Shandong Provincial Third Hospital: Sino -US experts Joint radiotherapy consultation "veins in the air" improves the accuracy of radiotherapy

To many people, the most effective means to treat tumors are surgery. However, in the opinion of Zhang Shengui, director of the Radiotherapy Center of the Third Hospital of Shandong Province, radiotherapy in comprehensive tumor treatment is becoming more and more important, and the status of radiotherapy is getting higher and higher. "Little radiotherapy trauma and small side effects, so it is no longer just a 'supporting role' in tumor treatment."

Tumor radiation therapy is a local treatment method for treating tumors with radiation. "Most people also think that the side effects of radiotherapy are very large, which will cause irreversible damage to the body. In fact, the current radiotherapy technology accuracy is very high. Precision radiotherapy can be irradiated with tumors that need radiotherapy. Complete and safe protection. "Zhang Shengui introduced that through the first domestic radiotherapy smart cloud system in China, the precision radiotherapy center in Shandong Province collaborated with the North American Radiation Therapy Association to integrate domestic and foreign advantage resources, and achieved remote case consultations. Standardize and optimize the treatment plan, which improves radiotherapy accuracy.

Span 400 kilometers

Mu Ming seeks the treatment plan for China and the United States International Experts Consultation

More than 4 months ago, Wang Yong (pseudonym), who lived in Lianyungang, Jiangsu, suddenly had symptoms such as abdominal pain and abdominal distension. After a local examination, he found that there was a nodule of his stomach bend. The pathological diagnosis after surgery was suspected lymphoma. In the later period, it was diagnosed with tissue cell sarcoma in many provincial hospitals.

Later, he carried out a cycle of chemotherapy in the local hospital, "nausea and vomiting, not eating, and lowering white blood cells ... A series of problems came out." Wang Yong believes that the side effects of chemotherapy Targeted therapy, traditional Chinese medicine treatment, etc., but the condition continues to progress. "As a result, it is difficult to eat water, it is difficult to drink water, it is weak, and it is nauseous, vomiting, and stomach pain."

Looking at Wang Yong, his family hurts in his heart and inquire about the treatment plan. Eventually, through the recommendation of others, he came to the Third Hospital of Shandong Province 400 kilometers away.

When he first entered the hospital, Wang Yong's state was not good, because the lesions invaded the surrounding blood vessels, and widened multiple organs such as the stomach, spleen, and pancreas. In addition, there were many problems that needed to be resolved in many problems.

The situation was critical, and the Zhang Shengui team immediately conducted case discussions, and decided to use the current international advanced radioactive and ablation method for Wang Yong to relieve the pain. Essence

Through online remote consultations, Sino -US tumor experts discussed the decision to solve the patient's abdominal pain in accordance with the radiological ablation scheme formulated by the Zhang Shengui team in the early stage, while other treatment was performed. Director Zhang Shengui made a layer of check -in from position fixation, CT simulation positioning, and radiotherapy planning plan, and conducted a precise radiotherapy for Wang Yong. "After 3 radiotherapy, the pain was significantly reduced. At the fifth time, the doctor asked me to review it. CT, I found that the abdominal mass was significantly reduced while the pain was reduced, the appetite was available, and the body was strong. I could get out of bed and move. Wang Yong was sighed, and gradually returned from bed to being able to get out of bed, and the pain was basically basically pain. Disappearing, the amount of food is also increasing. Wang Yong is very grateful to Director Zhang Shengui. "The provincial three hospitals gave me the second life. I did not expect to enjoy the treatment of American experts in Shandong. It is close to 400 kilometers, but it is worth it. "

Significantly improve radiotherapy accuracy

Patients with meibomian adenocarcinoma are not affected

"I never thought that my eyes would have cancer." Pharaoh of Pingdu of Pingdu in Qingdao suffered from meibomian adenocarcinoma, because he involved the eyes, he was particularly cautious. Later, after many parties inquired, they went to the Third Hospital of Shandong Province for treatment through friends recommending it.

"The protection of the eyes is the most important in the treatment of eyelid cancer. During the radiotherapy process, the precise positioning must be the ultimate." Zhang Shengui said that the eyelid support tablet will be designed before radiotherapy. Support the eyelids, try to increase the distance between the eyelids and the eyeballs, and then protect the eyes with custom lead eye masks, especially the crystal of the eyes. "

After a course of treatment, Pharaoh's condition recovered quickly. "I can be discharged tomorrow. I didn't expect my eyes to vision at all. I was grateful from my heart and trust the doctor here."

Take care

Make children's radiotherapy full warmth

As we all know, the incidence of children's tumors has increased year by year and has become an important factor in threatening the safety of children's lives. However, because of age, children can often not actively cooperate with treatment. How to effectively improve the compliance of radiotherapy of children with tumor patients, it has become the main breakthrough of the hospital.

A few days ago, the Radiotherapy Center of the Third Hospital of Shandong Province had treated a child with a 2 -year -old kidney and female cell tumor. "In the early stage, the child had experienced long surgery and chemotherapy in the outer hospital. In order to further consolidate the treatment effect, he came to our hospital for treatment." Zhang Shengui said that a 2 -year -old child who has undergone surgery and chemotherapy has a deep fear of the hospital and allows the child to make the child the child. It is very difficult to stay there for five or six minutes. However, each tumor radiotherapy process takes 5 to 6 minutes, and the child needs to lie on the radiotherapy machine without moving. "It is easy to cause anxiety and fear in the large room alone."

