移动式电子束术中放疗系统日常质量保证程序的建立及-中国癌症杂志.PDF

中国癌症杂志 2014年第24卷第1期 《 》 52 CHINA ONCOLOGY 2014 Vol.24 No.1 移动式电子束术中放疗系统日常质量 保证程序的建立及剂量参数稳定性分析 汪隽琦　马金利　胡伟刚　孙力宁 复旦大学附属肿瘤医院放疗科，复旦大学上海医学院肿瘤学系，上海 200032 　　［摘要］　背景与目的： 目前移动式电子束术中放疗已成为多种恶性肿瘤重要的辅助治疗手段， 本研究旨在建立该系统的日常质量保证(quality assurance，QA)程序并评价其剂量参数的稳定性。方 法：QA程序包括安全性及功能性和能量指标及输出剂量的测试，并对2年来质控数据进行分析，评价剂 量参数的稳定性。结果：安全性和功能性的测试结果均正常；4、6、9和12 MeV电子束的能量指标分别为 (0.666±0.015)mm、(0.839±0.009)mm、(0.781±0.010)mm和(0.724±0.009)mm，输出剂量误差分别为 (0.511±0.671)%、(0.278±0.516)%、(0.368±0.532)%和(0.382±0.912)%，均符合相应标准且无随时间变化 的趋势。结论：建立的日常QA程序适合于术中放疗系统，且该系统自身的稳定性能满足临床使用要求。 　　［关键词］　术中放疗；质量保证；稳定性 　　DOI: 10.3969/j.issn.1007-3969.2014.01.009 　　中图分类号：R730.55　　文献标志码：A　　文章编号：1007-3639(2014)01-0052-05 Establishment of daily quality assurance program and analysis of dosimetric characteristics’ long- term stability for mobile intraoperative radiation therapy accelerator WANG Jun-qi, MA Jin-li, HU Wei-gang, SUN Li-ning (Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China) Correspondence to: MA Jin-li E-mail: jinlima_c@ 　　［Abstract ］ Background and purpose: Currently, intraoperative radiation therapy (IORT) has become the adjuvant therapy of cancer. The study was to establish the daily quality assurance (QA) program and analyze dosimetric characteristics’ long-term stability for mobile IORT accelerator. Methods: The QA program of this study included two parts: safety and functionality and energy and output. The two years’ QA datasets were acquired and analyzed to investigate the stability of energy and output.