WO2020042700A1 - 一种放射治疗中心监控系统 - Google Patents

一种放射治疗中心监控系统 Download PDF

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Publication number
WO2020042700A1
WO2020042700A1 PCT/CN2019/089710 CN2019089710W WO2020042700A1 WO 2020042700 A1 WO2020042700 A1 WO 2020042700A1 CN 2019089710 W CN2019089710 W CN 2019089710W WO 2020042700 A1 WO2020042700 A1 WO 2020042700A1
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target device
cloud platform
radiation therapy
center
radiotherapy
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PCT/CN2019/089710
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English (en)
French (fr)
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李金升
赵洪斌
闫浩
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西安大医集团有限公司
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Priority to US15/734,217 priority Critical patent/US20210121716A1/en
Publication of WO2020042700A1 publication Critical patent/WO2020042700A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1064—Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/103—Treatment planning systems
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N2005/1074—Details of the control system, e.g. user interfaces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1075—Monitoring, verifying, controlling systems and methods for testing, calibrating, or quality assurance of the radiation treatment apparatus

Definitions

  • the present disclosure relates to the field of monitoring, and in particular, to a radiation therapy center monitoring system.
  • a TPS (Radiotherapy planning system) server in a radiotherapy center sends the pre-stored treatment parameters in the TPS to the radiotherapy control system, and the radiotherapy control system sends the pre-stored treatment parameters to the radiotherapy equipment.
  • Pre-stored treatment parameters are used to treat patients, and during the treatment process, the actual treatment parameters are fed back to the radiotherapy control system, and the radiotherapy control system compares the actual treatment parameters with the pre-stored treatment parameters to achieve monitoring of the radiotherapy equipment.
  • the equipment operator or doctor of the radiotherapy center can only monitor the operation of the radiotherapy equipment, but cannot understand the operation of other equipment in the radiotherapy center. If other equipment fails, it cannot be found and stopped in time. Operation, there will be great security risks.
  • An embodiment of the present disclosure provides a monitoring system for a radiation therapy center, which is used to monitor the operating conditions of all the equipment in the radiation therapy center, and can timely detect failures of any equipment in the radiation therapy center.
  • a radiation therapy center monitoring system including: a monitoring cloud platform;
  • the monitoring cloud platform is connected to at least one radiation therapy center, and is used to obtain in real time the operating parameters of the target device in the radiation therapy center and / or patient treatment information generated by the target device;
  • the monitoring cloud platform is also used to control the target device according to the operating parameters of the target device obtained from the radiation therapy center and / or patient treatment information generated by the target device.
  • the monitoring cloud platform is further configured to store the obtained operating parameters of the target device and / or patient treatment information generated by the target device.
  • system further includes: a shared server;
  • the shared server is set in the radiation therapy center and corresponds to the radiation therapy center one-to-one;
  • the shared server is connected to the target device of the radiation therapy center where it is located, and is used to obtain the operating parameters of the target device and / or patient treatment information generated by the target device in real time;
  • the shared server is connected to the monitoring cloud platform and is used to send the operating parameters of the target device obtained from the target device and / or patient treatment information generated by the target device to the monitoring cloud platform.
  • the monitoring cloud platform controls the target device according to the operating parameters of the target device obtained from the radiation therapy center, including:
  • the monitoring cloud platform judges whether the target device is faulty according to the operating parameters of the target device obtained from the radiation therapy center;
  • the monitoring cloud platform determines that the target device has a fault
  • the monitoring cloud platform is also used to send a fault processing instruction corresponding to the fault to the radiation therapy center, so that the radiation therapy center can handle the failure of the target device.
  • the monitoring cloud platform controls the target device according to the patient treatment information generated by the target device obtained from the radiation therapy center, including:
  • the monitoring cloud platform judges whether the acquired patient treatment information generated by the target device meets a preset treatment standard
  • the monitoring cloud platform determines that the patient treatment information generated by the target device does not meet the preset treatment standard, the monitoring cloud platform is also used to send a treatment failure instruction to the radiotherapy center to enable the radiotherapy center to adjust the operating status of the target device.
  • the monitoring cloud platform when the monitoring cloud platform receives the patient information search instruction sent by the shared server set in the first radiation therapy center, the monitoring cloud platform is used to store the target disease generated by the target device in the second radiation therapy center that it stores.
  • Patient treatment information is sent to the shared server set in the first radiation therapy center;
  • the identification of the second radiation therapy center matches the identification of the radiation therapy center carried in the patient information search instruction, and the patient information contained in the target patient treatment information matches the patient information carried in the patient information search instruction.
  • the radiotherapy center monitoring system further includes: a user terminal connected to the target device through a wireless network;
  • the target device When the target device receives the query instruction sent by the user terminal, it is used to send the target information corresponding to the query instruction in the patient treatment information generated by itself to the user terminal.
  • the target device is at least one or more of the following:
  • Oncology information system OIS server treatment planning system TPS server, image guidance system IGS server, radiotherapy control system server, and radiotherapy equipment connected to the radiotherapy control system server.
  • the fault includes at least one or more of the following: the OIS server is interrupted, the calibration parameters in the operating parameters of the TPS server and the TPS calibration parameters stored in the monitoring cloud platform are different, the geometric calibration parameters in the operating parameters of the IGS server, and Monitoring the cloud platform's pre-stored IGS geometric calibration parameters, the configuration parameters in the operating parameters of the radiotherapy control system server and monitoring cloud platform's pre-stored control configuration parameters, the operating parameters of the radiotherapy equipment's operating parameters are not monitored in the cloud platform's pre-stored radiotherapy treatment Within a preset range of parameters.
  • connection mode between the monitoring cloud platform, the shared server, and the target device includes at least one of the following: a wireless fidelity WiFi network, a wired network, and Bluetooth.
