CN103268411A - Quantification System of Standardized Quality Control of Radiotherapy and Chemotherapy - Google Patents
Quantification System of Standardized Quality Control of Radiotherapy and Chemotherapy Download PDFInfo
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Abstract
Description
技术领域 technical field
本发明涉及一种放化疗规范化质量控制的量化系统。 The invention relates to a quantitative system for standardized quality control of radiotherapy and chemotherapy.
背景技术 Background technique
人工神经网络,简称为神经网络,是一种模拟生物神经网络的数学模型, Artificial neural network, referred to as neural network for short, is a mathematical model that simulates biological neural networks.
其由多个人工神经元互相连接组成,每个神经元对与其输入相连的神经元的输出进行加权求和,并通过一个传递函数将自身的计算结果输出给与其输出相连的神经元,由此神经网络能对外界给定的激励输入做出反应输出。通过训练能够改变各个神经元之间的连接强度,即输入加权的权重,从而实现神经元之间不同程度的激活或抑制等影响。神经网络是一种非线性统计性数据建模工具,可用来对输入和输出间复杂的关系进行建模,或用来探索数据的模式。 It consists of multiple artificial neurons connected to each other, each neuron weights and sums the outputs of the neurons connected to its input, and outputs its own calculation results to the neurons connected to its output through a transfer function, thus The neural network can respond to the stimulus input given by the outside world. Through training, the connection strength between each neuron can be changed, that is, the weight of input weighting, so as to achieve different degrees of activation or inhibition among neurons. A neural network is a nonlinear statistical data modeling tool that can be used to model complex relationships between inputs and outputs, or to explore patterns in data.
对放化疗过程中的规范化质量控制对医疗操作规范化程度进行质量控制,通过量化的评估准确指导医务人员进行切实有效的放化疗治疗,避免因不同医师对病例认识的差异等导致的错误治疗或过度治疗而导致患者额外的经济负担、生活质量下降甚至是死亡。另一方面,可评估的客观标准有利于医务人员对治疗方案进行客观地评估,也有利于医院、国家的管理部门对医务人员的诊疗水平以及相应癌症的治疗情况进行分析,据此改善医疗资源分配,提高医疗质量。 Standardized quality control in the process of radiotherapy and chemotherapy Carry out quality control on the degree of standardization of medical operations, accurately guide medical staff to carry out effective radiotherapy and chemotherapy treatment through quantitative evaluation, and avoid wrong treatment or excessive treatment due to differences in case understanding by different doctors Treatment results in additional economic burden, decreased quality of life and even death for patients. On the other hand, evaluable objective standards are helpful for medical staff to objectively evaluate the treatment plan, and it is also beneficial for hospitals and national management departments to analyze the medical staff's diagnosis and treatment level and the treatment of corresponding cancers, so as to improve medical resources. distribution and improve the quality of care.
发明内容 Contents of the invention
本发明的目的在于提供一种放化疗规范化质量控制的量化系统。 The purpose of the present invention is to provide a quantitative system for standardized quality control of radiotherapy and chemotherapy.
本发明解决技术问题所采用的技术方案如下: The technical solution adopted by the present invention to solve technical problems is as follows:
一种放化疗规范化质量控制的量化系统,包括以下四个部分:质控录入系统、质控量化系统、质控反馈系统、质控数据库; A quantitative system for standardized quality control of radiotherapy and chemotherapy, including the following four parts: quality control input system, quality control quantification system, quality control feedback system, and quality control database;
所述的质控录入系统,用于收集治疗的操作情况的数据,所录入的数据会被存放到所述的质控数据库中作为质控记录; The quality control entry system is used to collect data on the operation of the treatment, and the entered data will be stored in the quality control database as a quality control record;
所述的质控量化系统,利用神经网络对所述的质控数据库中质控记录进行量化评分以获得质控评分,并提供专家评估接口允许专家指导神经网络学习质控评分量化标准; The quality control quantification system uses a neural network to quantify and score the quality control records in the quality control database to obtain a quality control score, and provides an expert evaluation interface to allow experts to guide the neural network to learn the quality control scoring quantification standard;
所述的质控反馈系统,提供所述的质控评分的用户界面,用于查询所述的质控记录以及相应的量化评分结果; The quality control feedback system provides a user interface for the quality control scoring, which is used to query the quality control records and corresponding quantitative scoring results;
所述的质控数据库,为各个系统提供数据支持,保存所述的质控记录、相应的质控评分、所述质控量化系统的人工神经网络通过专家指导学习到的参数。 The quality control database provides data support for each system, and saves the quality control records, corresponding quality control scores, and parameters learned by the artificial neural network of the quality control quantification system through expert guidance.
本发明具有的有益效果是:放化疗规范化质量控制的量化系统提供了完整的放化疗规范化质量控制记录和评估功能,为后续的治疗方案确定和治疗质量反馈等提供数据基础,并能为后续治疗提供指导。 The beneficial effects of the present invention are: the quantitative system of standardized quality control of radiotherapy and chemotherapy provides a complete recording and evaluation function of standardized quality control of radiotherapy and chemotherapy, provides a data basis for subsequent treatment plan determination and treatment quality feedback, and can provide data basis for subsequent treatment Provide guidance.
