WO2019071991A1 - 一种肿瘤患者放疗进程管理及质量控制方法及系统 - Google Patents

一种肿瘤患者放疗进程管理及质量控制方法及系统 Download PDF

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Publication number
WO2019071991A1
WO2019071991A1 PCT/CN2018/095804 CN2018095804W WO2019071991A1 WO 2019071991 A1 WO2019071991 A1 WO 2019071991A1 CN 2018095804 W CN2018095804 W CN 2018095804W WO 2019071991 A1 WO2019071991 A1 WO 2019071991A1
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radiotherapy
information
terminal
plan
image
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PCT/CN2018/095804
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English (en)
French (fr)
Inventor
孙颖
朱宏辉
唐欣欣
张万里
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中山大学肿瘤防治中心
上海软帮信息科技有限公司
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Publication of WO2019071991A1 publication Critical patent/WO2019071991A1/zh

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Definitions

  • the invention relates to the field of information management technology of central management, in particular to a method and system for managing radiotherapy progress and quality control of tumor patients.
  • Tumor radiotherapy is a topical treatment that uses radiation to treat tumors. About 70% of cancer patients need radiation therapy in the treatment of cancer, and about 40% of cancers can be cured by radiotherapy. The role and status of radiotherapy in the treatment of cancer has become increasingly prominent and has become one of the main methods for the treatment of malignant tumors.
  • radiotherapy Although radiotherapy has only a few decades of history, it has developed rapidly and is widely used in clinical practice. With the development of CT imaging technology and computer technology, the current radiotherapy technology has evolved from two-dimensional radiotherapy to three-dimensional radiotherapy and four-dimensional radiotherapy. The dose distribution of radiotherapy has also evolved from point dose to volume dose distribution, and dose modulation in volume dose distribution. .
  • the current mainstream of radiotherapy technology includes stereotactic radiotherapy, which is characterized by three-dimensional, ono, cluster, fractional, and high-dose illumination, which requires higher positioning accuracy and faster dose attenuation outside the target area.
  • Radiation therapy is a comprehensive multi-role and multi-task treatment process involving the participation of clinicians, physicists, technicians, nurses, etc., as well as patient simulators, CT, MRI positioning images.
  • the transmission between the plan and the accelerator, and the treatment process on the machine need to be managed and arranged in a unified manner, and because the patient's condition is critical, the treatment time is more valuable than the average patient.
  • the embodiments of the present invention provide a radiotherapy process management and quality control method and system for a tumor patient.
  • the technical solution is as follows:
  • an embodiment of the present invention provides a radiotherapy process management and quality control method for a tumor patient, the method comprising:
  • the S1 and CT image scanning terminals introduce CT image information of the tumor patient to the physician terminal;
  • the doctor terminal obtains CT image information, the visiting doctor enters the disease diagnosis conclusion information, and performs target area delineation; and outputs the target area delineation information and the radiotherapy plan application to the doser terminal;
  • the dositor terminal obtains the radiotherapy plan application and the target area delineation information, and performs a radiotherapy plan design. After the radiotherapy plan is designed, the dosimeter terminal outputs an instruction to be confirmed to the physician terminal;
  • the physician terminal obtains the design information of the radiotherapy plan and confirms, and the dosimeter sends the information of the radiotherapy plan verification result to the physicist terminal;
  • the physicist terminal obtains the information of the radiotherapy plan verification result, performs the radiotherapy plan review and comparison, and sends the review comparison confirmation information to the physician terminal;
  • the physician terminal obtains the radiotherapy plan review comparison confirmation information, including the plan design confirmation information and the reset image confirmation information, adds the radiotherapy order, outputs the radiotherapy plan information to the radiotherapy device, and starts the radiotherapy process;
  • the radiotherapy device periodically transmits radiotherapy progress information to the physician terminal.
  • the physician terminal obtains the CT image information, and the information about the diagnosis result of the medical doctor input includes:
  • the physician terminal acquires and confirms the tumor patient information and the CT scan request, outputs the CT scan instruction to the CT image information acquired by the CT image scanning terminal, and/or retrieves the historical image information of the tumor patient from the database;
  • the visiting doctor analyzes the CT image information acquired by the CT scanning terminal, and compares it with the historical image, and issues a diagnosis conclusion according to the comparison result.
  • the target area delineation information in the step S2 specifically includes the affected area positioning information and the affected area size evaluation information for determining the degree of the tumor condition and the corresponding treatment plan.
  • the obtaining of the target area delineation information in the step S2 specifically includes:
  • the CT image information is transferred to the visiting physician for target area delineation, and/or automatically organized by ABAS software.
  • the radiotherapy design plan in the step S3 includes a radiotherapy site and a treatment schedule
  • the radiotherapy design plan also includes the number of segments for a single treatment.
  • step S4 the physician terminal obtains the radiotherapy plan design information and confirms, and the dosimeter sends the radiotherapy plan verification result information to the physicist terminal, specifically including:
  • the dositor terminal completes the checklist of the radiotherapy plan, and performs the comparison of the field parameters before the introduction of the radiotherapy plan and the introduction of the radiotherapy plan, and sends the task information of the radiotherapy plan review to the physicist terminal. .
  • step S5 the physicist terminal obtains the radiotherapy plan verification result information, performs the radiotherapy plan review and comparison, and sends the review comparison confirmation information to the physician terminal, specifically including:
  • the physicist terminal performs QA verification on the radiotherapy plan, and sends a plan QA verification result to the physician terminal;
  • the S5b and the simulated reset technician complete the personalized simulated placement before the radiotherapy of the tumor patient, and add a marker on the body surface and the mold of the tumor patient, and send the simulated reset image result to the physician terminal through the analog reset terminal.
  • the physician terminal obtains the radiotherapy plan review comparison confirmation information, including the plan design confirmation information and the reset image confirmation information, adds the radiotherapy order, outputs the radiotherapy plan information to the radiotherapy device, and starts the radiotherapy process.
  • the steps also include:
  • the first terminal reviews the fee information in the radiotherapy order, and after the tumor patient completes the fee indicated by the cancer patient payment notification through the payment terminal, the payment terminal sends the payment information to the treatment technician terminal;
  • the embodiment of the invention further discloses a radiotherapy process management and quality control system for a tumor patient, the system comprising:
  • CT image scanning module CT image importing module, CT image analyzing module, disease diagnosis module, target area delineation module, radiotherapy plan design module, analog reset module, field verification image confirmation module, prescription confirmation module and plan QA module;
  • the radiotherapy plan design module includes a radiotherapy plan application unit, a radiotherapy plan receiving unit, a radiotherapy plan design unit, a radiotherapy plan confirmation unit, a radiotherapy plan verification unit, a radiotherapy plan review and comparison unit;
  • the system further includes a CT image scanning terminal, a physician terminal, a physicist terminal, a doser terminal, an analog reset terminal, a treatment technician terminal, a radiotherapy device, a first terminal, a payment terminal, and a collector corresponding to each terminal;
  • Each module of the system is respectively connected to a terminal and a collector, and the collector is connected to a server, and the server is connected to a PC through a data line, and is connected to a database through a network.
  • the CT image analysis module includes an image receiving unit, a historical image importing unit, an image analyzing unit, a previous image comparing unit, a CT image reporting unit, and a transmission unit;
  • the image receiving unit and the historical image importing unit input end are connected to the server, and the output end of the image receiving unit is respectively connected with the image analyzing unit and the previous image comparing unit input end, and the historical image importing unit output end and the previous image matching unit are respectively connected.
  • the input ends are connected, and the CT image reporting unit input ends are respectively connected with the image analyzing unit and the previous image matching unit output ends, and the CT image reporting unit is transmitted to the server through the transmission unit.