  • the radiation therapy center monitoring system includes a monitoring cloud platform; wherein the monitoring cloud platform is connected with at least one radiation therapy center to obtain the operation of the target device in the radiation therapy center in real time. Parameters and / or patient treatment information generated by the target device; then, the monitoring cloud platform controls the target device according to the operating parameters of the target device obtained from the radiation therapy center. Because the monitoring cloud platform can obtain the operating parameters of the target device and / or patient treatment information generated by the target device in real time, and can also respond to the corresponding operating parameters based on the obtained operating parameters and / or patient treatment information generated by the target device.
  • the target equipment of the radiotherapy center is controlled, so the monitoring system of the radiotherapy center directly controls the corresponding equipment according to the obtained operating parameters, so as to monitor all the equipment of the radiotherapy center and monitor the treatment process of all patients.
  • the center can detect and carry out corresponding remedial measures in time when there are hidden dangers or treatment errors.
  • FIG. 1 is a schematic structural diagram of a radiation therapy center monitoring system according to an embodiment of the present disclosure
  • FIG. 2 is a schematic structural diagram of another radiotherapy center monitoring system according to an embodiment of the present disclosure.
  • an embodiment of the present disclosure provides a monitoring system for a radiation therapy center, which includes a monitoring cloud platform 11;
  • the monitoring cloud platform 11 is connected to at least one radiation therapy center 12 (12-1 and 12-2) for obtaining operating parameters and / or target equipment of the target device 121 (121-1 and 121-2) in the radiation therapy center 12 121 patient treatment information generated;
  • the target device 121 may be one or more of the following (in FIG. 1, the radiotherapy center includes all target devices that can exist) as an example: the tumor information system OIS server 1211 (1211-1 And 1211-2), treatment planning system TPS server 1212 (1212-1 and 1212-2), image guidance system IGS server 1213 (1213-1 and 1213-2), radiotherapy control system server 1214 (1214-1 and 1214- 2) Radiotherapy equipment 1215 (1215-1 and 1215-2) connected to the radiotherapy control system server 1214;
  • the monitoring cloud platform 11 is further configured to control the target device 121 according to the operating parameters of the target device 121 obtained from the radiation therapy center 12 and / or patient treatment information generated by the target device 121.
  • the monitoring cloud platform 11 is further configured to use the acquired The operating parameters of the target device 121 and / or the patient treatment information generated by the target device 121 are stored.
  • monitoring the cloud platform 11 to control the target device 121 according to the operating parameters of the target device 121 obtained from the radiation therapy center 12 includes: monitoring the cloud platform 11 according to the target device 121 obtained from the radiation therapy center 12 Operating parameters to determine whether the target device 121 is faulty;
  • the monitoring cloud platform 11 determines that the target device 121 is faulty, the monitoring cloud platform 11 is further configured to send a fault processing instruction corresponding to the fault to the radiotherapy center 12 so that the radiotherapy center 12 processes the fault of the target device 121.
  • the monitoring cloud platform 11 controlling the target device 121 based on the patient treatment information generated by the target device 121 obtained from the radiation therapy center 12 includes:
  • the monitoring cloud platform 11 determines whether the acquired patient treatment information generated by the target device 121 meets a preset treatment standard
  • the monitoring cloud platform 11 determines that the patient treatment information generated by the target device 121 does not meet the preset treatment standard, the monitoring cloud platform 11 is also used to send a treatment failure instruction to the radiation treatment center 12 so that the radiation treatment center 12 responds to the target device 121. Adjust the operating status.
  • the monitoring cloud platform determines that the target device is faulty, the monitoring cloud platform is also used for Send equipment fault prompt information to the management terminal corresponding to the target device;
  • the troubleshooting information includes at least one or more of the following: sound, text, and light.
  • the monitoring cloud platform determines that the patient treatment information generated by the target device does not meet
  • the monitoring cloud platform is also used to send treatment failure prompt information to the management terminal corresponding to the target device;
  • the troubleshooting information includes at least one or more of the following: sound, text, and light.
  • the failure includes at least one or more of the following: the OIS server is interrupted, the calibration parameters in the operating parameters of the TPS server and the TPS calibration parameters stored in the monitoring cloud platform are different, the geometric calibration parameters in the operating parameters of the IGS server, and Monitoring the cloud platform's pre-stored IGS geometric calibration parameters, the configuration parameters in the operating parameters of the radiotherapy control system server and monitoring cloud platform's pre-stored control configuration parameters, the operating parameters of the radiotherapy equipment's operating parameters are not monitored in the cloud platform's pre-stored radiotherapy treatment Within a preset range of parameters;
  • the calibration parameters in the operating parameters of the TPS server include at least: equipment dose rate;
  • the geometric calibration parameters in the operating parameters of the IGS server include at least: the relative position between the tube and the plate;
  • the configuration parameters in the operating parameters of the radiotherapy control system server include at least: the stroke of the treatment bed;
  • the treatment parameters in the operating parameters of the radiotherapy equipment include at least: target number, non-coplanar angle, collimator number of the treatment target, irradiation time of the target, and rotation angle of the rack.
  • the monitoring cloud platform can obtain the operating parameters of the target device and / or the patient treatment information generated by the target device in real time, and can also obtain the operating parameters and / or the disease generated by the target device at the same time.
  • the patient treatment information controls the corresponding target equipment, so the monitoring system of the radiotherapy center directly controls the corresponding equipment according to the obtained operating parameters, so as to achieve the monitoring of all the equipment of the radiotherapy center and the treatment process of all patients. Monitoring, when unsafe hidden dangers or treatment errors occur in the radiotherapy center, timely remedial measures can be found and carried out.
  • an embodiment of the present disclosure further provides another monitoring system for a radiation therapy center, which further includes a shared server 13 (13-1 and 13-2) based on the above embodiment.
