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{"sheet":"附表1","index":0,"n_rows":13,"n_cols":26,"rows_kept":13,"merged":[[0,0,0,25],[1,1,1,13],[1,14,1,15],[1,16,1,22],[1,23,1,25],[2,0,9,0],[2,1,6,1],[2,2,6,2],[2,3,6,3],[2,4,6,4],[2,5,6,5],[2,6,6,6],[2,7,6,7],[2,8,6,8],[2,9,6,9],[2,10,6,10],[2,11,6,11],[2,12,6,12],[2,13,6,13],[2,14,6,14],[2,15,6,15],[2,16,6,16],[2,17,6,17],[2,18,6,18],[2,19,6,19],[2,20,6,20],[2,21,6,21],[2,22,6,22],[2,23,6,23],[2,24,6,24],[2,25,6,25],[12,0,20,255]],"flags":["formulas_cached_only"]}
["附表1              （放射诊疗设备）信息汇总表"]
[null,"X射线诊断",{"$nulls":12},"介入",null,"放射治疗",{"$nulls":6},"核医学"]
["设备数","屏片X射线摄影机","数字X射线摄影机（DR）","计算机X射线摄影机（CR）","透视机","计算机X射线断层扫描设备（CT）","胃肠机","口内牙科机","全景牙科机","牙科CT机","乳腺屏片X射线摄影机","乳腺数字X射线摄影机","乳腺计算机X射线摄影机","其他","DSA","其他","电子加速器","钴-60机","头部伽马刀","体部伽马刀","后装机","模拟定位机","其他","PET","SPECT","其他"]
{"$rows_empty":9}
["注：1. 本表所统计设备为记录于放射诊疗许可证上的设备，牙科诊所设备不统计在内。。\n2. PET包括PET，PET-CT，PET-MRI等。\n3. SPECT包括SPECT-CT和SPECT。\n4. 介入设备其他项中不包括胃肠机，小C型臂等。\n5. 放射治疗其他项中包括质子治疗加速器、TOMO、陀螺刀、射波刀（赛博刀）、术中放疗设备等。\n6. 核医学其他项中包括各类功能测定仪、γ相机等，不包括回旋加速器。\n"]

{"sheet":"附表2","index":1,"n_rows":19,"n_cols":13,"rows_kept":19,"merged":[[0,0,0,12],[1,0,1,12],[2,0,2,1],[2,5,2,6],[2,8,2,9],[4,0,4,12],[6,1,6,2],[6,3,6,4],[6,5,6,6],[6,7,6,9],[6,10,6,11],[7,1,7,2],[7,3,7,4],[7,5,7,6],[7,7,7,9],[7,10,7,11],[8,1,8,2],[8,3,8,4],[8,5,8,6],[8,7,8,9],[8,10,8,11],[9,1,9,2],[9,3,9,4],[9,5,9,6],[9,7,9,9],[9,10,9,11],[10,1,10,2],[10,3,10,4],[10,5,10,6],[10,7,10,9],[10,10,10,11],[11,1,11,2],[11,3,11,4],[11,5,11,6],[11,7,11,9],[11,10,11,11],[12,1,12,2],[12,3,12,4],[12,5,12,6],[12,7,12,9],[12,10,12,11],[13,1,13,2],[13,3,13,4],[13,5,13,6],[13,7,13,9],[13,10,13,11],[14,1,14,2],[14,3,14,4],[14,5,14,6],[14,7,14,9],[14,10,14,11],[15,1,15,2],[15,3,15,4],[15,5,15,6],[15,7,15,9],[15,10,15,11],[16,1,16,2],[16,3,16,4],[16,5,16,6],[16,7,16,9],[16,10,16,11],[18,0,24,12]],"flags":["formulas_cached_only"]}
["附表2 医用辐射机构基本情况记录表"]
["医院名称："]
["医院级别：",null,"三级",null,null,"2016年门急诊量：",null,null,"2016年住院人数："]
[]
["放射工作人员数：1、放射诊断     2、介入放射学     3、放射治疗      4、核医学      5、牙科"]
[]
["序号","设备名称",null,"生产厂家",null,"设备型号",null,"出厂编号或固定资产编号（能够区分同类型设备）",null,null,"用途",null,"备注"]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[]
["注：1.用途指诊断、治疗、介入、模拟定位、核医学、其他；\n2.对于普通X射线诊断设备需在备注中标明属于屏-片机、CR和DR中的哪一项，对于CT机需注明属于普通和螺旋中的哪一种。\n3.本表所调查设备为记录于放射诊疗许可证上的设备，可续页。\n"]

