再照射的临床工作流程:关于成像,治疗计划,剂量积累和治疗的全国共识建议
Laura P Kaplan1, Rebecca J Tobin2, Ane Appelt3
1Department of Oncology and Palliative Units, Zealand University Hospital, Næstved, Denmark. lakap@regionsjaelland.dk.
Acta oncologica (Stockholm, Sweden)
|July 24, 2025
概括
本文建立了丹麦对再辐射工作流程的国家共识指南,以标准化治疗质量. 这些建议旨在改善患者护理,并促进未来对再辐射瘤学的临床试验.
科学领域:
- 辐射瘤学 辐射瘤学
- 临床实践指南 临床实践指南
- 癌症治疗方法 癌症治疗方法
背景情况:
- 再辐射在临床实践中越来越常见.
- 现有的再辐射指南缺乏实际细节,导致工作流程变化.
- 标准化是提高治疗质量和支持临床试验的必要条件.
研究的目的:
- 为整个再辐射工作流程提出全面的丹麦国家共识建议.
- 为了标准化和提高再辐射治疗的质量.
- 为未来的再辐射大规模临床试验提供指导.
主要方法:
- 组建一个专家小组,包括来自丹麦所有放射治疗中心的医生,物理学家和研究人员.
- 一个面对面的研讨会,随后是网上会议,以制定建议.
- 基于专家共识,文献审查和丹麦多学科癌症小组批准的建议.
主要成果:
- 在整个工作流程中,对再辐射病例的明确指定是必不可少的.
- 鼓励多学科会议进行患者病例审查.
- 固定,定位和运动管理应与先前的治疗相匹配;先前的剂量信息对于规划和评估至关重要.
- 剂量总和需要转换为同效剂量;建议每日图像指导和定期剂量评估.
- 提供了对剂量映射和临床试验设计质量保证的指导.
结论:
- 已经建立了独立于场所的再辐射处理工作流程的国家共识指南.
- 这些指导方针确保了丹麦各地的反辐射的一致性和质量.
- 这些指导方针得到了丹麦相关多学科癌症小组的批准.
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