附图说明 Description of drawings
图1是放化疗规范化质量控制的量化系统结构图。 Figure 1 is a structural diagram of the quantitative system for standardized quality control of radiotherapy and chemotherapy.
图2是质控记录录入的流程图。 Figure 2 is a flow chart of quality control record entry.
图3是质控量化系统学习质控评分量化标准的流程图。 Fig. 3 is a flow chart of the quality control quantification system learning the quantification standard of the quality control score.
图4是质控反馈系统操作流程图。 Fig. 4 is a flowchart of the operation of the quality control feedback system.
具体实施方式 Detailed ways
下面结合附图和实施例对本发明作进一步的说明。 The present invention will be further described below in conjunction with the accompanying drawings and embodiments.
如图1所示,放化疗规范化质量控制的量化系统包括质控录入系统、质控量化系统、质控反馈系统和质控数据库四部分。质控录入用于医生或护士录入医疗过程中的质控记录,录入的质控记录被保存在质控数据库中。质控量化系统从质控数据库中读取质控记录,利用神经网络对质控记录进行量化评分,并将获得的质控评分存入质控数据库,质控量化系统还提供专家评估接口允许专家对质控记录评分从而指导神经网络进行量化评分学习。质控反馈系统提供质控评分的用户界面,从质控数据库读取质控记录和相应的质控评分,由监督人员查询。质控数据库,为各个系统提供数据支持,保存质控记录、质控评分和质控量化系统中的人工神经网络通过专家指导学习到的参数。 As shown in Figure 1, the quantitative system of the standardized quality control of radiotherapy and chemotherapy includes four parts: the quality control input system, the quality control quantification system, the quality control feedback system, and the quality control database. Quality control entry is used for doctors or nurses to enter quality control records in the medical process, and the entered quality control records are saved in the quality control database. The quality control quantification system reads the quality control records from the quality control database, uses the neural network to quantify the quality control records, and stores the obtained quality control scores in the quality control database. The quality control quantification system also provides an expert evaluation interface to allow experts to Score the quality control records to guide the neural network for quantitative scoring learning. The quality control feedback system provides a user interface for quality control scoring, reads quality control records and corresponding quality control scores from the quality control database, and is queried by supervisors. The quality control database provides data support for each system, and saves the parameters learned by the artificial neural network in the quality control record, quality control scoring and quality control quantification system through expert guidance.
如图2所示,在执行一阶段的放化疗治疗后,由医生或护士调用质控录入系统录入质控记录,质控记录包括了所有治疗过程情况。质控记录录入完毕后,系统调用质控量化系统计算质控记录相应的质控评分,并将质控记录和质控评分存入质控数据库。 As shown in Figure 2, after the first stage of radiotherapy and chemotherapy treatment, the doctor or nurse calls the quality control input system to enter the quality control record, which includes all the treatment process conditions. After the quality control record is entered, the system calls the quality control quantification system to calculate the corresponding quality control score of the quality control record, and stores the quality control record and quality control score into the quality control database.
如图3所示,当质控评分量化标准改变或需要进一步提升精度时,质控评分量化标准学习流程启动,首先从质控数据库中筛选获得合适的学习案例,然后由专家对这些案例进行评分。案例和专家评分传递给质控量化系统,人工神经网络开始重新学习。学习完成后的人工神经网络状态被保存到质控数据库中。 As shown in Figure 3, when the quantitative standard of quality control scoring is changed or the accuracy needs to be further improved, the learning process of the quantitative standard of quality control scoring starts. First, appropriate learning cases are obtained from the quality control database, and then experts score these cases . Cases and expert scores are passed to the quality control quantification system, and the artificial neural network begins to re-learn. After the learning is completed, the state of the artificial neural network is saved in the quality control database.
如图4所示,监控人员调用质控反馈系统并指定所要检查的质控记录标准,质控反馈系统据此标准搜索质控数据库并获得相应的质控记录以及质控评分,若质控量化系统的人工神经网络在得到这些评分后重新学习则需要重新计算质控评分并更新质控数据库。最终的结果通过用户界面显示给监控人员。 As shown in Figure 4, the monitoring personnel call the quality control feedback system and specify the quality control record standards to be checked. The quality control feedback system searches the quality control database according to the standards and obtains the corresponding quality control records and quality control scores. The artificial neural network of the system needs to recalculate the quality control score and update the quality control database after relearning after obtaining these scores. The final result is displayed to the supervisor through the user interface.
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US20120059790A1 (en) * | 2010-09-08 | 2012-03-08 | Institut Telecom-Telecom Paristech | Method for providing with a score an object, and decision-support system |
US20120154582A1 (en) * | 2010-09-14 | 2012-06-21 | General Electric Company | System and method for protocol adherence |
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CN102265280A (en) * | 2008-12-23 | 2011-11-30 | 霍夫曼-拉罗奇有限公司 | Management method and system for implementation, execution, data collection and data analysis of a structured collection process run on a collection device |
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