In order to help small patients to relieve psychological anxiety, radiotherapy technicians created a relaxed emotional atmosphere through chatting and telling stories and game games before radiotherapy. In addition, the warm and sunny decorative style of the radiation therapy room slowly disappeared.

"The medical staff is very patient with the child!" The parent of the child said, under the careful care of the medical staff, he gradually started to cooperate. In addition, the radiotherapy center also designed a comfortable and comfortable love ward for children, sent dolls, fruits, snacks, and giving warm greetings and care. The child recovered quickly without any adverse reactions.

"Each tumor child is a little 'hero'. Children come to the radiotherapy center for treatment. We are willing to use love to accompany them to guard them to defeat the disease and embrace health." Cancer patients have rich clinical experience in children's sarcoma, kidney maternal cytoma, neuroblastoma, hepatocytoma, retinoplastoma, and craniotomy malignant tumors.

Training and discussion mechanism

Team technical strength is continuously improved

In terms of technical refinement and team collaboration capabilities, the radiotherapy center has been moving forward.

Counting daily work, this team will promote the team's comprehensive growth through business training, discussion and other mechanisms almost every working day.

Every Tuesday from 9 --11 am is the time to meet with American experts for important cases. The relevant responsible persons in the radiotherapy center uploaded a summary report to the platform three days in advance. Foreign experts and top experts from relevant domestic departments conducted preliminary inspection and inspection materials for cases. In the expert group discussed in the medical case, there were not only tumor chemotherapy experts, but also professionals such as surgery, video, pathology, testing, nutrition and other departments. Summary different suggestions made by experts in different diseases and different departments, and finally determine the optimal treatment plan. In the past two years, they have held more than 130 games as regular schedules.

At 5 pm every Wednesday, the plan discussion time. A discussion group consisting of experts from four provinces and cities in Beijing, Fujian, Guangdong, and Shandong. The patient's condition includes preliminary positioning preparation, the treatment target area, dose, and treatment plan, find out inadequate and need improvement, and then based on the results of the discussion results. Adjust to ensure that each patient is perfected, standardized, and reasonable.

At noon every Thursday is the time of study and training in the internal business of the radiotherapy center. Director Zhang Shengui will lead his colleagues in the team to train the latest medical cases at home and abroad for young doctors, while studying domestic and foreign literature to improve the overall business level of the team.

At 8 am to 9 am every Friday, it is the time to discuss with American experts. Different from the MDT online consultation of specific patients, the special discussion is to conduct special business learning to a certain problem.

Workers will be good for their good things.

The radiotherapy center of the Third Hospital of Shandong Province also attaches great importance to the equipment equipment. For example, the world -class advanced radiotherapy equipment, the US Varian Halcyon intelligent straight line accelerator, from the industry standard from 3 mm accurate to 0.4 mm, plus 100%image guidance, which greatly improves the accuracy of treatment, which significantly improves the efficacy And security. Applying the first domestic Zhiyun treatment plan system (TPS), staff can manage patients throughout the public network system to observe the efficacy and correct the treatment plan in real time. In addition, the standardized and complete radioactive therapy quality assurance (QA) system has been established. From the design of equipment operation guarantee, accurate scale of dose, scientific and standardized treatment for treatment plans, to the implementation of the patient's reasonable and standardized treatment, there are strict quality management and quality management and quality management and treatment. ensure.

Expert introduction:

Zhang Shengui

Director of the Radiotherapy Center, Chief Physician, Professor

He has been engaged in clinical tumor radiation therapy for nearly thirty years, and is good at radiation therapy and comprehensive treatment of various common malignant tumors. Three -dimensional three -dimensional adaptive radiotherapy (3DCRT), X -ray and electronic line hybrid radiotherapy were carried out earlier in the province. Bid -cut wildlife, large -scale irregular wild radiotherapy, and international radiotherapy technologies such as volume strong radiotherapy (IMRT, VMAT, IGRT) under image guidance. Radioxidation and comprehensive treatment of esophageal cancer, lung cancer, gastric cancer, breast cancer, rectal cancer, rectal cancer, brain tumor, oral tumor, nasopharyngeal cancer, laryngeal cancer, gynecological tumor, abdominal tumor, soft tissue sarcoma, etc. , Accumulate rich clinical experience.

He is also the chairman of the Cancer Precision Treatment Committee of the Shandong Provincial Senior Medical Society, a director of the Shandong Provincial Society of Senior Sciences and Senior Medical Society, Deputy Chairman of the Senior Cancer Professional Committee of Elderly Medical Association in Shandong Province, executive member of the Shandong Physician Association Cancer Treatment Medicine Branch, Executive member of the Radiation Tumor Branch of the Shandong Provincial Anti -Cancer Association, executive member of the Shandong Medical Education Association Cancer Radiotherapy Special Committee, executive member of the Radiation Tumor Branch of the Shandong Provincial Research Hospital Association, and deputy chairman of the Radiation Tumor Branch of the Jinan Medical Association. Member of the American Radiation Surgery Association, member of the Chinese Medical Association of Tumor Radiation oncology, and Member of the Society of Tumor Radiation therapy of the Chinese Medical Association.

He has won honorary titles such as the "Young Jobs of Youth" and the "Professional Ethical Construction Position Base for Professional Ethical Construction" in the Health System of Shandong Province.

Disposal time: Monday morning

Source: Third Hospital of Shandong Province