放射治療醫療資訊系統ARIA(下標 TM)客製化放射治療治療記錄單

To Customize Radiotherapy Record Sheet with Oncology Information System ARIA(superscript TM)

陳臣苑(Chen-Yuan Chen) ； 姚學華(Hsueh-Hua Yao) ； 蔡介生(Chiea-Sheng Tsai) ； 洪志宏(Ji-Hong Hong) ； 陳彥超(Yen-Chao Chen) ； 范綱行(Kang-Hsing Fan) ； 林俊彥(Chun-Yann Lin) ； 曾雁明(Nagn-Ming Tsang)

《放射治療與腫瘤學》 16卷3期 (2009/09) Pp. 215-226

https://doi.org/10.6316/TRO/200916(3)215

摘要

目的：放射治療須經醫師、物理師、劑量師、放射師等人通力合作，才能完成規劃、準備及執行直線加速器、影像導引裝置、模擬攝影、治療計劃系統等，由於此複雜執行過程常發生文件資訊傳遞錯誤，本研究導入電子化輸出放射治療記錄單方式以確保文件資訊與資料庫內容同步。
材料與方法：為標榜完全整合病患資訊及放射治療記錄與影像管理，長庚紀念醫院情人湖分院放射腫瘤科使用放射治療醫療資訊系統(Oncology Information System, OIS) ARIA(上標 TM) (Varian, Palo Alto, USA)管理直線加速器(Clinac(上標 ®) iX, Varian, Palo Alto, USA)的治療執行與記錄放射治療作業。該系統將癌病資訊、排程資訊、影像分析、治療計畫、治療輸出結果等皆儲存於無紙、無片的單一資料庫內。本科自2006年3月起至2008年1月底止共675位放射治療病患，利用InfoMaker(上標 ®)軟體(Sybase, Berkeley, USA)所設計的記錄單完成每日放射治療執行情形記錄，並確認每次執行前記錄單內容輸出是否正確。
結果：比對675位病患1331個治療計劃所產生的治療紀錄單，未發生任何治療紀錄單參數與加速器輸出控制條件不吻合狀況，因此使用該方式輸出治療紀錄單可避免紙本文件治療參數紀錄錯誤發生機會，減少對放射治療醫療資訊系統所需的品質控管流程，確保病患接受安全的放射治療。

關鍵字

放射治療醫療資訊系統 ； 治療紀錄單

並列摘要

Purpose: Radiotherapy is a multidisciplinary specialty involving the cooperation of physicians, medical physicists, and therapists. In addition to the use of complex equipment and procedures for the assessment, planning, and delivery of treatment, it is also imperative to guarantee the correct ”record and verify” of all treatment parameters. This study introduces a computer-based method to integrate accelerator therapy with its existing treatment practices.
Material and Method: ARIA(superscript TM) oncology information system (OIS, Varian, Palo Alto, USA) has been used by the Department of Radiation Oncology, Chang Gung Memorial Hospital Lakeview Branch, Keelung to facilitate and ensure the connectivity between radiation delivery devices (Clinac(superscript ®) iX, Varian, Palo Alto, USA) and the ”record and verify” functions. This system integrates information about cancer registration, treatment process, image analyses, treatment planning, and radiation deliveries in a database without paper and film. From Mar 2006 to Jan 2008, 1331 record sheets of 675 patients were established by Infomaker(superscript ®) software (Sybase, Berkeley, USA). The accuracy of the record lists was evaluated.
Result: Total of the 1331 record lists were found accurately matched with all the treatment parameters. Thus, using the computer-controlled OIS and related software could avoid artificial record mistake, verify processes of quality control, and facilitate and ensure superior radiotherapy.

並列關鍵字

Oncology Information System ； Record Sheet