| 陈维,鞠金欣,张志彬,等.《X、γ射线立体定向放射治疗系统质量控制检测规范》(WS 582-2017)标准实施评估[J].中华放射医学与防护杂志,2024,44(12):1043-1048.Chen Wei,Ju Jinxin,Zhang Zhibin,et al.Evaluation of current status in implementation of WS 582-2017 Specifications for testing of quality control in X and γ ray stereotactic radiotherapy system[J].Chin J Radiol Med Prot,2024,44(12):1043-1048 |
| 《X、γ射线立体定向放射治疗系统质量控制检测规范》(WS 582-2017)标准实施评估 |
| Evaluation of current status in implementation of WS 582-2017 Specifications for testing of quality control in X and γ ray stereotactic radiotherapy system |
| 投稿时间：2024-07-10 |
| DOI：10.3760/cma.j.cn112271-20240710-00256 |
| 中文关键词: X、γ射线立体定向放射治疗系统 质量控制 标准跟踪 问卷调查 |
| 英文关键词:X and gamma-ray stereotactic radiotherapy systems Quality control Standards tracking Questionnaire survey |
| 基金项目:中国医学科学院医学与健康科技创新工程(2021-I2M-1-042);江苏省医学重点学科(JSZJ20232201) |
| 作者 | 单位 | E-mail | | 陈维 | 江苏省疾病预防控制中心放射防护所, 南京 210009 | | | 鞠金欣 | 中国疾病预防控制中心辐射防护与核安全医学所 辐射防护与核应急中国疾病预防控制中心重点实验室, 北京 100088 | | | 张志彬 | 北京市疾病预防控制中心, 北京 100013 | | | 马桥 | 四川省疾病预防控制中心, 成都 610041 | | | 曹兴江 | 江苏省疾病预防控制中心放射防护所, 南京 210009 | | | 范向勇 | 江苏省疾病预防控制中心放射防护所, 南京 210009 | | | 魏鑫荻 | 南京医科大学公共卫生学院, 南京 211166 | | | 张子豪 | 南京医科大学公共卫生学院, 南京 211166 | | | 田蓝岚 | 江苏省疾病预防控制中心放射防护所, 南京 210009 | | | 邱天元 | 江苏省疾病预防控制中心放射防护所, 南京 210009 | | | 王进 | 江苏省疾病预防控制中心放射防护所, 南京 210009 | jinwang@jscdc.cn |
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| 中文摘要: |
| 目的 调查WS 582-2017《X、γ射线立体定向放射治疗系统质量控制检测规范》(以下简称“WS 582-2017”) 实施以来在北京、江苏、四川、重庆的实施情况及遇到的问题,对标准实施进行评估。方法 采用实地调研、问卷调查和专家研讨的方式实施本标准的评估,按照WS 582-2017实施评估方案,2023年追踪调查了北京、江苏、四川、重庆的放射卫生技术服务机构、卫生监督机构和医疗机构涉及WS 582-2017使用的专业人员,采取整群抽样和分层抽样相结合的方法抽取不同性质单位和技术职称的专业人员开展调查,其中江苏采用普查的方法,其他采用了整群抽样的方法,最终抽取80家机构153人开展调查。针对标准实施情况、技术内容、实施效果、对标准及标准工作的意见和建议等方面进行调查。结果 研究对象对WS 582-2017知晓率为80.39%。知晓该标准的调查对象中90.85%的研究对象认为本标准科学严谨,81.05%的调查对象认为本标准可操作性强,97.39%的调查对象认为本标准与相关法规标准协调一致,90.20%的研究对象认为本标准对促进放射治疗放射防护最优化发挥了重要作用,90.85%的调查对象认为本标准的实施对规范放射治疗设备质量控制检测工作发挥了明显作用,86.93%的调查对象认为本标准的实施对提高相关技术人员的专业能力发挥了明显作用。结论 WS 582-2017在北京、江苏、四川、重庆的总体实施情况好,技术内容的科学性和可操作性好,实施效果显著。但标准部分内容需要进一步完善,且需加强标准培训,以提高标准知晓率。 |
| 英文摘要: |
| Objective To investigate WS 582-2017 Specifications for testing of quality control in X and γ ray stereotactic radiotherapy system (hereinafter referred to as WS 582-2017) with respect to its current status, existing problems and evaluation since its implementation in Beijing, Chongqing, Jiangsu and Sichuan. Methods The evaluation of this standard was carried out by means of field survey, questionnaire survey and expert seminar. In accordance with the WS 582-2017 implementation assessment programme, a total of 153 professionals involved in the implementation of WS 582-2017 from 80 radiological health technical service institutions, health supervision institutions and medical institutions of two municipalities and two provinces were surveyed in 2023. The investigation was carried out by using a combination of cluster sampling and stratified sampling and through sampling professionals with of different institution characteristics and different technical titles. The general survey method was used for Jiangsu province, while the cluster sampling method was used for others, with 153 individulas from 80 institutions being sampled for the investigation. Results The awareness rate of WS 582-2017 was 80.39%, of which 90.85% considered it to be scientific and rigorous, 81.05% considered it to be operational and 97.39% considered it to be in consistency with the relevant regulatory standards, 90.20% considerd it to have played an important role in promoting radiological protection optimization for radiotherapy, 90.85% considered the implementation of it to have played a significant role in the quality control of standarded testing of radiotherapy equipment, and 86.93% considered the implementation of it to have played a significant role in enhancing the professional competence of relevant technicians. Conclusions The overall implementation of WS 582-2017 in two municipalities and two provinces is good, with scientific and operable technical contents and the remarkable effect achieved in its implementation. However, the WS 582- 2017 needs to be further improved in some areas, and training on the standard needs to be strengthened to improve the awareness rate of it. |
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