  • the shared server 13 is disposed in the radiation therapy center 12 and corresponds to the radiation therapy center 12 one by one; that is, the shared server 13-1 corresponds to the radiation therapy center 12-1, and the shared server 13-2 corresponds to the radiation therapy center 12-2;
  • the shared server 13 is connected to the target device 121 of the radiation therapy center 12 where it is located (in FIG. 2, the radiation therapy center includes all existing target devices as an example), and is used to obtain the operating parameters of the target device 121 and the target device 121 generates Patient treatment information;
  • the sharing server 13 is connected to the monitoring cloud platform 11 and is configured to send the operating parameters of the target device 121 obtained from the target device 121 and the patient treatment information generated by the target device 121 to the monitoring cloud platform 11.
  • the operating parameters of the target device include at least: operating parameters of the OIS server, operating parameters of the TPS server, operating parameters of the IGS server, operating parameters of the radiotherapy control system server, and operating parameters of the radiotherapy equipment;
  • the patient treatment information generated by the target device includes at least: OIS treatment process information, TPS treatment process information, IGS treatment process information, control treatment process information, and radiotherapy treatment process information.
  • this information includes but is not limited to: basic information of the patient (obtained from IGS), diagnostic information of the patient (obtained from IGS), patient's prescription information (obtained from IGS), radiation treatment plan (obtained from TPS), Implementation of radiation therapy plan (acquisition of radiotherapy equipment and radiotherapy control system) and so on.
  • TPS server 1212 (1212-1 and 1212-2), IGS server 1213 (1213-1 and 1213-2), and radiotherapy control system server 1214 (1214-1 and 1214-2) are connected to be used from the OIS server 1211
  • Obtain the operating parameters of the OIS server and the OIS treatment process information generated by it obtain the operating parameters of the TPS server and the TPS treatment process information generated by it from the TPS server 1212
  • IGS treatment process information is obtained from the radiotherapy control system server 1214 by the operating parameters of the radiotherapy control system server and the control treatment process information generated by it
  • the radiotherapy equipment 1215 (1215-1 and 1215-2) is obtained from the radiotherapy control system server 1214.
  • Operating parameters and radiotherapy treatment process information generated by the radiotherapy equipment is obtained from the radiotherapy
  • the radiation treatment center monitoring system is optional. It also includes: user terminal 01 connected to the target device 121 through a wireless network (the OIS server is connected to the user terminal as an example in FIG. 2);
  • the target device 121 When the target device 121 receives the query instruction sent by the user terminal 01, it is used to send target information corresponding to the query instruction in the patient treatment information generated by the target device 121 to the user terminal 01.
  • the radiation therapy center monitoring system provided by the embodiment of the present disclosure can achieve the following objectives:
  • the operating parameters of each radiotherapy equipment are sent to the shared server in real time through the radiotherapy control system, and the shared server is uploaded to the monitoring cloud platform in near real time.
  • the operating parameters of each radiotherapy equipment are monitored.
  • abnormality is found in the current operating parameters of a certain radiotherapy equipment (such as an accelerator, gamma knife, etc.), that is, when the operating parameters of a certain radiotherapy equipment are not within the preset range, the radiotherapy equipment is indicated.
  • the equipment may be faulty.
  • the monitoring cloud platform sends the information indicating the abnormality of the radiotherapy equipment to the radiotherapy control system of the radiotherapy center where the radiotherapy equipment is located via the shared server, which is the fault processing instruction of the foregoing embodiment.
  • the radiotherapy control system immediately terminates the Operation of radiotherapy equipment, and timely inspection and maintenance of the radiotherapy equipment.
  • OIS is a management system.
  • the cloud platform monitors whether the OIS server is interrupted through information interaction with the servers in the OIS.
  • the interruption sends corresponding fault processing instructions to the OIS server through the shared server, so that the management personnel or The doctor checked to restart.
  • TPS uploads the calibration parameters (using the device dose rate as an example) to the cloud platform for storage through the shared server.
  • the cloud platform compares the calibration parameters obtained in real time with the pre-stored calibration parameters and monitors them in real time. Whether the parameters have been changed, so as to monitor whether the TPS is running normally, or send it to the TPS server through the sharing server when abnormal, so that the management staff or doctor can handle the failure.
  • IGS uploads the geometric calibration parameters (such as the relative position between the tube and the plate) to the cloud platform for storage through a shared server.
  • the cloud platform compares the acquired geometric calibration parameters with the pre-stored geometric calibration parameters to monitor the geometric calibration Whether the parameter changes, so as to monitor whether the IGS is running normally, or send it to the IGS server through the shared server when abnormal, so that the management staff or doctor can handle the fault.
  • the radiotherapy control system uploads the configuration parameters (such as the travel of the treatment bed) to the cloud platform through the shared server and stores them.
  • the cloud platform compares the actual configuration parameters obtained by the radiotherapy control system with the pre-stored configuration parameters to monitor whether the configuration parameters have occurred. Change to monitor whether the radiotherapy control system is operating normally, or send it to the radiotherapy control system server through the shared server when abnormal, so that the management staff or doctor can handle the failure.
  • the entire treatment process can be: when the patient arrives at a radiation therapy center, register the patient's basic information (including at least the patient ID, such as the ID number or the visit card number) through IGS, and IGS will The patient's basic information is uploaded to the cloud platform via the shared server. If the patient collects image images, the image information will also be uploaded to the cloud platform via the shared server. After the doctor makes a diagnosis, the doctor will enter the patient's diagnostic information through IGS IGS uploads the patient's diagnostic information to the cloud platform via the shared server. Similarly, after a doctor prescribes a patient's prescription based on the diagnostic information, the patient's prescription information will be entered through IGS.
  • TPS can obtain the patient's image information and prescription information from the shared server, formulate a treatment plan for the patient, and upload the treatment plan to the shared server, and the shared server sends the patient's information to the cloud platform.
