- 學位論文
支援放射治療資訊系統資料庫之開發
The Development of Databases to Support Radiation Therapy Information System
摘要
摘要 惡性腫瘤已多年蟬聯十大死因之首，治療的方式包含手術、化療、放射治療與標靶治療等，其中放射治療前必須為病患安排完整的放射科影像檢查與治療計畫，當醫療紀錄的作業量逐漸增加，資訊數位化的重要性便與日俱增。因此醫療資訊系統正是提供檔案記載便捷的重要工具，然而醫療院所和廠商研發出的醫療資訊管理系統大多仍未普及至遠端瀏覽的方式，據此本研究主要藉由通訊與資訊科技開發出支援放射治療資訊系統的資料管理系統，期望能改善此問題。 放射治療科的醫療儀器與系統很多，治療過程繁多，每個步驟的需求皆不相同，且治療紀錄的表單欄位及格式種類也是相當複雜，因此放射治療資訊管理系統建構困難。本研究以主從式架構依現有的治療資訊系統介面建立一個客製化的放射治療摘要報告管理系統( RSRMS )，依微軟的IIS伺服器架構下，利用Access搭配ASP.NET動態網頁技術開發網頁資料庫，可以在網絡內的任何瀏覽器上運作。系統開發亦運用Visual C#新建網站，並以Excel作為匯入的專屬格式，以及ReportViewer控制項呈現匯出報表，達到系統操作方便性；而登入系統是以用戶職權、帳號、密碼與驗證碼設計其安全的驗證機制；此外亦開發一系統用戶管理介面便於系統使用者的管理，在操作流程設計，考慮到貼近臨床使用者的習慣；系統完成後以超過500筆虛擬病歷資料進行測試。 此開發的系統在常見的瀏覽器上皆可正常運作；進入系統前，登入介面具備多種職權，不同職權具有不同的操作權限，登入資訊皆吻合後才予以使用，具備安全驗證機制；系統用戶管理介面易於瀏覽，且便於系統用戶的管理；本系統在新增、編輯、修改、刪除報告乃至於查詢、瀏覽和匯出文件的操作流程設計，是貼近臨床使用者的使用方式；虛擬病歷資料有505筆，經過多種查詢條件的測試後，在查詢與匯出功能的正確率達100%。另外在匯出的效率方面，平均僅需1.25~2.47秒即可完成資料搜尋與匯出結果，提供臨床治療記錄處理的效率；系統匯入文件的步驟簡要，清楚顯示匯入過程的相關訊息，便於使用者掌握匯入情形。 本研究開發一個支援放射治療資訊系統資料庫的雛型，整合放射治療摘要報告醫療資訊欄位，解決放療表單設計困難的問題，且具備簡潔扼要的使用者介面；系統並以網頁化瀏覽界面呈現，可在網絡內任一端瀏覽器上使用，更透過單一登入管控，管理醫療資訊提供安全機制。
並列摘要
Abstract Malignant tumor is the top ten causes of death for many years. The method of treatment comprises surgery, chemotherapy, radiotherapy and targeted therapy, etc., which medical staff must arrange complete imaging examinations and radiotherapy plan for patients before the formal radiotherapy. The importance of digital information will increase when medical records were increased gradually, so medical information system is the essential tool which provides convenient file records. However, most of the medical information management systems that medical institutes and manufacturers researched and developed have not yet been extended to the distal browsable way. This aim of this research is to develop a data management system for supporting radiotherapy information system mainly using communication and information technology. It is difficult to develop radiotherapy information management system, because there are many medical devices and information systems in radiation oncology department, and there are lot courses of treatment. In this study, we developed a customized of radiotherapy summary report management system (RSRMS) based on a Client / Server architecture, which extracted from current radiotherapy information system interface. According to Microsoft's IIS server architecture using Access with ASP.NET technology developed web database, it can be operated in any web browser within the network. To achieve the convenience of system operation, the development of this system is also the use of Visual C # to create a new website, Excel as the exclusive import formats, and ReportViewer control items present export reports. The login security authentication mechanism is designed with user job titles, username, passwords and verification codes. In addition, based on the clinical user habits, a user management interface, which facilitates the implementation of a system administrator, is developed. After the system is completed, more than 500 virtual medical records are used to test functions of system. The developed system can operate normally in the common browsers. With the design of secure authentication mechanism, user with different powers has different operating authority to login, and this system can be used after all login information consistent. System user management interface is easy to navigate, and easy to manage system users. In the add files, edit, modify, delete, report and even search, view, and export files section, system operation process design is close to the clinical user's mode. After testing a variety of query criteria with 505 virtual medical records, the correct rate of search and export functions is up to 100%. Also in the export of efficiency, average only 1.25 to 2.47 seconds to complete information search and export reports; such processing efficiency of this system helps clinical treatment records. Simple steps to import the files in this system, it clearly displays the message of import process, and it helps users easily master the import situation. This study develops a prototype of database to support radiation therapy information system, integrating the fields of radiation therapy summary report, resolving the difficulties of radiotherapy form design, and there is a brief user interface is easy to use. The system is web-based interface presentation, which is available on a variety of browsers used within the network, and provides security mechanisms through a single login interface to manage medical information.