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Implementation of an integrated 'record and verify' system for data and images in radiotherapy.

机译：实施放射治疗中数据和图像的集成“记录和验证”系统。

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In November 1999, new radiotherapy and medical physics departments began to operate in our institution. In the departments' project, considerable emphasis had been placed on the integration of the equipment through networking. In particular, a "record and verify" (R&V) system for data and images (Varian "Varis" and "Vision") has been employed in the daily routine since the beginning of treatments. After one year, more than 600 patients have been treated, and a first evaluation of the system can be carried out. In clinical practice, the software required no significant changes in the already-established radiotherapy workflow and has been successfully configured in an acceptable time. On the other hand, the way information is exchanged and shared has dramatically changed towards a nearly paperless and filmless way of working. A good application reliability has been experienced, and the client-server structure has been proven useful by avoiding loss of data in critical situations. The staff time spent for the application to run is now well balanced by the increased safety in daily practice, and digital archiving of all the radiotherapy activity has increased the effectiveness of routine tasks and statistical researches. The critical aspects we have experienced in the application are the proper user rights definition and a minor rounding error in the daily dose accumulation. Future developments in implementation of the system will be aimed to a better integration with the Hospital Information System and to a further exploitation of the RT-PACS features of the "Vision" application.
机译：1999年11月，新的放射治疗和医学物理部门开始在我们的机构中​​运作。在部门的项目中，相当重视通过网络集成设备。特别地，自治疗开始以来，在日常工作中就已经采用了用于数据和图像的“记录和验证”（R＆V）系统（Varian“ Varis”和“ Vision”）。一年后，已经对600多名患者进行了治疗，并且可以对该系统进行首次评估。在临床实践中，该软件不需要对已经建立的放射治疗工作流程进行任何重大更改，并且已经在可接受的时间内成功配置了该软件。另一方面，信息的交换和共享方式已经大大改变了，几乎变成了无纸化和无胶卷的工作方式。已经体验到了良好的应用程序可靠性，并且通过避免在关键情况下丢失数据，事实证明客户机/服务器结构很有用。现在，通过增加日常操作的安全性，可以很好地平衡应用程序运行所花费的员工时间，并且所有放射治疗活动的数字存档提高了例行任务和统计研究的有效性。我们在应用程序中遇到的关键方面是正确的用户权限定义和每日剂量累积中的较小舍入误差。该系统实施中的未来发展将旨在与医院信息系统更好地集成，并进一步利用“视觉”应用程序的RT-PACS功能。

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