  • the radiotherapy control system obtains the patient's treatment plan from the shared server through the patient identification. After the patient is fixed, the patient is accurately positioned (positioned) with the help of IGS. IGS obtains the reference image information in the patient's treatment plan from the shared server. (Such as CT or MRI images), then collect the current actual position image of the patient, then register the actual position image with the reference image to get the position offset, and send the position offset to the radiotherapy control system, the radiotherapy control system Adjust the radiotherapy equipment according to the position deviation.
  • the patient After finishing positioning the patient, the patient is treated according to the patient's treatment plan (possibly divided treatment).
  • the radiotherapy equipment feeds back the actual treatment parameters to the radiotherapy control system.
  • the radiotherapy control system combines the treatment parameters in the treatment plan with the The actual treatment parameters are compared, and when they are not consistent, the operation of the radiotherapy equipment is terminated, thus ensuring the accuracy of the radiotherapy.
  • the treatment parameters may include a target point number, a non-coplanar angle, a collimator number for treating the target point, an irradiation time of the target point, a rotation angle of the gantry, and the like.
  • the monitoring cloud platform 11 When the monitoring cloud platform 11 receives a patient information search instruction sent from the sharing server 13 set at the first radiation therapy center 12-1, the monitoring cloud platform 11 is used to store the target in the second radiation therapy center 12-2 stored by itself The target patient treatment information generated by the device 121 is sent to the sharing server 13 set at the first radiation therapy center 12-1;
  • the identity of the second radiation therapy center 12-2 matches the identification of the radiation therapy center carried in the patient information search instruction, and the patient information contained in the target patient treatment information matches the patient information carried in the patient information search instruction.
  • the current hospital can find the patient's treatment progress and treatment process information from the monitoring cloud platform, and then Then, a follow-up treatment plan can be formulated based on the obtained treatment progress and treatment process information of the patient; further, doctors can also refer to the patient's previous treatment information to make reasonable follow-up treatments, and different doctors can also monitor by The cloud platform learns from each other's experience data related to diagnosis and treatment.
  • connection mode between the monitoring cloud platform, the shared server, and the target device or between the respective transceiver devices includes at least one of the following: a wireless fidelity WiFi network, a wired network, and Bluetooth.
