菲律宾的放射治疗医学物理:当代概述
John Paul C Cabahug1,2, Ramon Carlo Cruzpero3, Luis E Fong de Los Santos4
1Department of Medical Physics, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Journal of applied clinical medical physics
|May 31, 2025
概括
这项研究调查了菲律宾的放射治疗医学物理,揭示了培训和资源分配的差异. 研究结果强调,需要改善获得先进的癌症治疗和合作研究的机会.
科学领域:
- 医学物理 医学物理
- 辐射瘤学 辐射瘤学
- 癌症治疗方法 癌症治疗方法
背景情况:
- 癌症是菲律宾第三大死亡原因.
- 菲律宾各地区的医疗保健资源存在显著差异.
- 菲律宾放射治疗医学物理学的现状没有得到充分的记录.
研究的目的:
- 评估菲律宾放射治疗医学物理学的现状.
- 确定现场的挑战和机遇.
- 为改善癌症护理获取和结果的策略提供信息.
主要方法:
- 进行了一项全面的在线调查.
- 十九个放射治疗诊所参与了调查.
- 该调查包括94个结构化问题,涵盖了放射治疗物理学的各个方面.
主要成果:
- 线性加速器 (LINAC) 是普遍使用的;高剂量速率 (HDR) 支臂疗法是常见的.
- 强度调节放射疗法 (IMRT) 和3D合规放射疗法 (3D-CRT) 是广泛可用的.
- 先进的技术 (SBRT,SRS,IORT) 仅限于国家首都地区 (NCR).
- 计算机断层扫描 (CT) 已被广泛采用用于成像,但专用CT模拟器并不常见.
- 大多数诊所都进行患者特异性质量保证 (PSQA),EPID剂量测量普遍存在.
- 治疗中断主要是由于人员和机器停机.
- 大多数诊所记录安全事件,但很少有人向国际原子能机构的SAFRON计划报告.
- 尽管时间有限,但参与者表示愿意进行研究合作.
结论:
- 需要解决放射治疗医学物理学的劳动力差异.
- 公平获得晚期癌症治疗需要改善资源配置.
- 优化剂量计工具和质量保证 (QA) 设备至关重要.
- 优先考虑资源分配和促进研究合作,可以促进菲律宾的放射性瘤实践.
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