical, 45 ° diagonal, treatment room at any other angle), supine / sitting treatment table, irradiation angle (coplanar irradiation, non-coplanar irradiation), top plate Evaluate suitability for types (short, long, fixed, void), treatment energy, respiratory synchronization (no respiratory synchronization, with respiratory synchronization), etc. FIG. 6 is a check diagram showing the result of evaluation of suitability according to the equipment status of the treatment room of each facility, whereby the processing at the time of treatment cooperation is smoothly performed. In the ridge filter suitability 44, the suitability is evaluated and selected for a facility having an irradiation field and SOBP (Spread-Out Bragg Peak) optimum for the treatment site size. FIG. 7 is a diagram showing the sizes of SOBPs that can be set in the A facility, the B facility, and the C facility. In the partner facility determination 45, a coordinated particle beam therapy facility capable of providing an optimal treatment by comprehensively evaluating the suitability 41 of the treatment site, the suitability 42 of the nuclide, the suitability 43 of the treatment room, and the suitability 44 of the ridge filter. Select (Other facilities). In this way, it is possible to select another facility where the influence on the normal site is the same or the difference is the smallest, depending on the information on the diseased part, the size of the treatment site, and the like.

  For other selected particle beam treatment facilities (other facilities), device geometry data and device radiation source data of other facilities, patient affected area information of patient basic D / B, and patient treatment progress information of patient treatment progress D / B Based on the above, create a treatment plan to treat the patient by taking over the course of treatment at the selected other institutions. At this time, as to the compatibility of the ridge filter (RGF), if there is a conforming SOBP RGF, the conforming SOBP RGF is adopted, but if there is no conforming SOBP, the margin is reviewed or the minimum SOBP exceeding the conforming SOBP is adopted. Apply RGF. The treatment plan data of the created treatment plan is registered in the treatment plan D / B.

FIG. 8 is a screen view showing an example of a display screen in the facility A. In FIG. 8A, in the example of the screen showing facility cooperation destination selection → application grouping, the facility cooperation destination is selected for a plurality of head and neck patients, and the application degree for each facility cooperation destination is grouped. .
In the screen example, for example, the B facility is selected, and the application degree for the B facility is displayed for each application degree.
Applicable Patient ID 00123 Taro Yamada Patient ID 00125 Jiro Ito
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Necessary examination Patient ID 00124 Ichiro Takahashi: Non-coplanar irradiation

FIG. 8B shows an example of a screen showing which facilities at the cooperation destination can be applied to a specific patient in the head and neck that has received non-coplanar irradiation.
Patient ID 00123 Taro Yamada: The head and neck were treated with non-coplanar irradiation.
Patient ID 00123 Shows the applicable facilities of Taro Yamada.
B facility: ○: Applicable C facility: ×: Coplanar irradiation D facility: △: Carbon beam
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  In FIG. 3, the data is maintained in the patient data retrieval 26, the patient data is retrieved, and the patient data retrieved is sent out to the other selected particle beam treatment facility by the data delivery 27. The patient data to be sent out includes affected part information of the patient including CT images, MR images, PET images, etc., patient treatment progress information, re-treatment plan data for which re-treatment is planned, and the like. The patient performs patient movement 33. In other particle beam treatment facilities, the patient data sent by the data reception 28 is received, and the patient data is restored by the patient data restore 29. Other particle beam treatment facilities also have the same particle beam treatment planning device. In addition to confirmation of the affected part information and patient treatment progress information of the patient, in the treatment plan data confirmation / replanning 30, the particle beam treatment planning device Is used to confirm the operation parameters of the facility, and is a parameter that can be used in the facility. If treatment is possible, the treatment plan is approved, if necessary, a part is corrected, a treatment instruction is issued, and treatment 31 is performed. Do. After the treatment, follow-up patient follow-up 32 is performed at the particle beam treatment facility A. In addition, you may make it appeal to sight by changing the color of a written character, a dimension, thickness, etc. in the part which corrected the treatment plan partially.

  FIG. 9 is a flowchart for planning and operating a treatment at another particle beam treatment facility capable of treating a patient who cannot be treated at the own facility. The same reference numerals as those in FIG. 3 denote the same or corresponding steps, and a part of the description will be omitted. Patient registration / CT / MR registration 21 registers patient registration, CT and MR data, and affected area information in the patient basic D / B 7 as in FIG. In the treatment plan 34, the treatment plan in the treatment plan apparatus 5 is executed based on the affected part information of the patient of the patient basic D / B7, the A device geometry data, and the A device radiation source data. If it is determined that the treatment is incompatible, another particle beam treatment facility with which the nuclide / treatment room is optimal is selected depending on the treatment site.

  At the time of selection, a patient treatment plan 34 is implemented by using the software configuration of the treatment planning apparatus 5 at the particle beam treatment facility A. Based on the device parameters of other facilities stored in the device information 6 and the affected part information of the patient of the patient basic D / B7, the suitability of the other facilities of the cooperation destination is sequentially evaluated so that the optimal treatment can be provided. Select another facility. As with the re-treatment plan 25 of FIG. 3, the evaluation selection method is performed through the steps of FIG. 4 and in the partner facility determination 45, the treatment site suitability 41, nuclide suitability 42, treatment room suitability 43, A comprehensive evaluation of the compatibility 44 of the ridge filter is performed to select a partner particle beam therapy facility (another facility) that can provide optimal treatment. In this way, an effective other facility can be selected according to the affected area information of the patient, the size of the treatment site, and the like.

