Establishment of the radiotherapy results improvement methods using web-based database

本研究实现了以下内容。1)建立了基于网络的放射治疗病史调查数据库。首先，我们让JASTRO的一个数据库委员会管理的放射肿瘤学大区数据库ROGAD(Radiation Oncology Greater Area Database)转移到互联网上。而且，我们也让目的相同的PCS和JNCDB在互联网上移动。我们的目标是优化个别病例的放射治疗计划，为临床质量保证做出贡献，调查放射治疗对癌症破坏的疗效，以及评估新的放射治疗。JNCDB的目标是整合所有癌症登记。此外，网上录入申请的目的是提高录入数据的可靠性，减轻登记机构的录入负担，加快信息披露。2)利用Surviv…访问挂号机构医院信息系统RIS(Radiology Information System)，以提高随访调查的精度更多的信息来自临床信息、检查信息和剂量信息。3)我们可以定制一个多机构数据库，就像注册机构的协议一样，这样就可以掩盖数据库、数据项、数据线和结构的目的差异。在开发的VPDB(虚拟专用数据库)上，我们可以像在一个机构的数据库上一样在多个机构的数据库上登记病例。4)我们开发了一个学习系统，它可以根据过去的生存分析信息显示针对单个病例优化的治疗方案。5)图像数据和文本数据同时保存，可进行检索，掌握放射治疗细节的实际情况。6)通过积累大量的放射治疗病例登记和登记机构的结构调查，分析了目前放射治疗现场存在的问题，制定了在现有条件下放射治疗效果改进的指导方针，建立了基于网络数据库的放射治疗效果改进方法。较少

This study realized the following contents. 1) We built the disease history record survey web-based database for radiotherapy. At first we let ROGAD (Radiation Oncology Greater Area Database) which was administered under a database committee of JASTRO shift on Internet. And, we let PCS and JNCDB which have same purposes shift on Internet, too. Our purpose are optimization of radiation treatment planning of an individual case, contribution to clinical Quality Assurance, efficacy investigation to cancer destruction by radiotherapy, and evaluation of a new radiotherapy. JNCDB aims integration of all cancer registration. In addition, the aims of on-line input application are reliability improvement of input data, reduction of an input burden of a registration institution, and a speedup of information disclosure. 2) We accessed HIS (Hospital Information System) of a registration institution, RIS (Radiology Information System) in order to improve the precision of follow-up survey with surviv … More al information from clinical information, examination information, and dosage information. 3) We could customize a multi-institutional database like a protocol of a registration institution so that buried differences of a purpose of a database, data item, data cord, and structure. On the developed VPDB (Virtual Private Database), we could register cases on multi-institutional database as if on database for an institution. 4) We developed the learning system which can show the treatment plan that was optimized for an individual case from survival analysis information of the past. 5) Furthermore, we saved image data as well as text data and could search and were able to grasp the actual situation of detailed radiotherapy. 6) From accumulated enormous radiotherapy case registration and structure investigation of a registration institution, we analyzed on-site problems of current radiotherapy and made a guideline under the present conditions.We established the radiotherapy results improvement methods using web-based database. Less