  • the unlimited fidelity WiFi network may be a mobile operator network, and the above connection method may also be a combination of multiple network connection methods.
  • the radiotherapy center monitoring system provided by the embodiment of the present disclosure, because the monitoring system includes: a monitoring cloud platform; wherein, the monitoring cloud platform is connected to at least one radiotherapy center to obtain a target in the radiotherapy center in real time. The operating parameters of the device and / or patient treatment information generated by the target device; then, the monitoring cloud platform controls the target device according to the operating parameters of the target device obtained from the radiation therapy center. Because the monitoring cloud platform can obtain the operating parameters of the target device and / or patient treatment information generated by the target device in real time, and can also respond to the corresponding operating parameters based on the obtained operating parameters and / or patient treatment information generated by the target device.
  • the target equipment of the radiotherapy center is controlled, so the monitoring system of the radiotherapy center directly controls the corresponding equipment according to the obtained operating parameters, so as to monitor all the equipment of the radiotherapy center and monitor the treatment process of all patients.
  • the center can detect and carry out corresponding remedial measures in time when there are hidden dangers or treatment errors.

Abstract

一种放射治疗中心监控系统，涉及监控领域，能够对放射治疗中心的所有设备进行实时监控。放射治疗中心监控系统包括：监控云平台（11）；监控云平台（11）与至少一个放射治疗中心（12-1、12-2）连接，用于实时获取放射治疗中心（12-1、12-2）中目标设备（121-1、121-2）的运行参数和/或目标设备（121-1、121-2）产生的病患治疗信息；监控云平台（11）还用于根据从放射治疗中心（12-1、12-2）获取到的目标设备（121-1、121-2）的运行参数和/或目标设备（121-1、121-2）产生的病患治疗信息对目标设备（121-1、121-2）进行控制。

Description

一种放射治疗中心监控系统
本公开要求于2018年8月28日提交国家知识产权局、申请号为201810990792.X、发明名称为“一种放射治疗中心监控系统”的中国专利申请的优先权，其全部内容通过引用结合在本公开中。
技术领域
本公开涉及监控领域，尤其涉及一种放射治疗中心监控系统。
背景技术
目前，放射治疗中心中TPS(Radiotherapy planning system，放射治疗计划系统)服务器将TPS中预存的治疗参数发送给放疗控制系统，放疗控制系统再将该预存的治疗参数发送给放疗设备，放射治疗设备根据预存的治疗参数对患者进行治疗，并在治疗过程中，反馈实际的治疗参数给放疗控制系统，放疗控制系统将实际治疗参数与预存的治疗参数进行比较，以实现对放疗设备的监控。这样造成的结果是，放疗中心的设备操作人员或者医生只能监控到放疗设备的运行情况，而无法了解到放疗中心其他设备的运行情况，如果其他设备出现故障的时候无法及时被发现并停止设备的运行，则会存在很大的安全隐患。
发明内容
本公开的实施例提供一种放射治疗中心监控系统，用于对放射治疗中心的所有设备的运行情况进行监控，可以及时发现放射治疗中心任一设备出现的故障。
为达到上述目的，本公开的实施例采用如下技术方案：
第一方面，提供一种放射治疗中心监控系统，包括：监控云平台；
监控云平台与至少一个放射治疗中心连接，用于实时获取放射治疗中心中目标设备的运行参数和/或目标设备产生的病患治疗信息；
监控云平台还用于根据从放射治疗中心获取到的目标设备的运行参数和/或目标设备产生的病患治疗信息对目标设备进行控制。
可选的，监控云平台还用于将获取到的目标设备的运行参数和/或目标设备产生的病患治疗信息存储。
可选的，该系统还包括：共享服务器；
共享服务器设置在放射治疗中心中且与放射治疗中心一一对应；
共享服务器连接自身所处的放射治疗中心的目标设备，用于实时获取目标设备的运行参数和/或目标设备产生的病患治疗信息；
共享服务器连接至监控云平台，用于将从目标设备获取到的目标设备的运行参数和/或目标设备产生的病患治疗信息，发送给监控云平台。
可选的，监控云平台根据从放射治疗中心获取到的目标设备的运行参数对目标设备进行控制具体包括：
监控云平台根据从放射治疗中心获取到的目标设备的运行参数，判断目标设备是否存在故障；
当监控云平台确定目标设备存在故障时，监控云平台还用于向放射治疗中心发送与故障对应的故障处理指令，以使放射治疗中心对目标设备的故障进行处理。
可选的，监控云平台根据从放射治疗中心获取到的目标设备产生的病患治疗信息对目标设备进行控制具体包括：
