放射治疗肿瘤协作组规范下的加速器质量保证经验

陆赛全; 王佳舟; 彭佳元

doi:10.19401/j.cnki.1007-3639.2018.04.011

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放射治疗肿瘤协作组规范下的加速器质量保证经验

论著 | 更新时间：2026-01-27

- 放射治疗肿瘤协作组规范下的加速器质量保证经验
- Experience of linear accelerator quality assurance based on the Radiation Therapy Oncology Group specification
- 中国癌症杂志 2018年28卷第4期页码：308-314
- 作者机构：
  
  复旦大学附属肿瘤医院放射治疗中心，复旦大学上海医学院肿瘤学系,上海,200032
- 作者简介：
- 基金信息：
- DOI：10.19401/j.cnki.1007-3639.2018.04.011
  中图分类号： R730.55
- 网络出版：2018-06-12，
  
  纸质出版：2018-06-12
- 稿件说明：
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陆赛全,王佳舟,彭佳元,等. 放射治疗肿瘤协作组规范下的加速器质量保证经验[J]. 中国癌症杂志, 2018, 28(4): 308-314.

陆赛全, 王佳舟, 彭佳元. Experience of linear accelerator quality assurance based on the Radiation Therapy Oncology Group specification[J]. China Oncology, 2018, 28(4): 308-314.
陆赛全,王佳舟,彭佳元,等. 放射治疗肿瘤协作组规范下的加速器质量保证经验[J]. 中国癌症杂志, 2018, 28(4): 308-314. DOI： 10.19401/j.cnki.1007-3639.2018.04.011.

陆赛全, 王佳舟, 彭佳元. Experience of linear accelerator quality assurance based on the Radiation Therapy Oncology Group specification[J]. China Oncology, 2018, 28(4): 308-314. DOI： 10.19401/j.cnki.1007-3639.2018.04.011.

摘要

背景与目的：放射治疗的质量保证在精准实施肿瘤放射治疗中起着关键作用。本研究旨在探讨加入放射治疗肿瘤协作组（Radiation Therapy Oncology Group，RTOG）成员达到放射治疗质量保证标准的经验。方法：加入RTOG的前期准备是制定本单位加速器设备质量保证方案，包括表格和质控报告。质控项目如日检、月检、年检项目需参照美国物理学家协会（American Association of Physicists in Medicine，AAPM)TG40和AAPM TG142报告所描述的内容进行实施。实施中由一位资深物理师全权负责1~2台加速器。日检由物理师在早晨实施，月检和年检由物理师周末安排实施。日检、月检和年检的结果以电子表格存档。结果：制定并严格执行规范化的设备质量保证方案。放射治疗质量保证结果的文档数字化能直接客观地显示加速器质控情况和存在问题。结论：制定加速器质控方案并执行规范化的放疗质控规范在临床上值得推广。

Abstract

Background and purpose: The quality assurance (QA) of radiation therapy plays an important role in the precise tumor radiotherapy. This study was to report the accelerator QA experience of joining the Radiation Therapy Oncology Group (RTOG). Methods: The QA protocols and the report forms were customized by following the RTOG requirements. The daily

monthly and annual quality assurance items were created according to the American Association of Physicists in Medicine (AAPM) TG40 and AAPM TG142. Each senior physicist was response for the QA of two accelerators due to the limited physicists. The daily QA was carried out by the physicists and therapists in the morning

and the monthly QA and annual QA were performed at weekends. The results of daily

monthly and annual QAs were filled in the electronic form. Results: The standardized QA protocols were established and strictly followed. The QA results of radiotherapy were digitized

which directly showed the accelerator QA status. Conclusion: The standardized radiotherapy QA protocols should be established and implemented

and it is worth spreading widely in clinics.

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