放射科医生参与放射瘤学同行评审:系统性审查和元分析
Ryan T Hughes1, Niema B Razavian1, Sydney Smith2
1Department of Radiation Oncology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
JAMA network open
|December 27, 2024
概括
放射科医生参与放射治疗 (RT) 同行评审显著增加计划变化,特别是临床上有意义的变化. 这凸显了跨学科协作的价值,以提高RT计划的质量和患者的结果.
科学领域:
- 辐射瘤学 辐射瘤学
- 医疗成像医学成像
- 系统审查是系统的审查.
背景情况:
- 放射治疗 (RT) 计划的质量对于癌症复发和生存至关重要.
- 将放射科医生纳入同行评审 (PR) 过程可以提高RT计划的质量.
研究的目的:
- 评估放射科医生参与PR对辐射治疗计划变化率的影响.
主要方法:
- 一个系统的审查和研究报告PR的轮辐射目标的研究的元分析.
- 在PubMed,Scopus和Web of Science搜索到2024年3月.
- 对RT计划变化的聚合分析,有或没有放射科医生参与.
主要成果:
- 放射科医生参与PR显著增加了整体RT计划变化率 (49.4%vs25.0%) 和重大,临床相关变化率 (47.0%vs10.2%).
- 在轻微的计划变更率上没有观察到显著差异.
- 总瘤和规划目标体积的变化增加,特别是在头部和部/肺癌研究中.
结论:
- 放射科医生参与RT同行评审导致计划修改的显著增加,特别是那些具有临床意义的计划修改.
- 这强调了辐射瘤学和放射学之间的跨学科合作对于优化RT规划的重要性.
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