监控云平台判断获取到的目标设备产生的病患治疗信息是否符合预设治疗标准；
当监控云平台确定目标设备产生的病患治疗信息不符合预设治疗标准时，监控云平台还用于向放射治疗中心发送治疗故障指令，以使放射治疗中心对目标设备的运行状态进行调整。
可选的，当监控云平台接收到设置在第一放射治疗中心的共享服务器发送的病患信息查找指令时，监控云平台用于将自身存储的第二放射治疗中心中目标设备产生的目标病患治疗信息，发送给设置在第一放射治疗中心的共享服务器；
第二放射治疗中心的身份标识与病患信息查找指令携带的放射治疗中心标识相匹配，目标病患治疗信息包含的病患信息与病患信息查找指令携带的病患信息相匹配。
可选的，该放射治疗中心监控系统还包括：与目标设备通过无线网络连接的用户终端；
当目标设备接收到用户终端发送的查询指令时，用于将自身产生的病 患治疗信息中与查询指令对应的目标信息发送给用户终端。
示例性的，目标设备至少为以下一种或多种：
肿瘤信息系统OIS服务器、治疗计划系统TPS服务器、图像引导系统IGS服务器、放疗控制系统服务器、与放疗控制系统服务器连接的放疗设备。
可选的，故障至少包括以下一种或多种：OIS服务器产生中断、TPS服务器的运行参数中的标定参数和监控云平台预存的TPS标定参数不同、IGS服务器的运行参数中的几何标定参数和监控云平台预存的IGS几何标定参数不同、放疗控制系统服务器的运行参数中的配置参数和监控云平台预存的控制配置参数不同、放疗设备的运行参数中的治疗参数不在监控云平台预存的放疗治疗参数的预设范围内。
示例性的，监控云平台、共享服务器、目标设备之间的连接方式包括以下至少一种：无线保真WiFi网络、有线网络、蓝牙。
本公开实施例提供的放射治疗中心监控系统，该放射治疗中心监控系统包括：监控云平台；其中，监控云平台通过与至少一个放射治疗中心连接，从而实时获取到放射治疗中心中目标设备的运行参数和/或目标设备产生的病患治疗信息；然后，监控云平台根据从放射治疗中心获取到的目标设备的运行参数对目标设备进行控制。因为监控云平台可以实时获取放射治疗中心中目标设备的运行参数和/或目标设备产生的病患治疗信息，同时还可以根据获取到的运行参数和/或目标设备产生的病患治疗信息对相应的目标设备进行控制，所以该放射治疗中心监控系统直接根据获取到的运行参数对相应设备进行控制，从而达到对放射治疗中心所有设备的监控以及对所有病患的治疗过程的监控，在放射治疗中心出现不安全隐患或者治疗失误时可以及时发现并开展相应补救措施。
附图说明
为了更清楚地说明本公开实施例或现有技术中的技术方案，下面将对实施例或现有技术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公开的一些实施例，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为本公开实施例提供的一种放射治疗中心监控系统结构示意图；
图2为本公开实施例提供的另一种放射治疗中心监控系统结构示意图。
具体实施方式
下面将结合本公开实施例中的附图，对本公开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公开一部分实施例，而不是全部的实施例。基于本公开中的实施例，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，都属于本公开保护的范围。
需要说明的是，本公开实施例中，“示例性的”或者“例如”等词用于表示作例子、例证或说明。本公开实施例中被描述为“示例性的”或者“例如”的任何实施例或设计方案不应被解释为比其它实施例或设计方案更优选或更具优势。确切而言，使用“示例性的”或者“例如”等词旨在以具体方式呈现相关概念。
还需要说明的是，本公开实施例中，“的(英文：of)”，“相应的(英文：corresponding，relevant)”和“对应的(英文：corresponding)”有时可以混用，应当指出的是，在不强调其区别时，其所要表达的含义是一致的。
相关技术中，放射治疗中心的各个设备中，只有放疗设备的工作状态会被放疗控制系统所监控，其余的设备运行状况并未被监控，当其余的设备工作状态出现问题时也不能被及时发现，这就容易导致安全隐患的出现。
针对上述问题，参照图1所示，本公开实施例提供一种放射治疗中心监控系统，包括监控云平台11；
监控云平台11与至少一个放射治疗中心12(12-1和12-2)连接，用于获取放射治疗中心12中目标设备121(121-1和121-2)的运行参数和/或目标设备121产生的病患治疗信息；
示例性的，参照图1所示，目标设备121可以以下一种或多种(图1中以该放射治疗中心包括所有可以存在的目标设备为例)：肿瘤信息系统OIS服务器1211(1211-1和1211-2)、治疗计划系统TPS服务器1212(1212-1和1212-2)、图像引导系统IGS服务器1213(1213-1和1213-2)、放疗控制系统服务器1214(1214-1和1214-2)和与放疗控制系统服务器1214连接的放疗设备1215(1215-1和1215-2)；
监控云平台11还用于根据从放射治疗中心12获取到的目标设备121的运行参数和/或目标设备121产生的病患治疗信息对目标设备121进行控制。
可选的，为了使得放射治疗中心的管理人员或医生能够随时调用当前时刻以前产生的所有目标设备的运行参数和/目标设备产生的病患治疗信息，监控云平台11还用于将获取到的目标设备121的运行参数和/或目标设备121产生的病患治疗信息存储。
具体可选的，监控云平台11根据从放射治疗中心12获取到的目标设备121的运行参数对目标设备121进行控制具体包括：监控云平台11根据从放射治疗中心12获取到的目标设备121的运行参数，判断目标设备121是否存在故障；
当监控云平台11确定目标设备121存在故障时，监控云平台11还用于向放射治疗中心12发送与故障对应的故障处理指令，以使放射治疗中心12对目标设备121的故障进行处理。
具体可选的，监控云平台11根据从放射治疗中心12获取到的目标设备121产生的病患治疗信息对目标设备121进行控制具体包括：
监控云平台11判断获取到的目标设备121产生的病患治疗信息是否符合预设治疗标准；
当监控云平台11确定目标设备121产生的病患治疗信息不符合预设治疗标准时，监控云平台11还用于向放射治疗中心12发送治疗故障指令，以使放射治疗中心12对目标设备121的运行状态进行调整。
为了使得放射治疗中心的管理人员可以明确了解到放射治疗中心的故障情况和对放射治疗中心的故障进行处理，所以可选的，当监控云平台确定目标设备存在故障时，监控云平台还用于向目标设备对应的管理终端发送设备故障提示信息；
故障处理提示信息至少包括以下一种或多种：声音、文字、光。
为了使得放射治疗中心的管理人员可以明确了解到放射治疗中心的治疗故障情况和对放射治疗中心的治疗故障进行处理，所以可选的，当监控云平台确定目标设备产生的病患治疗信息不符合预设治疗标准时，监控云平台还用于向目标设备对应的管理终端发送治疗故障提示信息；
故障处理提示信息至少包括以下一种或多种：声音、文字、光。