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["附表3 医用辐射机构常规X射线诊断应用频次调查记录表"]
["医院名称："]
["设备类型：     □屏片和透视       □ CR       □ DR  "]
[]
["检查项目",null,"胸部摄影",null,"胸部透视",null,"四肢及关节摄影","颈椎摄影","胸椎摄影","腰椎摄影","骨盆及髋关节摄影","腹部摄影","其他"]
[null,null,"胸部正位","胸部侧位","门诊","体检"]
["2016年度总计"]
[]
["男性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
["女性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
[]
["注：1.表中的普通X射线诊断指普通屏片和透视、CR、DR，以上类型分开在此表中记录。     \n2.本表最好用采集医院计算机信息系统的资料汇总后填入。\n3.若胸部透视体检用于体检时缺乏年龄数据，可只统计总人数。     \n4.若信息系统中记录为正侧位，则统计时应记为2次。\n"]

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["附表4 医用辐射机构数字胃肠机、口腔、碎石等应用频次调查记录表"]
["医院名称："]
[]
["检查项目",null,"胃肠造影","牙科摄影",null,null,"乳腺摄影","胆囊造影","尿路造影","输卵管造影","体外碎石"]
[{"$nulls":3},"口内片","全景摄影","口腔CT"]
[]
["2016年度总计"]
[]
["男性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
["女性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
[]
["注：1. 本表最好用采集医院计算机信息系统的资料汇总后填入。            \n2. 肾盂及输尿管造影归为尿路造影。                  \n3. ERCP属于胆囊造影。\n"]

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["附表5 医用辐射机构CT诊断应用频次调查记录表"]
["医院名称："]
[]
["检查项目",null,"颅脑","五官","胸部","腹部","脊柱","盆腔","四肢","血管CTA",null,null,"CT介入","多部位","其他"]
[{"$nulls":5},"腹部","脊柱","盆腔","四肢","冠脉","头颈","外周"]
[]
["2016年度总计"]
[]
["男性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
["女性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
[]
["注：1. 本表最好用采集医院计算机信息系统的资料汇总后填入。\n2. 如果同一患者在平扫基础上做增强扫描，则在统计时应记为2次。\n3. 盆腔统计中含骨盆扫描。\n"]

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[null,"附表6 医用辐射机构介入放射学应用频次调查记录表"]
["医院名称："]
[]
["检查项目",null,"心血管介入",null,"肿瘤介入",null,"神经介入",null,"外周血管介入",null,"非血管介入",null,"诊断介入",null,"其他"]
[]
[]
["2016年度总计"]
[]
["男性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
["女性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
[]
["注：1. 本表最好用采集医院计算机信息系统的资料汇总后填入，不包括CT介入。\n2. 心血管介入包括但不限于冠状动脉造影、冠状动脉成形术、射频消融术、先天性心脏病介入等类别。\n3. 肿瘤介入包括但不限于经导管肝动脉化疗栓塞、其他肿瘤栓塞术、肿瘤消融术等类别\n4. 神经介入包括但不限于脑血管造影术、颅内血管支架术、脑血管溶栓术、脑血管栓塞术等类别。\n5. 外周血管介入包括但不限于外周血管造影术、外周血管成形术、外周血管溶栓术、外周血管栓塞术等类别。\n6. 非血管介入包括但不限于胆道介入、消化道介入、脊柱介入等类别。\n7. 诊断介入包括但不限于射线导引下的穿刺活检、穿刺引流等类别。\n"]

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["附表7 医用辐射机构放射治疗应用频次调查记录表"]
["医院名称："]
[]
["检查项目",null,"头颈部肿瘤",null,"胸部肿瘤",null,"消化系统肿瘤",null,"泌尿生殖系统肿瘤",null,"骨及软组织肿瘤",null,"淋巴及血液系统肿瘤",null,"其他"]
[]
[]
["2016年度总计"]
[]
["男性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
["女性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
[]
["注：1. 本表统计治疗人数。\n2. 头颈部肿瘤包括但不限于鼻腔及鼻窦恶性肿瘤、鼻咽癌、口腔癌、喉癌、涎腺肿瘤、颅内肿瘤、甲状腺癌、舌癌等。\n3．胸部肿瘤包括但不限于肺癌、食管癌、贲门癌、乳腺癌、纵膈肿瘤等。\n4. 消化系统肿瘤包括但不限于胃癌、大肠癌、乙状结肠和直肠癌、肝癌、胰腺癌、壶腹周围癌、小肠恶性肿瘤等。\n5. 泌尿生殖系统肿瘤包括但不限于肾癌、前列腺癌、膀胱癌、睾丸恶性肿瘤、阴茎癌、子宫颈癌、子宫内膜癌、卵巢癌等。\n6. 骨及软组织肿瘤包括但不限于恶性纤维组织细胞瘤、横纹肌肉瘤、滑膜肉瘤、皮肤恶性黑色素瘤、骨肉瘤、尤文氏肉瘤等。\n7. 淋巴及血液系统肿瘤包括但不限于淋巴瘤、多发性骨髓瘤急性白血病、慢性白血病、红细胞增多症、血小板增多症、骨髓增生异常综合症等。\n"]

