放疗记录审查方法及国内外审查工作现状

现代放疗是一个多学科、多阶段的复杂完整过程，任何一个差错就会影响患者的治疗效果。为了发现差错，应该对患者放疗过程中每个阶段的记录进行审查。参考AAPM TG-275号报告等重要文献，介绍放疗记录审查的概念、作用、内容、方法和国内外审查工作现状。目前采用的审查方法以手工为主，自动为辅。采用的自动审查方法有逻辑判断、聚类分析、贝叶斯网络、结构相似性分析和人工智能等。模拟定位阶段、计划设计阶段和治疗阶段是审查的重点。但目前，日常审查工作主要针对计划设计阶段，对治疗阶段很少开展，对模拟定位阶段则基本没有开展；研究工作的重点是提高审查方法的灵敏度和自动化、智能化程度。预计未来审查工作会开展得更完整，更有效果和效率。

Methods of radiotherapy record review and current status of review work

Abstract: Modern radiotherapy is quite complicated, with multiple stages, and it involves many disciplines. Any error will affect the treatment outcome. Therefore, the records of each stage of radiotherapy should be reviewed strictly to detect errors. By referring to documents such as AAPM TG-275 report, the concept, function, content, methods of radiotherapy record review, and the current status of review work at home and abroad are introduced. At present, the review method is mainly manual, supplemented by automatic methods which include logical judgment, cluster analysis, Bayesian network, structural similarity analysis and artificial intelligence. The review should focus on simulation positioning stage, planning stage and treatment delivery stage. However, the current review work is mainly carried out for planning stage, rarely for treatment delivery stage, and almost not for simulation positioning stage. Improving the sensitivity, automation and intelligence of the review method is the research focus in the future. It can be expected that the review work will be more perfect, effective and efficient.