在CBCT导向放射治疗中的时间毒性:对疾病部位的非计划成像负担的回顾性分析
Aydin Visanji1, Winnie Li1,2, Jeff Winter1,2
1Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Technical innovations & patient support in radiation oncology
|February 3, 2026
概括
使用圆束CT (CBCT) 的非适应性辐射疗法会导致显著的计划外时间负担,类似于适应性辐射疗法 (ART). 优化工作流程对于患者护理和部门效率至关重要.
科学领域:
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 适应性放射治疗 (ART) 通过适应解剖变化来提高治疗精度.
- 非适应性工作流也可能是资源密集型,由于计划外的干预.
- 量化这些干预措施的时间负担对于效率至关重要.
研究的目的:
- 量化非适应性CBCT导向放射治疗中非计划活动的时间负担.
- 评估这些活动对患者和部门效率的影响.
主要方法:
- 对300名患者和6887个治疗分量的回顾性分析.
- 从记录和日志中识别出未计划的活动 (例如,重复CBCT,重新计划).
- 使用电子医疗记录时间估计的时间负担.
主要成果:
- 55%的患者需要重复CBCT,增加了201.9小时的成像时间.
- 盆腔部位 (膀,妇科癌症) 的重复成像率最高.
- 每个受影响部分的平均额外时间为13分钟,有些人超过3小时.
结论:
- 非适应性的CBCT工作流程会产生相当大的时间毒性,可能超过ART资源需求.
- 需要改进文档和选择性ART实施.
- 优化工作流可以提高患者体验和机构效率.
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