对放射治疗重复治疗的数量,地点和适用情况进行全面的国家审计
Morten Nielsen1, Mai-Britt Linaa2, Vibeke Nordmark Hansen3
1Department of Oncology, Odense University Hospital, Odense, Denmark. Morten.Nielsen@rsyd.dk.
Acta oncologica (Stockholm, Sweden)
|July 9, 2025
概括
再辐射越来越多地使用,从2014年到2023年,数量增加. 这项国家审计揭示了息性和治愈性再辐射的多种治疗方法,突出了需要标准化数据收集的需要.
科学领域:
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
- 临床瘤学临床瘤学
背景情况:
- 重辐射正在获得临床引力,但缺乏关于患者数量和治疗指示的全面数据.
- 进行了一项国家审计,以解决这一数据缺口,并为潜在的注册机构提供信息.
研究的目的:
- 对丹麦的再辐射实践进行全面的国家审计.
- 为未来的国家再辐射登记处建立基线数据.
主要方法:
- 在8个丹麦中心,所有2023年的放射治疗再治疗课程都经过了审计.
- 分析了2014-2023年的数据,根据ESTRO/EORTC共识标准定义了再辐射.
- 再辐射疗程根据处方剂量分为息和治愈/减缓类别.
主要成果:
- 在2023年,在17,424名放射治疗患者中,1,471个再辐射疗程 (1,035个息疗法,436个治愈/消退疗法) 进行.
- 从2014年到2023年,再处理和再辐射的绝对数量增加了.
- 在处方剂量和分成方案中观察到显著的差异,常见的息部位是胸部,脊柱和腹部/骨盆,治愈/废除部位是乳房和肺部.
结论:
- 这次国家审计是第一次全面评估丹麦的再辐射.
- 该研究表明,再辐射患者人数的趋势越来越大.
- 目前在再辐射中使用各种各样的剂量处方和分成表.
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