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["附表8 医用辐射机构核医学应用频次调查记录表"]
["医院名称："]
[]
["检查项目",null,"核医学检查",{"$nulls":3},"核医学治疗"]
[null,null,"SPECT检查","PET检查","功能测定","其他","I-131甲亢\n治疗\n","I-131甲癌\n治疗\n","粒子植入治疗","敷贴治疗","其他"]
[]
["2016年度总计"]
[]
["男性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
["女性","0-15岁"]
[]
[null,">15岁-≤40岁"]
[]
[null,"＞40岁"]
[]
[null,"无法确定年龄"]
[]
[]
["注：1.本表最好用采集医院计算机信息系统的资料汇总后填入。\n2. SPECT检查包括但不限于全身显像、骨显像、心肌灌注、心血池、脑血流、甲状腺锝显像、甲状腺碘扫描、肝胆动态显像、淋巴显像、肺通气、肺灌注、肝脾显像、胃食道功能、尿路反流、睾丸显像等。\n3. PET检查包括但不限于PET心脏、PET肿瘤、全身显像等。\n4. 功能测定指由甲功仪、肾图仪、γ心功能仪、骨密度仪等仪器进行吸碘率、肾图、心功能、骨密度等的测定。\n5. 本表调查内容不含体外放免检测、抗体检测、发光实验等。"]

{"sheet":"附表9","index":8,"n_rows":22,"n_cols":12,"rows_kept":22,"merged":[[0,0,0,12],[2,0,2,1],[2,6,2,8],[4,0,4,1],[4,6,4,10],[9,3,9,4],[9,5,9,6],[9,7,9,8],[9,9,9,10],[9,11,9,12],[10,0,11,0],[10,1,11,1],[10,2,11,2],[10,3,11,4],[10,5,11,6],[10,7,11,8],[10,9,11,10],[10,11,11,12],[12,0,13,0],[12,1,13,1],[12,2,13,2],[12,3,13,4],[12,5,13,6],[12,7,13,8],[12,9,13,10],[12,11,13,12],[14,0,15,0],[14,1,15,1],[14,2,15,2],[14,3,15,4],[14,5,15,6],[14,7,15,8],[14,9,15,10],[14,11,15,12],[16,0,17,0],[16,1,17,1],[16,2,17,2],[16,3,17,4],[16,5,17,6],[16,7,17,8],[16,9,17,10],[16,11,17,12],[18,0,19,0],[18,1,19,1],[18,2,19,2],[18,3,19,4],[18,5,19,6],[18,7,19,8],[18,9,19,10],[18,11,19,12],[21,0,28,9]],"flags":["formulas_cached_only"]}
["附表9  X射线摄影检查剂量参数记录表"]
[]
["医院名称：",null,"                                  ",{"$nulls":3},"X射线摄影装置生产厂家："]
[]
["机器型号：",{"$nulls":5},"高压发生器类型：□单相  □三相  □中高频"]
[]
[null,"半值层：","        mmAl",null,"输出量：","        mGy/mAs @60kVp",null,null,"焦点到探测器距离=100cm（无散射模体）"]
[null,"半值层：","        mmAl",null,"输出量：","        mGy/mAs @80kVp",null,null,"焦点到探测器距离=100cm（无散射模体）"]
[]
["序号","年龄","性别","检查部位",null,"管电压(kV)",null,"毫安秒(mAs)",null,"焦点到探测器距离(cm)",null,"照射野（cm×cm）"]
[1]
[]
[2]
[]
[3]
[]
[4]
[]
[5]
[]
[]
["注：1. 屏片/DR需调查部位：胸部、腰椎、颈椎、骨盆及髋关节、四肢及关节。\n2. 检查部位请同时注明正位、侧位。\n3. 焦点到探测器（影像接收器）距离的数值如果机器上看不到，则进行实际测量。\n4. 照射野为影像接收器位置的辐射野大小。\n5. 表头中，若80kVp无法调节，则尽量调至接近80kVp。\n6．患者曝光参数记录时若曝光模式是AEC，则kVp、 mAs读取实际曝光参数。\n"]