示例性的，故障至少包括以下一种或多种：OIS服务器产生中断、TPS服务器的运行参数中的标定参数和监控云平台预存的TPS标定参数不同、IGS服务器的运行参数中的几何标定参数和监控云平台预存的IGS几何标定参数不同、放疗控制系统服务器的运行参数中的配置参数和监控云平台预存的控制配置参数不同、放疗设备的运行参数中的治疗参数不在监控云平台预存的放疗治疗参数的预设范围内；
TPS服务器的运行参数中的标定参数至少包括：设备剂量率；
IGS服务器的运行参数中的几何标定参数至少包括：球管和平板间的相对位置；
放疗控制系统服务器的运行参数中的配置参数至少包括：治疗床的行程；
放疗设备的运行参数中的治疗参数至少包括：靶点编号、非共面角、治疗靶点的准直器编号、靶点的辐照时间、机架旋转角度。
上述实施例中，因为监控云平台可以实时获取放射治疗中心中目标设备的运行参数和/或目标设备产生的病患治疗信息，同时还可以根据获取到的运行参数和/或目标设备产生的病患治疗信息对相应的目标设备进行控制，所以该放射治疗中心监控系统直接根据获取到的运行参数对相应设备进行控制，从而达到对放射治疗中心所有设备的监控以及对所有病患的治疗过程的监控，在放射治疗中心出现不安全隐患或者治疗失误时可以及时发现并开展相应补救措施。
实际中放射治疗中心中各个设备之间的信息交互是独立的，没有一个统一的信息存储区供管理人员或医生结合所有设备信息对所有设备的运行或任意病患的治疗过程进行监控，所以进一步的，参照图2所示，本公开实施例还提供另一种放射治疗中心监控系统，在上述实施例的基础上还包括共享服务器13(13-1和13-2)；
共享服务器13设置在放射治疗中心12中且与放射治疗中心12一一对应；即共享服务器13-1对应放射治疗中心12-1，共享服务器13-2对应放射治疗中心12-2；
共享服务器13连接自身所处的放射治疗中心12的目标设备121(图2中以放射治疗中心中包括所有可存在的目标设备为例)，用于获取目标设备121的运行参数和目标设备121产生的病患治疗信息；
共享服务器13连接至监控云平台11，用于将从目标设备121获取到的目标设备121的运行参数和目标设备121产生的病患治疗信息，发送给监控云平台11。
示例性的，目标设备的运行参数至少包括：OIS服务器的运行参数、TPS服务器的运行参数、IGS服务器的运行参数、放疗控制系统服务器的运行参数和放疗设备的运行参数；
目标设备产生的病患治疗信息至少包括：OIS治疗过程信息、TPS治疗过程信息、IGS治疗过程信息、控制治疗过程信息和放疗治疗过程信息。示例性的，这些信息中包括但不限于：病患的基本信息(IGS获取)，病患的诊断信息(IGS获取)，病患的处方信息(IGS获取)，放射治疗计划(TPS获取)，放射治疗计划的实施情况(放疗设备和放疗控制系统获取)等等。
具体可选的，参照图2所示，共享服务器13(13-1和13-2)分别与自身所处的放射治疗中心的目标设备121中的OIS服务器1211(1211-1和1211-2)、TPS服务器1212(1212-1和1212-2)、IGS服务器1213(1213-1和1213-2)和放疗控制系统服务器1214(1214-1和1214-2)连接，用于从OIS服务器1211上获取OIS服务器的运行参数和其产生的OIS治疗过程信息，从TPS服务器1212上获取TPS服务器的运行参数和其产生的TPS治疗过程信息，从IGS服务器1213上获取IGS服务器的运行参数和其产生的IGS治疗过程信息，从放疗控制系统服务器1214上获取放疗控制系统服务器的运行参数和其产生的控制治疗过程信息，从放疗控制系统服务器1214上获取放疗设备1215(1215-1和1215-2)的运行参数和放疗设备产生的放疗治疗过程信息。
实际中，因为病患的家属或病患本身不在医院的时候也会想知道病患的治疗进度或治疗过程中的治疗信息，所以可选的，参照图2所示，该放射治疗中心监控系统还包括：与目标设备121通过无线网络连接的用户终端01(图2中以OIS服务器与用户终端连接为例)；
当目标设备121接收到用户终端01发送的查询指令时，用于将自身产生的病患治疗信息中与查询指令对应的目标信息发送给用户终端01。
在完成上述如图2所示的连接关系后，本公开实施例提供的放射治疗中心监控系统可以达到以下目的：
(1)在各放射治疗中心中的放疗设备在运行过程中，将各放疗设备的运行参数实时地通过放疗控制系统发送给共享服务器，共享服务器近似实时地上传至监控云平台，监控云平台对各放疗设备的运行参数进行监控，当发现当前某放疗设备(如加速器、伽马刀等)的运行参数出现异常时，即当某放疗设备的运行参数不在预设的范围内时，表明该放疗设备可能出现故障，这时，监控云平台经由共享服务器向该放疗设备所在的放射治疗中心的放疗控制系统发送指示该放疗设备异常的信息即前述实施例的故障处理指令，放疗控制系统立即终止该放疗设备的运行，并及时对该放疗设备进行检查和维修。
(2)OIS作为一种管理系统，云平台通过与OIS中的服务器之间的信息交互，监控OIS服务器是否发生中断，中断则通过共享服务器发送对应故障处理指令给OIS服务器，以使管理人员或医生检查重启。
(3)TPS将标定参数(以设备剂量率为例)通过共享服务器上传至云平台进行存储，在治疗计划的生成过程中，云平台将实时获取的标定参数与预存标定参数进行比较，实时监控定参数是否发生变化，从而监控TPS是否运行正常，不正常时则通过共享服务器发送至TPS服务器上以使管理人员或医生对故障进行处理。
(4)IGS将几何标定参数(例如球管和平板间的相对位置)等通过共享服务器上传至云平台进行存储，云平台将获取到的几何标定参数与预存几何标定参数进行比较，监控几何标定参数是否发生变化，从而监控IGS是否运行正常，不正常时则通过共享服务器发送至IGS服务器上以使管理人员或医生对故障进行处理。
(5)放疗控制系统通过共享服务器将配置参数(例如治疗床的行程)上传至云平台并存储，云平台将放疗控制系统获取到的实际配置参数与预存配置参数进行比较，监控配置参数是否发生变化，以监控放疗控制系统是否正常运行，不正常时则通过共享服务器发送至放疗控制系统服务器上以使管理人员或医生对故障进行处理。
另外，在放射治疗中心设置共享服务器后，整个治疗过程可以为：当患者到达某放射治疗中心后，通过IGS登记患者的基本信息(至少包括患者标识，例如身份证号或者就诊卡号)，IGS将该患者的基本信息经共享服务器上传至云平台，若患者采集了影像图像，也会将图像信息经共享服 务器上传至云平台，在医生做出诊断之后，医生会通过IGS录入该患者的诊断信息，IGS将该患者的诊断信息经共享服务器上传至云平台，同样，在医生根据诊断信息为病人下处方后，会通过IGS录入该患者的处方信息。TPS可从共享服务器中获取患者的图像信息和处方信息，为患者制定治疗计划，并将该治疗计划上传至共享服务器，共享服务器将该患者的信息发送至云平台。放射治疗控制系统通过患者标识从共享服务器获取该患者的治疗计划，在固定患者之后，借助IGS对患者进行精确定位(摆位)，IGS从共享服务器中获取该患者的治疗计划中的基准图像信息(例如CT或MRI图像)，再采集患者当前实际位置图像，接下来将实际位置图像与基准图像进行配准，得到位置偏移量，将该位置偏移量发送给放疗控制系统，放疗控制系统根据该位置偏移量控制放疗设备进行调整。完成对患者的摆位之后，根据该患者的治疗计划对该患者进行治疗(可能是分次治疗)，放疗设备反馈实际的治疗参数给放疗控制系统，放疗控制系统将治疗计划中的治疗参数与该实际的治疗参数进行比较，在不一致时，终止放疗设备的运行，这样，保证了放射治疗的准确性。这里，治疗参数可以包括靶点编号、非共面角、治疗该靶点的准直器编号、靶点的辐照时间、机架旋转角度等等。