  • condition diagnosis module includes a CT image report receiving unit, a condition analysis input unit, a condition summary analysis unit, a diagnosis report unit, and a treatment measure unit;
  • the treatment measure unit includes a treatment measure autonomous selection subunit and a treatment measure input subunit;
  • the input end of the CT image report receiving unit is connected to the server, the output end of the CT image report receiving unit is connected to the input end of the condition analysis unit, the output end of the condition analysis unit is connected to the input end of the diagnosis report unit, and the output of the diagnosis report unit and the treatment are The input of the measure unit is connected, and the output of the treatment unit is connected to the server.
  • the target area delineation module includes an affected area positioning unit and an affected area size evaluation unit;
  • the input end of the affected area positioning unit is connected to the physician terminal, and the output end is connected to the input end of the radiotherapy plan design module.
  • the input end of the affected area size evaluation unit is connected to the physician terminal, and the output end is connected to the input end of the radiotherapy plan design module.
  • the embodiment of the present invention provides a radiotherapy process, a quality management and control method and system, and a multi-role and multi-task therapeutic management platform for radiotherapy in radiotherapy, which is an efficient information system for the entire radiotherapy. Process management and scheduling;
  • a radiotherapy process and quality management and control system interacts with a plurality of terminals through disease condition information, and works with clinicians, physicists, technicians, nurses, and the like who participate in the treatment process.
  • the tasks of the patient simulator, CT, MRI location image acquisition and other equipment are linked by the patient's disease information flow, and the information transmission is timely, accurate and efficient;
  • a radiotherapy process and a quality management and control method and system repeatedly review and review a radiotherapy plan including a target area delineation to ensure accurate and safe treatment process, thereby improving efficacy;
  • a radiotherapy process and quality management and control method and system provided by the embodiments of the present invention the whole process of radiotherapy is incorporated into a management system, which greatly reduces the role of human factors in the whole radiotherapy process, so that the entire management work More transparent, fair and efficient, saving valuable treatment time for cancer patients;
  • a radiotherapy process and quality management and control method and system provided by an embodiment of the present invention, which supports a patient to obtain information related to treatment in real time, and the patient management is more efficient; and supports the leadership to obtain relevant data in real time and provide decision support. Also supports clinical research needs.
  • FIG. 1 is a flow chart of a radiotherapy process and quality management and control method according to an embodiment of the present invention
  • FIG. 2 is a schematic structural diagram of a radiotherapy process, a quality management and control method, and a system according to an embodiment of the present invention
  • serial numbers in the figure are: 1-CT image scanning module 1, 2-CT image import module, 3-CT image analysis module 3, 4-disease diagnosis module, 5-target area delineation module, 51-soil location unit, 52- Area of the affected area size assessment unit, 6-radiation plan design module, 61-radiation plan application unit, 62-radiation plan collection unit, 63-radiation plan design unit, 64-radiation plan confirmation unit, 65-radiation plan check unit, 66- Radiotherapy plan review and comparison unit, 7-analog reset module, 8-field verification image confirmation module, 9-prescription confirmation module and 10-plan QA module.
  • Embodiments of the present invention provide a radiotherapy process management and quality control method for a tumor patient, as shown in FIG. 1 , the method includes:
  • the S1 and CT image scanning terminals introduce CT image information of the tumor patient to the physician terminal;
  • S2 The doctor terminal obtains CT image information, and the visiting doctor enters the diagnosis information of the disease condition, and performs target area delineation;
  • the doser terminal obtains the radiotherapy plan application and the target area delineation information, and designs the radiotherapy plan; after the radiotherapy plan is designed, the doser terminal outputs the instruction to be confirmed to the physician terminal;
  • the physician terminal obtains the design information of the radiotherapy plan and confirms, and the dosimeter sends the information of the radiotherapy plan verification result to the physicist terminal;
  • the physicist terminal obtains the information of the radiotherapy plan verification result, performs the radiotherapy plan review and comparison, and sends the review comparison confirmation information to the physician terminal;
  • the physician terminal obtains the radiotherapy plan review comparison confirmation information, including the plan design confirmation information and the reset image confirmation information, adds the radiotherapy order, outputs the radiotherapy plan information to the radiotherapy device, and starts the radiotherapy process;
  • the radiotherapy device periodically transmits radiotherapy progress information to the physician terminal.
  • the embodiment of the present invention provides a radiotherapy process and a quality management and control method, and provides a multi-role and multi-task therapeutic management platform for radiotherapy in radiotherapy, which is an efficient information management mode for the entire radiotherapy process. Manage and arrange;
  • a radiotherapy process and quality management and control method interacts with a plurality of terminals through disease condition information, and participates in the work of clinicians, physicists, technicians, nurses, and the like who participate in the treatment process.
  • the tasks of the patient simulator, CT, MRI location image acquisition and other equipment are linked by the patient's disease information flow, and the information transmission is timely, accurate and efficient;
  • a radiotherapy process and a quality management and control method repeatedly review and review a radiotherapy plan including a target area delineation to ensure accurate and safe treatment process, thereby improving efficacy;
  • a radiotherapy process and quality management and control method provided by the embodiments of the present invention the whole process of radiotherapy is incorporated into a management system, which greatly reduces the role of human factors in the whole radiotherapy process, and makes the entire management work more transparent. Fair and efficient, saving valuable treatment time for cancer patients;
  • a radiotherapy process and quality management and control method provided by an embodiment of the present invention, which supports a patient to obtain information related to treatment in real time, and the patient management is more efficient; and at the same time, the leadership layer is supported to obtain relevant data in real time and provide decision support; Support clinical research needs.
  • Embodiments of the present invention provide a radiotherapy process management and quality control method for a tumor patient, which adopts CT image information, disease diagnosis conclusion information, target area delineation information, radiotherapy plan application information, radiotherapy plan design information, radiotherapy plan verification result information. Review the confirmation information and the interaction of the real-time radiotherapy process information in multiple terminals, and participate in the work of clinicians, physicists, technicians, nurses, etc., and patient simulators, CT, MRI positioning images, etc.
  • the task of the device is linked by the patient's condition information flow; the method specifically includes the following steps:
  • the S1 and CT image scanning terminals introduce CT image information of the tumor patient to the physician terminal.
  • the information source of the embodiment of the present invention when introducing CT image information, the diagnosis result of the visiting doctor and the specific carrier and basis of the posterior target area delineation.
  • S2 The doctor terminal obtains CT image information, and the medical doctor enters the diagnosis information of the disease diagnosis; specifically:
  • the physician terminal acquires and confirms the tumor patient information and the CT scan request, outputs the CT scan instruction to the CT image information acquired by the CT image scanning terminal, and/or retrieves the historical image information of the tumor patient from the database;
  • the visiting doctor analyzes the CT image information acquired by the CT scanning terminal, and compares it with the historical image, and issues a diagnosis conclusion according to the comparison result.
  • the physician terminal performs the target area delineation; the target area delineation information and the radiotherapy plan application are output to the doser terminal;
  • the target area delineation information specifically includes the location information of the affected area and the evaluation information of the size of the affected area, and is used to determine the extent of the tumor condition and the corresponding treatment plan.
  • the acquisition method of the target area delineation information is that the CT image information flow is transferred to the visiting doctor for the target area delineation.
  • the TAAS software can also be used to automatically organize the delineation, or the target doctor can manually perform the target area delineation and the ABAS software. Automatically organize the two ways to use them synchronously.
  • the target area delineation information is the information base for the post-dose and physicist design radiotherapy plan, and it must be accurate.
  • the doser terminal obtains the radiotherapy plan application and the target area delineation information, and designs the radiotherapy plan. After the design of the radiotherapy plan is completed, the doser terminal outputs the instruction to be confirmed to the physician terminal;
  • Radiotherapy design plans include, but are not limited to, radiotherapy sites and course schedules
  • the radiotherapy design plan also includes the number of segments for a single treatment.
