全国医务人员对基于加速器的硼中子俘获疗法所需能力和工作量的调查。

IF 1.9 4区 医学 Q2 BIOLOGY
Satoshi Nakamura, Hiroki Tanaka, Takahiro Kato, Kazuhiko Akita, Mihiro Takemori, Yusaku Kasai, Tairo Kashihara, Yoshihiro Takai, Keiji Nihei, Hiroshi Onishi, Hiroshi Igaki
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引用次数: 0

摘要

本研究旨在确定医护人员在基于加速器的硼中子俘获疗法(BNCT)中所需的能力和工作量。2022 年 8 月至 9 月,研究人员对从事硼中子俘获治疗的 12 名医生、7 名医学物理学家和 7 名放射技术人员以及其他 6 名未从事硼中子俘获治疗的医学物理学家进行了有关加速器硼中子俘获治疗能力和工作量的问卷调查,以比较从事硼中子俘获治疗的医务人员所获得的结果。只有 6-21% 的转诊患者接受了 BNCT。此外,30%-75%接受 BNCT 的患者是在其所在地区的医疗机构接受治疗的。每次治疗所需工作量的中位数为 55 小时。考虑到不符合条件的患者的额外工作量,所需工作量比仅符合条件的患者的治疗时间长约 1.2 倍。在能力方面,医学物理学家和放射技术专家在治疗计划、质量保证和质量控制以及调试方面存在差异。此外,医用物理师所需的专业技能不可能从传统放射治疗的经验中获得,因为参与 BNCT 的医生不仅擅长放射肿瘤学,还精通其他领域。这项研究指出了根据实际临床情况开展基于加速器的 BNCT 所需的工作量和工作人员能力。BNCT 所需的工作量取决于职业。有必要针对安全有效地为患者提供 BNCT 所需的技能建立教育计划和认证体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A national survey of medical staffs' required capability and workload for accelerator-based boron neutron capture therapy.

This study aimed to identify the required capabilities and workload of medical staff in accelerator-based boron neutron capture therapy (BNCT). From August to September 2022, a questionnaire related to the capabilities and workload in the accelerator-based BNCT was administered to 12 physicians, 7 medical physicists and 7 radiological technologists engaged in BNCT and 6 other medical physicists who were not engaged in BNCT to compare the results acquired by those engaged in BNCT. Only 6-21% of patients referred for BNCT received it. Furthermore, 30-75% of patients who received BNCT were treated at facilities located within their local district. The median required workload per treatment was 55 h. Considering additional workloads for ineligible patients, the required workload reached ~1.2 times longer than those for only eligible patients' treatment. With respect to capabilities, discrepancies were observed in treatment planning, quality assurance and quality control, and commissioning between medical physicists and radiological technologists. Furthermore, the specialized skills required by medical physicists are impossible to acquire from the experience of conventional radiotherapies as physicians engaged in BNCT were specialized not only in radiation oncology, but also in other fields. This study indicated the required workload and staff capabilities for conducting accelerator-based BNCT considering actual clinical conditions. The workload required for BNCT depends on the occupation. It is necessary to establish an educational program and certification system for the skills required to safely and effectively provide BNCT to patients.

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来源期刊
CiteScore
3.60
自引率
5.00%
发文量
86
审稿时长
4-8 weeks
期刊介绍: The Journal of Radiation Research (JRR) is an official journal of The Japanese Radiation Research Society (JRRS), and the Japanese Society for Radiation Oncology (JASTRO). Since its launch in 1960 as the official journal of the JRRS, the journal has published scientific articles in radiation science in biology, chemistry, physics, epidemiology, and environmental sciences. JRR broadened its scope to include oncology in 2009, when JASTRO partnered with the JRRS to publish the journal. Articles considered fall into two broad categories: Oncology & Medicine - including all aspects of research with patients that impacts on the treatment of cancer using radiation. Papers which cover related radiation therapies, radiation dosimetry, and those describing the basis for treatment methods including techniques, are also welcomed. Clinical case reports are not acceptable. Radiation Research - basic science studies of radiation effects on livings in the area of physics, chemistry, biology, epidemiology and environmental sciences. Please be advised that JRR does not accept any papers of pure physics or chemistry. The journal is bimonthly, and is edited and published by the JRR Editorial Committee.
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