在多系统环境中管理多房间停机事件:在质子疗法操作中的案例报告
Perry B Johnson1,2, Bradlee Robbert1, Trevor Fleming1
1University of Florida Health Proton Therapy Institute, Jacksonville, FL, USA.
International journal of particle therapy
|February 24, 2026
概括
一个质子疗法 (PT) 系统停机时间是通过将患者分组到单室系统和线性加速器来管理的. 这一策略确保了治疗的连续性,大多数患者尽管受到干扰,但仍获得了足够的辐射疗法分量.
科学领域:
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
- 医疗保健管理的管理
背景情况:
- 像ProteusPLUS (P-PLUS) 这样的质子疗法 (PT) 系统对于晚期癌症治疗至关重要.
- 系统停机时间,例如由于射频合器故障造成的5天ProteusPLUS (P-PLUS) 事件,对患者护理连续性构成重大挑战.
- 在长时间停机期间管理患者流量和治疗交付需要强有力的应急计划和资源重新分配.
研究的目的:
- 详细说明在5天的ProteusPLUS (P-PLUS) 质子疗法 (PT) 系统停机期间使用的管理策略.
- 描述在P-PLUS系统故障期间使用单间ProteusONE (P-ONE) 系统和线性加速器对患者的分拣和治疗.
- 评估应急措施在维持放射治疗和患者护理方面的有效性.
主要方法:
- 根据医疗必要性和系统容量,患者被分组到ProteusONE (P-ONE) 系统.
- 在非光束匹配系统 (P-ONE,TrueBeam,Synergy) 中进行了对治疗的重新规划,主要是通过远程规划.
- 通过将PT可用时间延长到每天19小时并调整成像协议 (脑病例的kV斜成像) 来适应治疗的交付.
主要成果:
- 总共有47名患者在30小时内被重新安排.
- 在ProteusONE (P-ONE) 系统中,每天平均治疗60名患者,在17.5小时内完成多达61次治疗.
- 73%的预定PT分数被交付,其中73.6%的患者接受了完整的5个放射治疗分数.
结论:
- 对PT系统停机时间的有效管理依赖于快速的患者分拣,延长的操作时间和跨平台的重新规划.
- 这些策略能够实现高通量治疗,并在重大中断期间保持护理的连续性.
- 该经验为管理多系统质子疗法环境中的停机事件提供了宝贵的见解.
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