  • the physician terminal obtains the design information of the radiotherapy plan and confirms, and the dosimeter sends the information of the radiotherapy plan verification result to the physicist terminal; specifically:
  • the dositor terminal completes the checklist of the radiotherapy plan, and performs the comparison of the field parameters before the introduction of the radiotherapy plan and the introduction of the radiotherapy plan, and sends the task information of the radiotherapy plan review to the physicist terminal. .
  • the physicist terminal obtains the information of the radiotherapy plan verification result, performs the radiotherapy plan review and comparison, and sends the review comparison confirmation information to the physician terminal; and repeatedly reviews and reviews the radiotherapy plan including the target area delineation to ensure The treatment process is accurate and safe, thus ensuring the therapeutic effect;
  • the physicist terminal performs QA verification on the radiotherapy plan, and sends a plan QA verification result to the physician terminal;
  • the S5b and the simulated reset technician complete the personalized simulated placement before the radiotherapy of the tumor patient, and add a marker on the body surface and the mold of the tumor patient, and send the simulated reset image result to the physician terminal through the analog reset terminal.
  • This kind of fixation of the patient's position is determined several times before the start of radiotherapy to ensure the accuracy and safety of the treatment process, thereby improving the curative effect.
  • the physician terminal obtains the radiotherapy plan review comparison confirmation information, including the plan design confirmation information and the reset image confirmation information, adds the radiotherapy order, outputs the radiotherapy plan information to the radiotherapy device, starts the radiotherapy process; and implements the treatment before the treatment is started. It also includes:
  • the first terminal reviews the fee information in the radiotherapy order, and after the tumor patient completes the fee indicated by the cancer patient payment notification through the payment terminal, the payment terminal sends the payment information to the treatment technician terminal;
  • the radiotherapy device periodically transmits radiotherapy progress information to the physician terminal.
  • the embodiment of the present invention provides a radiotherapy process and a quality management and control method, and provides a multi-role and multi-task therapeutic management platform for radiotherapy in radiotherapy, which is an efficient information system for the entire radiotherapy process. Management and arrangement;
  • a radiotherapy process and quality management and control method interacts with a plurality of terminals through disease condition information, and participates in the work of clinicians, physicists, technicians, nurses, and the like who participate in the treatment process.
  • the tasks of the patient simulator, CT, MRI location image acquisition and other equipment are linked by the patient's disease information flow, and the information transmission is timely, accurate and efficient;
  • a radiotherapy process and a quality management and control method repeatedly review and review a radiotherapy plan including a target area delineation to ensure accurate and safe treatment process, thereby improving efficacy;
  • a radiotherapy process and quality management and control method provided by the embodiments of the present invention the whole process of radiotherapy is incorporated into a management system, which greatly reduces the role of human factors in the whole radiotherapy process, and makes the entire management work more transparent. Fair and efficient, saving valuable treatment time for cancer patients;
  • a radiotherapy process and quality management and control method provided by an embodiment of the present invention, which supports a patient to obtain information related to treatment in real time, and the patient management is more efficient; and at the same time, the leadership layer is supported to obtain relevant data in real time and provide decision support; Support clinical research needs.
  • the embodiment of the invention also discloses a radiotherapy process management and quality control system for a tumor patient, as shown in FIG. 2, the system includes:
  • CT image scanning module 1 CT image importing module 2, CT image analyzing module 3, disease diagnosis module 4, target area delineation module 5, radiotherapy plan design module 6, analog reset module 7, field verification image confirmation module 8, prescription confirmation Module 9 and plan QA module 10;
  • the radiotherapy plan design module 6 includes a radiotherapy plan application unit 61, a radiotherapy plan receiving unit 62, a radiotherapy plan design unit 63, a radiotherapy plan confirmation unit 64, a radiotherapy plan verification unit 65, a radiotherapy plan review and comparison unit 66;
  • the system further includes a CT image scanning terminal, a physician terminal, a physicist terminal, a doser terminal, an analog reset terminal, a treatment technician terminal, a radiotherapy device, a first terminal, a payment terminal, and a collector corresponding to each terminal;
  • Each module of the system is respectively connected to a terminal and a collector, and the collector is connected to a server, and the server is connected to the PC through a data line, and is connected to the database through a network.
  • the target area delineation module 5 includes an affected area positioning unit 51 and an affected area size evaluation unit 52.
  • the input end of the affected area positioning unit 51 is connected to the physician terminal, and the output end is connected to the input end of the radiotherapy plan design module 6.
  • the input area of the affected area size evaluation unit 52 is connected with the physician terminal, and the output end and the input end of the radiotherapy plan design module 6 Connected.
  • the embodiment of the present invention provides a radiotherapy process and a quality management and control system, and provides a multi-role and multi-task therapeutic management platform for radiotherapy in radiotherapy, which is an efficient information system for the entire radiotherapy process. Management and arrangement;
  • a radiotherapy process and quality management and control system interacts with a plurality of terminals through disease condition information, and works with clinicians, physicists, technicians, nurses, and the like who participate in the treatment process.
  • the tasks of the patient simulator, CT, MRI location image acquisition and other equipment are linked by the patient's disease information flow, and the information transmission is timely, accurate and efficient;
  • the radiotherapy process and the quality management and control system of the present invention repeatedly review and review the radiotherapy plan including the target area delineation to ensure the accuracy and safety of the treatment process, thereby improving the curative effect;
  • a radiotherapy process and quality management and control system provided by the embodiments of the present invention has a compact structure, convenient use, and simple operation, and greatly improves management efficiency and accuracy.
  • the embodiment of the invention also discloses a radiotherapy process management and quality control system for a tumor patient, the system comprising:
  • CT image scanning module CT image importing module, CT image analyzing module, disease diagnosis module, target area delineation module, radiotherapy plan design module, analog reset module, field verification image confirmation module, prescription confirmation module and plan QA module;
  • the radiotherapy plan design module includes a radiotherapy plan application unit, a radiotherapy plan receiving unit, a radiotherapy plan design unit, a radiotherapy plan confirmation unit, a radiotherapy plan verification unit, a radiotherapy plan review and comparison unit;
  • the system further includes a CT image scanning terminal, a physician terminal, a physicist terminal, a doser terminal, an analog reset terminal, a treatment technician terminal, a radiotherapy device, a first terminal, a payment terminal, and a collector corresponding to each terminal;
  • Each module of the system is respectively connected to a terminal and a collector, and the collector is connected to a server, and the server is connected to a PC through a data line, and is connected to a database through a network.
