Pickup effect of patients with potential radiotherapy indication by Radiographers: An institutional reports in Japan

Abstract

Author(s): Osamu Tanaka

Background: As there are fewer radiologists in Japan compared to Western countries, there is less opportunity to participate in conferences in each department to discuss the indications for radiation treatment, and in our hospital without a cancer board, there is no indication for radiation treatment There is a current situation under the judgment of each medical department. Objectives: We picked up patients who were potentially candidates for radiotherapy when performing CT and MRI examinations. From among these, a radiotherapy specialist judged how much the indication of radiation therapy was, and examined the effect. Materials and Methods: For CT and MRI examinations taken from November 2017 to May 2018, cases where radiotherapy was considered necessary were picked up. The radiotherapy specialist referred the medical record for the case and judged the indication of radiotherapy in the following classification. Not applicable for radiation therapy (currently under treatment) score 1; future radiation therapy potential 2 score, radiation therapy required future score 3 Grasp the trend of 4) score, the indication of radiation treatment immediately (contact your doctor) score 5. Results: We picked up 52 cases for radiotherapy from CT and MRI. Among them, the score 1 was 16 people, the score 2 was 7 people, the score 3 was 15 people, the score 4 was 13 people, and the score 5 was 1 person. As for score 4, there were many spinal symptoms. With regard to a score of 5 in a medical department that cancer normally does not handle, there was a tumor in a part different from the examination purpose, and in some cases it was necessary to call the patient. Conclusions: Indications for radiation therapy tend to increase year after year, and it may be very difficult to judge the indications for radiation treatment in departments that do not treat cancer frequently. It turned out that this examination leads to guidance guidance and enlightenment activity of radiation therapy for each medical department. Providing information from radiologists performing CT and MRI examinations to the radiotherapy department was considered to be very useful.  

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