  For the selected other facility, a treatment plan for treating the patient at the selected other facility is created based on the device geometry data and device source data of the other facility and the affected area information of the patient of the patient basic D / B. In this case, the suitability of the ridge filter (RGF) applies the SOGF RGF that exceeds the therapeutic SOBP if there is no suitable optimum SOBP RGF. The treatment plan data of the created treatment plan is registered in the treatment plan D / B.

  The data is maintained in the patient data retrieval 26, the patient data is retrieved, and the patient data retrieved is sent out to another selected particle beam treatment facility by the data delivery 27. The patient data to be sent out includes information on the affected area of the patient including CT images, MR images, PET images, etc., treatment plan data on which treatment is planned, and the like. The patient performs patient movement 33. In other particle beam treatment facilities, the patient data sent by the data reception 28 is received, and the patient data is restored by the patient data restore 29. Other particle beam treatment facilities have the same particle beam treatment planning device, and the facility is confirmed by using the particle beam treatment planning device in the treatment plan data confirmation / approval 35 together with confirmation of the affected part information of the patient. These parameters are parameters that can be used at the facility. If treatment is possible, the treatment plan is approved, a part of the treatment plan is corrected if necessary, a treatment instruction is issued, and treatment 31 is performed. After the treatment, follow-up patient follow-up 32 is performed in the particle beam treatment facility A or B.

It is a block block diagram which shows the particle beam treatment plan cooperation system which is Embodiment 1 of this invention. FIG. 3 is a block diagram showing a software configuration database and functional means in the treatment planning apparatus of the particle beam treatment facility A in the first embodiment. 6 is a flowchart of re-treatment planning and operation so that treatment can be received at another linked facility when treatment is interrupted in the first embodiment. It is a flowchart which shows the detail of selection of other facilities at the time of the re-treatment plan in FIG. It is a check figure which shows the evaluation result of the adaptability of each facility by a treatment site. It is a check figure which shows the evaluation result of the adaptability by the equipment condition of the treatment room of each facility. It is a figure which shows each magnitude | size of SOBP which can be set in A facility, B facility, and C facility. It is a screen figure which shows the example of a screen of the display in A facility. It is a flowchart which plans and manages the treatment in the other institution which can treat with respect to the patient who cannot treat in an own facility.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Particle beam treatment apparatus 2 Treatment plan terminal 3 Treatment information management server 4 Maintenance terminal 5 Treatment plan apparatus 6 Equipment information 7 Patient basic data D / B 8 Patient treatment progress D / B
9 Treatment Protocol D / B 10 Treatment Plan D / B
11 Treatment plan creation means 12 Conformity check means

Claims (3)

A plurality of particle beam therapy apparatuses each having a device for irradiating particle beams installed in its own facility and other facilities;
In a particle beam treatment plan cooperation system having a plurality of particle beam treatment planning devices installed in the own facility and other facilities and creating a treatment plan in which a patient receives treatment with the particle beam treatment device,
Each of the particle beam treatment planning devices,
Device information for storing parameters of the devices each of the plurality of particle beam therapy systems of its own facility and other facilities,
A patient basic database for storing information on the affected area of the patient,
Based on the equipment parameters of the own facility stored in the equipment information and the affected area information of the patient in the patient basic database, create a treatment plan for the patient,
A patient treatment progress database for storing patient treatment progress information;
Adaptation of other facilities based on the device parameters stored in the device information, the patient's affected area information in the patient basic database, and the patient treatment progress information in the patient treatment progress database when the treatment is interrupted at the own facility Conformity check means to evaluate sex and select other facilities that can be treated;
Selected based on the device parameters stored in the device information, the patient's affected area information in the patient basic database, and the patient treatment progress information in the patient treatment progress database of the other facility selected by the compatibility check means A treatment plan creating means for creating a treatment plan for the patient to receive treatment at the other facility,
A particle beam treatment plan cooperation system that creates a treatment plan that is continued in advance when moving from the own facility to the other facility during treatment.   2. The particle beam treatment plan cooperation system according to claim 1, wherein the conformity check means evaluates the conformity of a treatment site, the conformity of a treatment room, and the conformity of a ridge filter in another facility, and selects another facility that can be treated. A plurality of particle beam therapy apparatuses each having a device for irradiating particle beams installed in its own facility and other facilities;
In a particle beam treatment plan cooperation method having a plurality of particle beam treatment plan apparatuses installed in the own facility and other facilities and creating a treatment plan in which a patient receives treatment with the particle beam treatment apparatus,
Each of the particle beam treatment planning devices,
Recording the parameters of the devices that each of the plurality of particle beam therapy systems of the own facility and other facilities have in the device information;
Registering the affected area information of the patient in the patient basic database,
Based on the equipment parameters of the own facility stored in the equipment information and the affected area information of the patient in the patient basic database, create a treatment plan for the patient,
Recording patient treatment progress information in a patient treatment progress database;
Adaptation of other facilities based on the device parameters stored in the device information, the patient's affected area information in the patient basic database, and the patient treatment progress information in the patient treatment progress database when the treatment is interrupted at the own facility Assessing sex and selecting other facilities that can be treated;
Selected based on the device parameters stored in the device information, the patient's affected area information in the patient basic database, and the patient treatment progress information in the patient treatment progress database of the other facility selected by the compatibility check means Creating a treatment plan for the patient to receive treatment at the other facility,
A particle beam treatment plan cooperation method in which a treatment plan continued in advance is created when moving from one facility to another facility during treatment.

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