  • the physician terminal may further add preliminary diagnosis information, course information, and treatment site information; after the system is inspected and diagnosed by the previous system, the physician terminal outputs CT scan fee information, body position fixed fee information, and radiotherapy plan fee to the first terminal. Information, reset verification fee information, and accelerator reservation information;
  • the first terminal reviews the CT scan fee information, the body position fixed fee information, and the radiotherapy plan fee information from the physician terminal, and after the audit is completed, issues a patient payment notice; the patient completes the patient through the payment terminal After the fee indicated by the payment notification, the first terminal collects the identification photo of the patient, prints a reservation information sheet corresponding to the patient, generates a reservation card, and prints the barcode on the reservation information sheet and the reservation card; the tumor patient After completing the fee indicated by the patient payment notification by the payment terminal, the first terminal outputs the body position fixed application and the patient information to the position fixed technician terminal, and outputs the CT scan application information and the patient information to the CT scan technician terminal. ;
  • the technician terminal obtains and describes the patient information and the posture fixing application, and after the technician prepares the fixed mold for the patient and completes the posture fixing, the technician sends the execution information to the doctor terminal;
  • the CT scanner technician acquires and confirms the patient information and the CT scan application, outputs a CT scan command to the CT image scanning terminal, and the CT image scanning terminal outputs the CT image information to the physician physicist terminal, and the technician sends the execution information to the physicist terminal. ;
  • the dosimeter obtains the CT image information and creates a folder through the doser terminal planning system, and sends the task information of the doctor to delineate the target area to the physician terminal in the physicist terminal;
  • the physician on the planning system, draws a target area according to the CT influence information on the planning system, fills in a target area to delineate the doctor's name, adds a radiotherapy plan application, and the physician terminal outputs the radiotherapy plan application to the doser terminal;
  • the dosimeter performs a radiotherapy plan design through the dosimeter terminal, and after the radiotherapy plan is designed, the dosimeter terminal outputs an instruction to be confirmed to the physician terminal;
  • the physician terminal After the physician terminal obtains the task to be confirmed, the medical treatment plan is confirmed in the planning system, and the medical terminal confirms that the result of the radiotherapy plan is sent to the doser terminal;
  • the doser terminal sends the radiotherapy plan to the tumor information management system, the physicist terminal completes the checklist of the radiotherapy plan, and performs a comparison of the field parameters before the introduction of the radiotherapy plan and after the introduction of the radiotherapy plan, The task information of the radiotherapy plan review is sent to the physicist terminal;
  • the physicist terminal obtains the verification result of the radiotherapy plan design, performs the radiotherapy plan review and comparison, confirms that the radiotherapy plan design is completed after the error, and sends the confirmation result to the physician terminal;
  • the physicist terminal performs QA verification on the radiotherapy plan, and sends a plan QA verification result to the physician terminal;
  • the simulated reset technician After the simulated reset technician completes the simulated placement before the patient's radiotherapy according to the appointment date, and adds the identification on the patient's body surface and the mold, the simulated reset image result is sent to the physician terminal through the analog reset terminal;
  • the physician terminal After the physician terminal confirms the planned prescription result and the reset image result, the physician terminal adds a radiotherapy order and outputs radiotherapy cost information to the first terminal;
  • the first terminal reviews the fee information of the radiotherapy order, and after the patient completes the fee indicated by the patient payment notification by the payment terminal, the payment terminal sends the payment information to the treatment technician terminal;
  • the radiotherapy plan is output to a radiotherapy system, and the radiotherapy system manages the progress of the patient's radiotherapy in real time;
  • the radiotherapy device periodically transmits treatment progress information to the physician terminal; in the specific implementation, the patient terminal may also be added.
  • the CT image analysis module specifically includes an image receiving unit, a historical image importing unit, an image analyzing unit, a previous image comparing unit, a CT image reporting unit, and a transmission unit;
  • the image receiving unit and the historical image importing unit input end are connected to the server, and the output end of the image receiving unit is respectively connected with the image analyzing unit and the previous image comparing unit input end, and the historical image importing unit output end and the previous image matching unit are respectively connected.
  • the input ends are connected, and the CT image reporting unit input ends are respectively connected with the image analyzing unit and the previous image matching unit output ends, and the CT image reporting unit is transmitted to the server through the transmission unit.
  • condition diagnosis module includes a CT image report receiving unit, a condition analysis input unit, a condition summary analysis unit, a diagnosis report unit, and a treatment measure unit;
  • the treatment measure unit includes a treatment measure autonomous selection subunit and a treatment measure input subunit;
  • the input end of the CT image report receiving unit is connected to the server, the output end of the CT image report receiving unit is connected to the input end of the condition analysis unit, the output end of the condition analysis unit is connected to the input end of the diagnosis report unit, and the output of the diagnosis report unit and the treatment are The input of the measure unit is connected, and the output of the treatment unit is connected to the server.
  • the target area delineation module includes an affected area positioning unit and an affected area size evaluation unit;
  • the input end of the affected area positioning unit is connected to the physician terminal, and the output end is connected to the input end of the radiotherapy plan design module.
  • the input end of the affected area size evaluation unit is connected to the physician terminal, and the output end is connected to the input end of the radiotherapy plan design module.
  • the embodiment of the present invention provides a radiotherapy process and a quality management and control system, and provides a multi-role and multi-task therapeutic management platform for radiotherapy in radiotherapy, which is an efficient information system for the entire radiotherapy process. Management and arrangement;
  • a radiotherapy process and quality management and control system interacts with a plurality of terminals through disease condition information, and works with clinicians, physicists, technicians, nurses, and the like who participate in the treatment process.
  • the tasks of the patient simulator, CT, MRI location image acquisition and other equipment are linked by the patient's disease information flow, and the information transmission is timely, accurate and efficient;
  • the radiotherapy process and the quality management and control system of the present invention repeatedly review and review the radiotherapy plan including the target area delineation to ensure the accuracy and safety of the treatment process, thereby improving the curative effect;
  • a radiotherapy process and quality management and control system provided by the embodiments of the present invention has a compact structure, convenient use, and simple operation, and greatly improves management efficiency and accuracy.
  • the radiotherapy process management and quality control system of the tumor patient provided by the above embodiment is only used to illustrate the division of the above functional modules when triggering the radiotherapy process management and quality control service.
  • the above function assignment is completed by different functional modules, that is, the internal structure of the system is divided into different functional modules to complete all or part of the functions described above.
  • the radiotherapy process management and quality control system of the tumor patient provided by the above embodiment is the same as the embodiment of the radiotherapy process management and quality control method for the tumor patient, and the specific implementation process is detailed in the method embodiment, and details are not described herein. .
  • a person skilled in the art may understand that all or part of the steps of implementing the above embodiments may be completed by hardware, or may be instructed by a program to execute related hardware, and the program may be stored in a computer readable storage medium.
  • the storage medium mentioned may be a read only memory, a magnetic disk or an optical disk or the like.

