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Sharline M van Vliet-Pérez¹, Rosemarijn van Paassen², Linda S G L Wauben³

¹Erasmus MC Cancer Institute, Department of Radiotherapy, University Medical Center Rotterdam, Rotterdam, The Netherlands; Delft University of Technology, Department of BioMechanical Engineering, Delft, The Netherlands.

|February 28, 2024

概括

用图像引导的适应性支臂疗法 (IGABT) 治疗子宫癌是有效的,但时间长且苛刻. 优化IGABT的物流,人员和技术对于减少手术时间和改善患者体验至关重要.

科学领域:

在瘤学瘤学.
辐射瘤学辐射瘤学
医学物理医学物理

背景情况:

基于MRI的图像引导自适应式支臂治疗 (IGABT) 为局部晚期宫癌 (LACC) 提供了有利的结果.
与二维支臂疗法相比,目前的IGABT工作流程在后勤上复杂,耗时,并且对患者来说身体/情绪密集.

研究的目的:

分析LACC的IGABT期间的时间作用和患者体验.
确定IGABT工作流程需要改进的领域.

主要方法:

一项前性研究,涉及56名患者进行时间作用分析和29名患者进行患者体验分析.
标准化表格收集每治疗步骤的时间.
EQ-5D-5L问卷确定了基线健康状况.
NRS-11评估了每个步骤的感知疼痛,焦虑和持续时间.

主要成果:

平均整体手术时间为530分钟.
治疗计划 (划分,重建,优化) 是最耗时的步骤 (175分钟).
在移除和规划应用器时报告的最高疼痛;在移除应用器时报告的最高焦虑;在图像采集和规划期间持续时间最长.
感知到的疼痛,焦虑和持续时间与治疗前的得分相关.

结论:

目前的IGABT工作流程复杂,漫长,并影响患者的体验.
治疗前的疼痛和焦虑评分可以识别需要额外支持的患者.
考虑到后勤,人员和技术因素,优先考虑研究和实施以缩短IGABT的持续时间至关重要.

关键词:

焦虑焦虑是一种焦虑.支臂疗法是一种手臂疗法.治疗的持续时间.疼痛疼痛疼痛疼痛子宫瘤是什么子宫瘤工作流的工作流.

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