澳大利亚和新西兰的全身辐射:2024年关于改变护理模式的实践调查
Sarah Li1, Nada Hamad2,3,4,5, Trieumy Tran Le6
1Radiation Oncology Princess Alexandra Hospital Raymond Terrace (ROPART), Brisbane, Queensland, Australia.
Journal of medical imaging and radiation oncology
|February 14, 2026
概括
全身辐射 (TBI) 实践正在澳大利亚和新西兰发展. 越来越多的中心正在采用先进的模块化技术,如VMAT TBI,增加了治疗的复杂性.
科学领域:
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
- 辐射疗法 辐射疗法
背景情况:
- 全球对全身辐射 (TBI) 的实践显示出变化,尽管有可用的指导方针,但仍在努力确定最佳技术.
- 这项研究更新了2019年澳大利亚和新西兰 (ANZ) 的TBI实践模式,调查了ANZ移植和细胞疗法 (ANZTCT) TBI特别兴趣小组 (TBISIG) 内的19个中心.
研究的目的:
- 从ANZ中心报告更新的2024 TBI实践模式.
- 将当前的TBI技术与2019年报告的技术进行比较.
- 确定采用模块化TBI技术的趋势.
主要方法:
- 一项调查在2024年11月分发给19个ANZ中心.
- 问题涵盖了患者队列,TBI疗法,剂量分成,技术,规划,质量保证和交付.
- 从每个中心的放射瘤学,医学物理学和放射治疗的代表那里收集了答案.
主要成果:
- 所有19个中心都做出了回应,表明了各种TBI实践.
- 现在有7个中心使用模块化技术,比2019年只有1个中心大幅增加.
- 十二个中心使用大型开放场,其中六个正在考虑转向体积调节弧线疗法 (VMAT) TBI.
结论:
- 2024年的调查揭示了ANZ中心的各种TBI实践.
- 与2019年相比,有一个明确的趋势是采用模块化技术,例如VMAT TBI,与2019年相比.
- 虽然提供了诸如降低危险器官剂量的好处,但模块化技术增加了TBI规划和交付的复杂性.
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