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Abstract

一种肿瘤患者放疗进程管理及质量控制方法，所述方法包括CT影像信息、病情诊断结论信息、靶区勾画信息、放疗计划申请信息、放疗计划设计信息、放疗计划核查结果信息、复核比对确认信息、实时放疗进程信息在多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来，信息传递及时、准确、高效。以及应用上述方法的系统。该方法能够确保治疗过程的准确、安全、高效，使得整个管理工作更加透明、公平，为肿瘤患者节约宝贵的治疗时间，同时也支持临床科研需求。

Description

一种肿瘤患者放疗进程管理及质量控制方法及系统 技术领域
本发明涉及中心管理的信息应用技术领域，特别涉及一种肿瘤患者放疗进程管理及质量控制方法及系统。
背景技术
肿瘤放射治疗是利用放射线治疗肿瘤的一种局部治疗方法，大约70％的癌症患者在治疗癌症的过程中需要用放射治疗，约有40％的癌症可以用放疗根治。放射治疗在肿瘤治疗中的作用和地位日益突出，已成为治疗恶性肿瘤的主要手段之一。
放射疗法虽仅有几十年的历史，但发展较快，应用在临床也比较广泛。在CT影像技术和计算机技术发展帮助下，现在的放疗技术由二维放疗发展到三维放疗、四维放疗技术，放疗剂量分配也由点剂量发展到体积剂量分配，及体积剂量分配中的剂量调强。现在的放疗技术主流包括立体定向放射治疗，其特征是三维、小野、集束、分次、大剂量照射，它要求定位的精度更高和靶区之外剂量衰减的更快。
放射治疗是一个综合多角色和多任务的治疗过程，参与治疗过程中涉及到临床医师、物理师、技师、护士等多个角色的参与，而且还涉及到病人模拟机、CT、MRI定位影像的采集到计划与加速器之间的传输，再到上机治疗过程都需要统一管理和安排，而且因为肿瘤患者的病情危急、治疗时间相对普通患者更加宝贵。
目前多为放疗科室的医护人员人工安排整个流程，在多个部门、多个人员之间流转时需要多步工序，材料繁多，极易出现工作失误和信息遗漏，而且人 为因素占主导会使得医院风气不正，给贪图私利枉顾病患的人可乘之机，致使安排管理工作被动、低效、错误率高，最重要的是可能使得有的患者病情被延误、病情信息传递不及时等错过最佳治疗时机、危害生命。因此，保证放疗过程高效、准确、安全的进行涉及到患者生命健康的关键，需要一套高效的信息系统来管理和安排，以此保证放疗过程准确、安全的进行。
发明内容
为了解决现有技术中放疗过程管理不够准确、公平和高效的问题，本发明实施例提供了一种肿瘤患者放疗进程管理及质量控制方法及系统。所述技术方案如下：
一方面，本发明实施例提供了一种肿瘤患者放疗进程管理及质量控制方法，所述方法包括：
S1、CT影像扫描终端将肿瘤患者的CT影像信息导入至医师终端；
S2、医师终端获取CT影像信息，就诊医师录入病情诊断结论信息，并进行靶区勾画；将所述靶区勾画信息以及放疗计划申请输出至剂量师终端；
S3、剂量师终端获取放疗计划申请及靶区勾画信息，进行放疗计划设计，所述放疗计划设计完成后由所述剂量师终端输出待确认的指令至所述医师终端；
S4、医师终端获取放疗计划设计信息，并进行确认，剂量师将放疗计划核查结果信息发送至物理师终端；
S5、物理师终端获取放疗计划核查结果信息，进行放疗计划复核与比对，并将复核比对确认信息发送至医师终端；
S6、医师终端获取放疗计划复核比对确认信息，包括计划设计确认信息和复位影像确认信息，添加放疗医嘱，将所述放疗计划信息输出至放疗设备，启动放疗进程；
治疗中，所述放疗设备周期性发送放疗进程信息至所述医师终端。
具体地，所述步骤S2中医师终端获取CT影像信息，就诊医师录入病情诊断结论信息具体包括：
S2a、医师终端获取并确认肿瘤患者信息和CT扫描申请后输出CT扫描指令至CT影像扫描终端获取的CT影像信息，和/或从数据库中调取肿瘤患者历史影像信息；
S2b、就诊医师对CT扫描终端获取的CT影像信息进行分析，同时结合历史图像进行比对，根据比对结果出具诊断结论。
进一步地，所述步骤S2中靶区勾画信息具体包括患处定位信息和患处面积大小评估信息，用于确定肿瘤病情的程度和相对应的治疗方案。
其中，所述步骤S2中靶区勾画信息的获取具体包括：
CT影像信息流转给就诊医师进行靶区勾画，和/或通过ABAS软件进行自动组织勾画。
进一步地，所述步骤S3中放疗设计计划包括放疗部位和疗程排期；
若所述放疗部位需要多段治疗，所述放疗设计计划还包括单次治疗的段数。
进一步地，所述步骤S4医师终端获取放疗计划设计信息，并进行确认，剂量师将放疗计划核查结果信息发送至物理师终端具体包括：
所述剂量师终端完成放疗计划的核查表，并且执行所述放疗计划导入前和所述放疗计划导入后的射野参数对比后，将所述放疗计划复核的任务信息发送至所述物理师终端。
具体地，所述步骤S5中物理师终端获取放疗计划核查结果信息，进行放疗计划复核与比对，并将复核比对确认信息发送至医师终端具体包括：
S5a、所述物理师终端对所述放疗计划进行QA验证，并将计划QA验证结果发送至所述医师终端；
S5b、模拟复位技师完成肿瘤患者放疗前的个性化模拟摆位，并在肿瘤患者体表和模具上添加标识，通过模拟复位终端将模拟复位影像结果发送至所述医师终端。
进一步地，所述步骤S6中医师终端获取放疗计划复核比对确认信息，包括计划设计确认信息和复位影像确认信息后，添加放疗医嘱，将所述放疗计划信息输出至放疗设备，启动放疗进程的步骤还包括：
S6a、第一终端审核放疗医嘱中的费用信息，肿瘤患者通过缴费终端完成所述肿瘤患者缴费通知所指示的费用后，所述缴费终端将缴费信息发送至治疗技师终端；
S6b、治疗技师终端核实所述缴费信息后，将所述放疗计划输出至放疗设备，所述放疗系统实时对患者的放疗进度进行管理。
另一方面，本发明实施例还公开了一种肿瘤患者放疗进程管理及质量控制系统，所述系统包括：
CT影像扫描模块、CT影像导入模块、CT影像分析模块、病情诊断模块、靶区勾画模块、放疗计划设计模块、模拟复位模块、射野验证影像确认模块、处方确认模块和计划QA模块；
所述放疗计划设计模块包括放疗计划申请单元、放疗计划领取单元、放疗计划设计单元、放疗计划确认单元、放疗计划核查单元、放疗计划复核与比对单元；
所述系统还包括CT影像扫描终端、医师终端、物理师终端、剂量师终端、模拟复位终端、治疗技师终端、放疗设备、第一终端、缴费终端和各终端对应的采集器；
所述系统各模块分别与终端机和采集器连接，所述采集器与服务器连接，所述服务器通过数据线与PC机连接，通过网络与数据库连接。
进一步地，所述CT影像分析模块，包括图像接收单元、历史图像导入单元、图像分析单元、历次图像比对单元、CT影像报告单元和传输单元；
其中，所述图像接收单元和历史图像导入单元输入端与服务器相连，图像接收单元输出端分别与图像分析单元和历次图像比对单元输入端相连，历史图像导入单元输出端与历次图像比对单元输入端相连，CT影像报告单元输入端分 别与图像分析单元和历次图像比对单元输出端相连，CT影像报告单元通过传输单元传送至服务器。
此外，所述病情诊断模块包括CT影像报告接收单元、病情分析输入单元、病情汇总分析单元、诊断报告单元、治疗措施单元；
所述治疗措施单元包括治疗措施自主选择子单元和治疗措施输入子单元；
其中，所述CT影像报告接收单元输入端与服务器相连，CT影像报告接收单元输出端与病情分析单元输入端相连，病情分析单元输出端与诊断报告单元输入端相连，诊断报告单元输出端与治疗措施单元输入端相连，治疗措施单元输出端与服务器相连。
进一步地，所述靶区勾画模块包括患处定位单元和患处面积大小评估单元；
所述患处定位单元输入端与医师终端相连，输出端与放疗计划设计模块输入端相连，所述患处面积大小评估单元输入端与医师终端相连，输出端与放疗计划设计模块输入端相连。
本发明实施例提供的技术方案带来的有益效果是：