实际中，病患因为自身情况可能会在治疗途中更换医院，所以还需要使得不同的医院在获取病患提供的病患信息查找指令后可以从监控云平台找到需要的治疗信息，因此，可选的，参照图2所示：
当监控云平台11接收到设置在第一放射治疗中心12-1的共享服务器13发送的病患信息查找指令时，监控云平台11用于将自身存储的第二放射治疗中心12-2中目标设备121产生的目标病患治疗信息，发送给设置在第一放射治疗中心12-1的共享服务器13；
第二放射治疗中心12-2的身份标识与病患信息查找指令携带的放射治疗中心标识相匹配，目标病患治疗信息包含的病患信息与病患信息查找指令携带的病患信息相匹配。这样一来，病患无论何时更换医院(例如已采集图像但未制定治疗计划时)，其当前所在的医院便都可以从监控云平台上找到该病患的治疗进度和治疗过程信息，然后便可以根据获取的该病患的治疗进度和治疗过程信息制定后续的治疗计划；进一步的，医生还可以参考病患之前的治疗信息做出合理的后续治疗，不同的医生之间也可以通过监控云平台相互借鉴学习诊疗相关经验数据。
可选的，监控云平台、共享服务器和目标设备之间或各自的收发装置之间的连接方式包括以下至少一种：无线保真WiFi网络、有线网络、蓝牙。其中无限保真WiFi网络可以是移动运营商网络，同时上述连接方式也可以是多种网络连接方式结合的方式。
综上可得，本公开实施例提供的放射治疗中心监控系统，因为该监控系统包括：监控云平台；其中，监控云平台通过与至少一个放射治疗中心连接，从而实时获取到放射治疗中心中目标设备的运行参数和/或目标设备产生的病患治疗信息；然后，监控云平台根据从放射治疗中心获取到的目标设备的运行参数对目标设备进行控制。因为监控云平台可以实时获取放射治疗中心中目标设备的运行参数和/或目标设备产生的病患治疗信息，同时还可以根据获取到的运行参数和/或目标设备产生的病患治疗信息对相应的目标设备进行控制，所以该放射治疗中心监控系统直接根据获取到的运行参数对相应设备进行控制，从而达到对放射治疗中心所有设备的监控以及对所有病患的治疗过程的监控，在放射治疗中心出现不安全隐患或者治疗失误时可以及时发现并开展相应补救措施。
以上所述，仅为本公开的具体实施方式，但本公开的保护范围并不局限于此，任何熟悉本技术领域的技术人员在本公开揭露的技术范围内，可轻易想到的变化或替换，都应涵盖在本公开的保护范围之内。因此，本公开的保护范围应以权利要求的保护范围为准。

Claims (10)

  1. 一种放射治疗中心监控系统，其特征在于，包括监控云平台；
    所述监控云平台与至少一个放射治疗中心连接，用于实时获取所述放射治疗中心中目标设备的运行参数和/或所述目标设备产生的病患治疗信息；
    所述监控云平台还用于根据从所述放射治疗中心获取到的所述目标设备的运行参数和/或所述目标设备产生的病患治疗信息，对所述目标设备进行控制。
  2. 根据权利要求1所述的放射治疗中心监控系统，其特征在于，所述监控云平台还用于将获取到的所述目标设备的运行参数和/或所述目标设备产生的病患治疗信息存储。
  3. 根据权利要求1所述的放射治疗中心监控系统，其特征在于，还包括：共享服务器；
    所述共享服务器设置在放射治疗中心中且与所述放射治疗中心一一对应；
    所述共享服务器连接自身所处的放射治疗中心的目标设备，用于实时获取所述目标设备的运行参数和/或所述目标设备产生的病患治疗信息；
    所述共享服务器连接至所述监控云平台，用于将从所述目标设备获取到的所述目标设备的运行参数和/或所述目标设备产生的病患治疗信息，发送给所述监控云平台。
  4. 根据权利要求1所述的放射治疗中心监控系统，其特征在于，所述监控云平台根据从所述放射治疗中心获取到的所述目标设备的运行参数对所述目标设备进行控制具体包括：
    所述监控云平台根据从所述放射治疗中心获取到的所述目标设备的运行参数，判断所述目标设备是否存在故障；
    当所述监控云平台确定所述目标设备存在故障时，所述监控云平台还用于向所述放射治疗中心发送与所述故障对应的故障处理指令，以使所述放射治疗中心对所述目标设备的故障进行处理。
  5. 根据权利要求1所述的放射治疗中心监控系统，其特征在于，所述监控云平台根据从所述放射治疗中心获取到的所述目标设备产生的病患治疗信息对所述目标设备进行控制具体包括：
    所述监控云平台判断获取到的所述目标设备产生的病患治疗信息是否 符合预设治疗标准；
    当所述监控云平台确定所述目标设备产生的病患治疗信息不符合预设治疗标准时，所述监控云平台还用于向所述放射治疗中心发送治疗故障指令，以使所述放射治疗中心对所述目标设备的运行状态进行调整。
  6. 根据权利要求3所述的放射治疗中心监控系统，其特征在于，当所述监控云平台接收到设置在第一放射治疗中心的共享服务器发送的病患信息查找指令时，所述监控云平台用于将自身存储的第二放射治疗中心中目标设备产生的目标病患治疗信息，发送给所述设置在第一放射治疗中心的共享服务器；
    所述第二放射治疗中心的身份标识与所述病患信息查找指令携带的放射治疗中心标识相匹配，所述目标病患治疗信息包含的病患信息与所述病患信息查找指令携带的病患信息相匹配。
  7. 根据权利要求1所述的放射治疗中心监控系统，其特征在于，还包括：与所述目标设备通过无线网络连接的用户终端；
    当所述目标设备接收到所述用户终端发送的查询指令时，用于将自身产生的病患治疗信息中与所述查询指令对应的目标信息发送给所述用户终端。
  8. 根据权利要求4所述的放射治疗中心监控系统，其特征在于，所述目标设备至少为以下一种或多种：
    肿瘤信息系统OIS服务器、治疗计划系统TPS服务器、图像引导系统IGS服务器、放疗控制系统服务器、与放疗控制系统服务器连接的放疗设备。
  9. 根据权利要求8所述的放射治疗中心监控系统，其特征在于，所述故障至少包括以下一种或多种：所述OIS服务器产生中断、所述TPS服务器的运行参数中的标定参数和所述监控云平台预存的TPS标定参数不同、所述IGS服务器的运行参数中的几何标定参数和所述监控云平台预存的IGS几何标定参数不同、所述放疗控制系统服务器的运行参数中的配置参数和所述监控云平台预存的控制配置参数不同、所述放疗设备的运行参数中的治疗参数不在所述监控云平台预存的放疗治疗参数的预设范围内。
  10. 根据权利要求3所述的放射治疗中心监控系统，其特征在于，所述监控云平台、所述共享服务器、所述目标设备之间的连接方式包括以下至少一种：无线保真WiFi网络、有线网络、蓝牙。
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