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["附表10  CT检查剂量报告参数记录表"]
[]
["医院名称：",{"$nulls":7}," CT生产厂家："]
["机器型号：","机器型号："]
[]
["序号","年龄","性别","检查部位",null,"管电压(kV)",null,"毫安秒/圈(mAs)",null,"准直宽度n×T（mm）",null,"螺距因子\n或层间隔/层厚",null,"扫描长度（cm）",null,"□CTDIw\n□CTDIVOL",null,"DLP（mGy•cm）"]
[]
[1]
[]
[2]
[]
[3]
[]
[4]
[]
[5]
[]
[]
["注：1. CT诊断需调查部位：头部、胸部、腹部、脊柱、四肢、冠脉。\n2. 检查部位一栏中请同时注明平扫、增强。\n3. 选取单部位单序列，避免选取多部位检查，定位像序列不做记录。\n4. 毫安秒/圈为球管旋转一周的mAs，该项可分别提供电流值（mA）和旋转时间（s），对于自动管电流调制则记录mAs的范围。\n5. 螺旋扫描填写螺距因子，轴扫填写层间隔/层厚。\n6. 根据仪器显示读取CTDIw或CTDIvol值并打钩。\n7. 在记录CTDIvol/CTDIw、DLP等数据的同时拍剂量报告照片作为原始记录。\n"]

{"sheet":"附表11","index":10,"n_rows":31,"n_cols":14,"rows_kept":31,"merged":[[0,0,0,13],[2,0,2,1],[2,6,2,8],[4,0,4,1],[4,6,4,7],[6,0,7,0],[6,1,7,1],[6,2,7,2],[6,3,7,4],[6,5,6,8],[6,9,6,13],[7,5,7,6],[7,7,7,8],[7,9,7,12],[8,0,9,0],[8,1,9,1],[8,2,9,2],[8,3,9,4],[8,5,9,6],[8,7,9,8],[8,9,9,12],[8,13,9,13],[10,0,11,0],[10,1,11,1],[10,2,11,2],[10,3,11,4],[10,5,11,6],[10,7,11,8],[10,9,11,12],[10,13,11,13],[12,0,13,0],[12,1,13,1],[12,2,13,2],[12,3,13,4],[12,5,13,6],[12,7,13,8],[12,9,13,12],[12,13,13,13],[14,0,15,0],[14,1,15,1],[14,2,15,2],[14,3,15,4],[14,5,15,6],[14,7,15,8],[14,9,15,12],[14,13,15,13],[16,0,17,0],[16,1,17,1],[16,2,17,2],[16,3,17,4],[16,5,17,6],[16,7,17,8],[16,9,17,12],[16,13,17,13],[18,0,19,0],[18,1,19,1],[18,2,19,2],[18,3,19,4],[18,5,19,6],[18,7,19,8],[18,9,19,12],[18,13,19,13],[20,0,21,0],[20,1,21,1],[20,2,21,2],[20,3,21,4],[20,5,21,6],[20,7,21,8],[20,9,21,12],[20,13,21,13],[22,0,23,0],[22,1,23,1],[22,2,23,2],[22,3,23,4],[22,5,23,6],[22,7,23,8],[22,9,23,12],[22,13,23,13],[24,0,25,0],[24,1,25,1],[24,2,25,2],[24,3,25,4],[24,5,25,6],[24,7,25,8],[24,9,25,12],[24,13,25,13],[26,0,27,0],[26,1,27,1],[26,2,27,2],[26,3,27,4],[26,5,27,6],[26,7,27,8],[26,9,27,12],[26,13,27,13],[30,0,32,8]],"flags":["formulas_cached_only"]}
["附表11  X射线摄影检查剂量实测记录表"]
[]
["医院名称：",null,"                                  ",{"$nulls":3},"X射线摄影装置生产厂家："]
[]
["机器型号："]
[]
["序号","年龄","性别","检查部位",null,"曝光参数",{"$nulls":3},"剂量测量"]
[{"$nulls":5},"管电压(kV)",null,"毫安秒(mAs)",null,"TLD读数（mGy）",{"$nulls":3},"平均值（mGy）"]
[1]
[]
[2]
[]
[3]
[]
[4]
[]
[5]
[]
[6]
[]
[7]
[]
[8]
[]
[9]
[]
[10]
[]
[]
[]
["注：1. 屏片/DR实测需调查部位：胸部、腰椎、颈椎、骨盆及髋关节。\n2. 检查部位请同时注明正位、侧位。\n"]