1、本发明实施例提供了一种放射治疗过程和质量管理及控制方法及系统，为放疗科放射治疗搭建了多角色和多任务的治疗管理平台，是一套高效的信息系统来对整个放疗过程进行管理和安排；
2、本发明实施例涉及的一种放射治疗过程和质量管理及控制系统通过病情检查信息与多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来，信息传递及时、准确、高效；
3、本发明实施例一种放射治疗过程和质量管理及控制方法促使医护人员从被动任务驱动到主动工作的模式转变；
4、本发明实施例一种放射治疗过程和质量管理及控制方法及系统多次对于包括靶区勾画在内的放疗计划进行复核、复审，确保治疗过程的准确、安全，从而提升疗效；
5、本发明实施例所提供的一种放射治疗过程和质量管理及控制方法及系统，将放疗整个过程纳入一个管理体系中，大大降低了人为因素在整个放疗过程中的作用，使得整个管理工作更加透明、公平和高效，为肿瘤患者节约宝贵的治疗时间；
6、本发明实施例所提供的一种放射治疗过程和质量管理及控制方法及系统，支持患者实时获取与治疗相关的信息，患者管理更加高效；同时支持领导层实时获取相关数据，提供决策支持；也支持临床科研需求。
附图说明
为了更清楚地说明本发明实施例中的技术方案，下面将对实施例描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本发明的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。
图1是本发明实施例提供的一种放射治疗过程和质量管理及控制方法流程图；
图2是本发明实施例提供的一种放射治疗过程和质量管理及控制方法及系统结构示意图；
图中序号表示为：1-CT影像扫描模块1，2-CT影像导入模块，3-CT影像分析模块3，4-病情诊断模块，5-靶区勾画模块，51-患处定位单元，52-患处面积大小评估单元，6-放疗计划设计模块，61-放疗计划申请单元，62-放疗计划领取单元，63-放疗计划设计单元，64-放疗计划确认单元，65-放疗计划核查单元，66-放疗计划复核与比对单元，7-模拟复位模块，8-射野验证影像确认模块，9-处方确认模块和10-计划QA模块。
具体实施方式
为使本发明的目的、技术方案和优点更加清楚，下面将结合本发明实施例 中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本发明保护的范围。
实施例1
本发明实施例提供了一种肿瘤患者放疗进程管理及质量控制方法，如图1所示，该方法包括：
S1、CT影像扫描终端将肿瘤患者的CT影像信息导入至医师终端；
S2、医师终端获取CT影像信息，就诊医师录入病情诊断结论信息，并进行靶区勾画；
将靶区勾画信息以及放疗计划申请输出至剂量师终端；
S3、剂量师终端获取放疗计划申请及靶区勾画信息，进行放疗计划设计；放疗计划设计完成后由剂量师终端输出待确认的指令至医师终端；
S4、医师终端获取放疗计划设计信息，并进行确认，剂量师将放疗计划核查结果信息发送至物理师终端；
S5、物理师终端获取放疗计划核查结果信息，进行放疗计划复核与比对，并将复核比对确认信息发送至医师终端；
S6、医师终端获取放疗计划复核比对确认信息，包括计划设计确认信息和复位影像确认信息，添加放疗医嘱，将所述放疗计划信息输出至放疗设备，启动放疗进程；
治疗中，所述放疗设备周期性发送放疗进程信息至所述医师终端。
本发明实施例提供的技术方案带来的有益效果是：
1、本发明实施例提供了一种放射治疗过程和质量管理及控制方法，为放疗科放射治疗搭建了多角色和多任务的治疗管理平台，是一套高效的信息管理模式来对整个放疗过程进行管理和安排；
2、本发明实施例涉及的一种放射治疗过程和质量管理及控制方法通过病情 检查信息与多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来，信息传递及时、准确、高效；
3、本发明实施例一种放射治疗过程和质量管理及控制方法促使医护人员从被动任务驱动到主动工作的模式转变；
4、本发明实施例一种放射治疗过程和质量管理及控制方法多次对于包括靶区勾画在内的放疗计划进行复核、复审，确保治疗过程的准确、安全，从而提升疗效；
5、本发明实施例所提供的一种放射治疗过程和质量管理及控制方法，将放疗整个过程纳入一个管理体系中，大大降低了人为因素在整个放疗过程中的作用，使得整个管理工作更加透明、公平和高效，为肿瘤患者节约宝贵的治疗时间；
6、本发明实施例所提供的一种放射治疗过程和质量管理及控制方法，支持患者实时获取与治疗相关的信息，患者管理更加高效；同时支持领导层实时获取相关数据，提供决策支持；也支持临床科研需求。
实施例2
本发明实施例提供了一种肿瘤患者放疗进程管理及质量控制方法，该方法通过CT影像信息、病情诊断结论信息、靶区勾画信息、放疗计划申请信息、放疗计划设计信息、放疗计划核查结果信息、复核比对确认信息、实时放疗进程信息在多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来；该方法具体包括以下步骤：
S1、CT影像扫描终端将肿瘤患者的CT影像信息导入至医师终端。CT影像信息的导入时本发明实施例的信息源，就诊医师的诊断结论和后期靶区勾画的具体载体和依据。
S2、医师终端获取CT影像信息，就诊医师录入病情诊断结论信息；具体包括：
S2a、医师终端获取并确认肿瘤患者信息和CT扫描申请后输出CT扫描指令至CT影像扫描终端获取的CT影像信息，和/或从数据库中调取肿瘤患者历史影像信息；
S2b、就诊医师对CT扫描终端获取的CT影像信息进行分析，同时结合历史图像进行比对，根据比对结果出具诊断结论。
然后医师终端进行靶区勾画；将靶区勾画信息以及放疗计划申请输出至剂量师终端；
其中靶区勾画信息具体包括患处定位信息和患处面积大小评估信息，用于确定肿瘤病情的程度和相对应的治疗方案。
具体地，靶区勾画信息的获取方式为CT影像信息流转给就诊医师进行靶区勾画，在具体实施中，也可以通过ABAS软件进行自动组织勾画，或者结合就诊医师人工进行靶区勾画和ABAS软件自动组织勾画这两种方式同步使用。
靶区勾画信息是后期剂量师、物理师设计放疗计划的信息基础，务必确保准确。
S3、剂量师终端获取放疗计划申请及靶区勾画信息，进行放疗计划设计，该放疗计划设计完成后由剂量师终端输出待确认的指令至医师终端；
放疗设计计划包括但不限于放疗部位和疗程排期；
若所述放疗部位需要多段治疗，所述放疗设计计划还包括单次治疗的段数。
S4、医师终端获取放疗计划设计信息，并进行确认，剂量师将放疗计划核查结果信息发送至物理师终端；具体包括：
所述剂量师终端完成放疗计划的核查表，并且执行所述放疗计划导入前和所述放疗计划导入后的射野参数对比后，将所述放疗计划复核的任务信息发送至所述物理师终端。
S5、物理师终端获取放疗计划核查结果信息，进行放疗计划复核与比对， 并将复核比对确认信息发送至医师终端；多次对于包括靶区勾画在内的放疗计划进行复核、复审，确保治疗过程的准确、安全，从而保证了治疗效果；
具体包括：
S5a、所述物理师终端对所述放疗计划进行QA验证，并将计划QA验证结果发送至所述医师终端；
S5b、模拟复位技师完成肿瘤患者放疗前的个性化模拟摆位，并在肿瘤患者体表和模具上添加标识，通过模拟复位终端将模拟复位影像结果发送至所述医师终端。这种在放疗启动之前，多次对于患者体位固定进行确定，确保治疗过程的准确、安全，从而提升疗效。
S6、医师终端获取放疗计划复核比对确认信息，包括计划设计确认信息和复位影像确认信息后，添加放疗医嘱，将所述放疗计划信息输出至放疗设备，启动放疗进程；在治疗启动之前具体实施中还具体包括：
S6a、第一终端审核放疗医嘱中的费用信息，肿瘤患者通过缴费终端完成所述肿瘤患者缴费通知所指示的费用后，所述缴费终端将缴费信息发送至治疗技师终端；
S6b、治疗技师终端核实所述缴费信息后，将所述放疗计划输出至放疗设备，所述放疗系统实时对患者的放疗进度进行管理。
治疗中，所述放疗设备周期性发送放疗进程信息至所述医师终端。
本发明实施例提供的技术方案带来的有益效果是：
1、本发明实施例提供了一种放射治疗过程和质量管理及控制方法，为放疗科放射治疗搭建了多角色和多任务的治疗管理平台，是一套高效的信息系统来对整个放疗过程进行管理和安排；
2、本发明实施例涉及的一种放射治疗过程和质量管理及控制方法通过病情检查信息与多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来，信息传递及时、准确、高效；
3、本发明实施例一种放射治疗过程和质量管理及控制方法促使医护人员从被动任务驱动到主动工作的模式转变；
4、本发明实施例一种放射治疗过程和质量管理及控制方法多次对于包括靶区勾画在内的放疗计划进行复核、复审，确保治疗过程的准确、安全，从而提升疗效；
5、本发明实施例所提供的一种放射治疗过程和质量管理及控制方法，将放疗整个过程纳入一个管理体系中，大大降低了人为因素在整个放疗过程中的作用，使得整个管理工作更加透明、公平和高效，为肿瘤患者节约宝贵的治疗时间；
6、本发明实施例所提供的一种放射治疗过程和质量管理及控制方法，支持患者实时获取与治疗相关的信息，患者管理更加高效；同时支持领导层实时获取相关数据，提供决策支持；也支持临床科研需求。
实施例3
本发明实施例还公开了一种肿瘤患者放疗进程管理及质量控制系统，如图2所示，所述系统包括：
CT影像扫描模块1、CT影像导入模块2、CT影像分析模块3、病情诊断模块4、靶区勾画模块5、放疗计划设计模块6、模拟复位模块7、射野验证影像确认模块8、处方确认模块9和计划QA模块10；
所述放疗计划设计模块6包括放疗计划申请单元61、放疗计划领取单元62、放疗计划设计单元63、放疗计划确认单元64、放疗计划核查单元65、放疗计划复核与比对单元66；
所述系统还包括CT影像扫描终端、医师终端、物理师终端、剂量师终端、模拟复位终端、治疗技师终端、放疗设备、第一终端、缴费终端和各终端对应的采集器；
所述系统各模块分别与终端机和采集器连接，所述采集器与服务器连接， 所述服务器通过数据线与PC机连接，通过网络与数据库连接。
进一步地，所述靶区勾画模块5包括患处定位单元51和患处面积大小评估单元52。
所述患处定位单元51输入端与医师终端相连，输出端与放疗计划设计模块6输入端相连，所述患处面积大小评估单元52输入端与医师终端相连，输出端与放疗计划设计模块6输入端相连。
本发明实施例提供的技术方案带来的有益效果是：
1、本发明实施例提供了一种放射治疗过程和质量管理及控制系统，为放疗科放射治疗搭建了多角色和多任务的治疗管理平台，是一套高效的信息系统来对整个放疗过程进行管理和安排；
2、本发明实施例涉及的一种放射治疗过程和质量管理及控制系统通过病情检查信息与多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来，信息传递及时、准确、高效；
3、本发明实施例一种放射治疗过程和质量管理及控制系统多次对于包括靶区勾画在内的放疗计划进行复核、复审，确保治疗过程的准确、安全，从而提升疗效；
4、本发明实施例所提供的一种放射治疗过程和质量管理及控制系统具有结构紧凑、使用便捷，操作简单，极大地提升了管理的效率和准确性。
实施例4
本发明实施例还公开了一种肿瘤患者放疗进程管理及质量控制系统，所述系统包括：
CT影像扫描模块、CT影像导入模块、CT影像分析模块、病情诊断模块、靶区勾画模块、放疗计划设计模块、模拟复位模块、射野验证影像确认模块、处方确认模块和计划QA模块；
所述放疗计划设计模块包括放疗计划申请单元、放疗计划领取单元、放疗计划设计单元、放疗计划确认单元、放疗计划核查单元、放疗计划复核与比对单元；
所述系统还包括CT影像扫描终端、医师终端、物理师终端、剂量师终端、模拟复位终端、治疗技师终端、放疗设备、第一终端、缴费终端和各终端对应的采集器；
所述系统各模块分别与终端机和采集器连接，所述采集器与服务器连接，所述服务器通过数据线与PC机连接，通过网络与数据库连接。
在具体实施中，医师终端还可以添加初步诊断信息、疗程信息和治疗部位信息；在前期系统分检就诊医师后，医师终端向第一终端输出CT扫描费用信息、体位固定费用信息、放疗计划费用信息、复位验证费用信息和加速器预约信息等；
第一终端审核来自所述医师终端的所述CT扫描费用信息、所述体位固定费用信息以及所述放疗计划费用信息，并在审核完成后，发出患者缴费通知；患者通过缴费终端完成所述患者缴费通知所指示的费用后，所述第一终端采集患者的身份识别照片，打印与所述患者对应的预约信息单，生成预约卡片，并打印条码贴在预约信息单和预约卡片上；肿瘤患者通过所述缴费终端完成所述患者缴费通知所指示的费用后，所述第一终端输出体位固定申请和患者信息至体位固定技师终端，输出CT扫描申请信息和所述患者信息至CT扫描技师终端；
技师终端获取并所述患者信息和体位固定申请，在技师为患者制作固定模具并完成体位固定后，技师将执行信息发送至医生终端；
CT扫描技师终端获取并确认所述患者信息和CT扫描申请，输出CT扫描指令至CT影像扫描终端，CT影像扫描终端输出CT影像信息发送至医师物理师终端，技师将执行信息发送至物理师终端；
剂量师通过剂量师终端计划系统中获取CT影像信息并创建文件夹，在物理师终端中将医生勾画靶区的任务信息发送至医师终端；
医师通过所述医师终端在所述计划系统上，根据所述CT影响信息，勾画靶区，并填写靶区勾画医师姓名，添加放疗计划申请，医师终端输出所述放疗计划申请至所述剂量师终端；
剂量师终端获取计划，剂量师通过所述剂量师终端进行放疗计划设计，所述放疗计划设计完成后由所述剂量师终端输出待确认的指令至所述医师终端；
医师终端获取计划待确认的任务后，到计划系统中进行确认所述放疗计划，进行确认，医师终端将确认所述放疗计划的结果发送至所述剂量师终端；
剂量师终端将所述放疗计划发送至肿瘤信息管理系统，所述物理师终端完成放疗计划的核查表，并且执行所述放疗计划导入前和所述放疗计划导入后的射野参数对比后，将所述放疗计划复核的任务信息发送至所述物理师终端；
物理师终端获取所述放疗计划设计的核查结果，进行所述放疗计划复核与比对，无误后确认所述放疗计划设计完成，并将确认结果发送至所述医师终端；
所述物理师终端对所述放疗计划进行QA验证，并将计划QA验证结果发送至所述医师终端；
在模拟复位技师按预约日期完成患者放疗前的模拟摆位，并在患者体表和模具上添加标识后，通过模拟复位终端将模拟复位影像结果发送至所述医师终端；
医师终端确认计划处方结果和所述复位影像结果后，所述医师终端添加放疗医嘱，并输出放疗费用信息至第一终端；
第一终端审核放疗医嘱的费用信息，患者通过缴费终端完成所述患者缴费通知所指示的费用后，所述缴费终端将缴费信息发送至所述治疗技师终端；
所述治疗技师终端核实所述缴费信息后，将所述放疗计划输出至放疗系统，所述放疗系统实时对患者的放疗进度进行管理；
治疗中，所述放疗设备周期性发送治疗进程信息至所述医师终端；在具体实施肿，也可以增加患者终端。
进一步地，在具体实施中，CT影像分析模块，具体包括图像接收单元、 历史图像导入单元、图像分析单元、历次图像比对单元、CT影像报告单元和传输单元；
其中，所述图像接收单元和历史图像导入单元输入端与服务器相连，图像接收单元输出端分别与图像分析单元和历次图像比对单元输入端相连，历史图像导入单元输出端与历次图像比对单元输入端相连，CT影像报告单元输入端分别与图像分析单元和历次图像比对单元输出端相连，CT影像报告单元通过传输单元传送至服务器。
此外，所述病情诊断模块包括CT影像报告接收单元、病情分析输入单元、病情汇总分析单元、诊断报告单元、治疗措施单元；
所述治疗措施单元包括治疗措施自主选择子单元和治疗措施输入子单元；
其中，所述CT影像报告接收单元输入端与服务器相连，CT影像报告接收单元输出端与病情分析单元输入端相连，病情分析单元输出端与诊断报告单元输入端相连，诊断报告单元输出端与治疗措施单元输入端相连，治疗措施单元输出端与服务器相连。
进一步地，所述靶区勾画模块包括患处定位单元和患处面积大小评估单元；
所述患处定位单元输入端与医师终端相连，输出端与放疗计划设计模块输入端相连，所述患处面积大小评估单元输入端与医师终端相连，输出端与放疗计划设计模块输入端相连。
本发明实施例提供的技术方案带来的有益效果是：
1、本发明实施例提供了一种放射治疗过程和质量管理及控制系统，为放疗科放射治疗搭建了多角色和多任务的治疗管理平台，是一套高效的信息系统来对整个放疗过程进行管理和安排；
2、本发明实施例涉及的一种放射治疗过程和质量管理及控制系统通过病情检查信息与多个终端的交互，将参与治疗过程中的临床医师、物理师、技师、护士等人员的工作和病人模拟机、CT、MRI定位影像的采集等设备的任务以患者病情信息流为主线联系起来，信息传递及时、准确、高效；
3、本发明实施例一种放射治疗过程和质量管理及控制系统多次对于包括靶区勾画在内的放疗计划进行复核、复审，确保治疗过程的准确、安全，从而提升疗效；
4、本发明实施例所提供的一种放射治疗过程和质量管理及控制系统具有结构紧凑、使用便捷，操作简单，极大地提升了管理的效率和准确性。
需要说明的是：上述实施例提供的一种肿瘤患者放疗进程管理及质量控制系统在触发放疗进程管理及质量控制业务时，仅以上述各功能模块的划分进行举例说明，实际应用中，可以根据需要而将上述功能分配由不同的功能模块完成，即将系统的内部结构划分成不同的功能模块，以完成以上描述的全部或者部分功能。
另外，上述实施例提供的一种肿瘤患者放疗进程管理及质量控制系统与一种肿瘤患者放疗进程管理及质量控制方法实施例属于同一构思，其具体实现过程详见方法实施例，这里不再赘述。
本领域普通技术人员可以理解实现上述实施例的全部或部分步骤可以通过硬件来完成，也可以通过程序来指令相关的硬件完成，所述的程序可以存储于一种计算机可读存储介质中，上述提到的存储介质可以是只读存储器，磁盘或光盘等。
以上所述仅为本发明的较佳实施例，并不用以限制本发明，凡在本发明的精神和原则之内，所作的任何修改、等同替换、改进等，均应包含在本发明的保护范围之内。

Claims (10)

  1. 一种肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述方法包括：
    S1、CT影像扫描终端将肿瘤患者的CT影像信息导入至医师终端；
    S2、医师终端获取CT影像信息，就诊医师录入病情诊断结论信息，并进行靶区勾画；将所述靶区勾画信息以及放疗计划申请输出至剂量师终端；
    S3、剂量师终端获取放疗计划申请及靶区勾画信息，进行放疗计划设计，所述放疗计划设计完成后由所述剂量师终端输出待确认的指令至所述医师终端；
    S4、医师终端获取放疗计划设计信息，并进行确认，剂量师将放疗计划核查结果信息发送至物理师终端；
    S5、物理师终端获取放疗计划核查结果信息，进行放疗计划复核与比对，并将复核比对确认信息发送至医师终端；
    S6、医师终端获取放疗计划复核比对确认信息，包括计划设计确认信息和复位影像确认信息，添加放疗医嘱，将所述放疗计划信息输出至放疗设备，启动放疗进程；
    治疗中，所述放疗设备周期性发送放疗进程信息至所述医师终端。
  2. 根据上述权利要求所述的肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述步骤S2中医师终端获取CT影像信息，就诊医师录入病情诊断结论信息具体包括：
    S2a、医师终端获取并确认肿瘤患者信息和CT扫描申请后输出CT扫描指令至CT影像扫描终端获取的CT影像信息，和/或从数据库中调取肿瘤患者历史影像信息；
    S2b、就诊医师对CT扫描终端获取的CT影像信息进行分析，同时结合历史图像进行比对，根据比对结果出具诊断结论。
  3. 根据上述任一权利要求所述的肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述步骤S2中靶区勾画信息具体包括患处定位信息和患处面积大小评估信息，用于确定肿瘤病情的程度和相对应的治疗方案。
  4. 根据上述任一权利要求所述的肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述步骤S2中靶区勾画信息的获取具体包括：
    CT影像信息流转给就诊医师进行靶区勾画，和/或通过ABAS软件进行自动组织勾画。
  5. 根据上述任一权利要求所述的肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述步骤S3中放疗设计计划包括放疗部位和疗程排期；
    若所述放疗部位需要多段治疗，所述放疗设计计划还包括单次治疗的段数。
  6. 根据上述任一权利要求所述的肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述步骤S4医师终端获取放疗计划设计信息，并进行确认，剂量师将放疗计划核查结果信息发送至物理师终端具体包括：
    所述剂量师终端完成放疗计划的核查表，并且执行所述放疗计划导入前和所述放疗计划导入后的射野参数对比后，将所述放疗计划复核的任务信息发送至所述物理师终端。
  7. 根据上述任一权利要求所述的肿瘤患者放疗进程管理及质量控制方法，其特征在于，所述步骤S5中物理师终端获取放疗计划核查结果信息，进行放疗计划复核与比对，并将复核比对确认信息发送至医师终端具体包括：
    S5a、所述物理师终端对所述放疗计划进行QA验证，并将计划QA验证结果发送至所述医师终端；
    S5b、模拟复位技师完成肿瘤患者放疗前的个性化模拟摆位，并在肿瘤患者体表和模具上添加标识，通过模拟复位终端将模拟复位影像结果发送至所述医师终端。
  8. 根据上述任一权利要求所述的肿瘤患者放疗进程管理及质量控制方法， 其特征在于，所述步骤S6中医师终端获取放疗计划复核比对确认信息，包括计划设计确认信息和复位影像确认信息后，添加放疗医嘱，将所述放疗计划信息输出至放疗设备，启动放疗进程的步骤还包括：
    S6a、第一终端审核放疗医嘱中的费用信息，肿瘤患者通过缴费终端完成所述肿瘤患者缴费通知所指示的费用后，所述缴费终端将缴费信息发送至治疗技师终端；
    S6b、治疗技师终端核实所述缴费信息后，将所述放疗计划输出至放疗设备，所述放疗系统实时对患者的放疗进度进行管理。
  9. 一种肿瘤患者放疗进程管理及质量控制系统，其特征在于，所述系统包括：
    CT影像扫描模块、CT影像导入模块、CT影像分析模块、病情诊断模块、靶区勾画模块、放疗计划设计模块、模拟复位模块、射野验证影像确认模块、处方确认模块和计划QA模块；
    所述放疗计划设计模块包括放疗计划申请单元、放疗计划领取单元、放疗计划设计单元、放疗计划确认单元、放疗计划核查单元、放疗计划复核与比对单元；
    所述系统还包括CT影像扫描终端、医师终端、物理师终端、剂量师终端、模拟复位终端、治疗技师终端、放疗设备、第一终端、缴费终端和各终端对应的采集器；
    所述系统各模块分别与终端机和采集器连接，所述采集器与服务器连接，所述服务器通过数据线与PC机连接，通过网络与数据库连接。
  10. 根据上述权利要求所述的肿瘤患者放疗进程管理及质量控制系统，其特征在于，所述靶区勾画模块包括患处定位单元和患处面积大小评估单元；
    所述患处定位单元输入端与医师终端相连，输出端与放疗计划设计模块输入端相连，所述患处面积大小评估单元输入端与医师终端相连，输出端与放疗计划设计模块输入端相连。
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