中文摘要：

The reliability of radiotherapy was evaluated and effective approaches were obtained in order to improve radiotherapy quality by using the Probabilistic Safety Assessment(PSA) method. This study investigated the feasibility of the PSA method being applied to radiotherapy through Image-guided Radiotherapy(IGRT) and chest tumor irradiation. A fault tree has been constructed after analyzing causal relationship of the events.After calculating Risk A, a total inaccuracy radiotherapy probability and the importance of all base events were obtained. The probability of inaccurate radiotherapy was 2.87%. Under the condition that the target delineation was perfectly right, the accuracy of radiotherapy significantly improved. With the calculation without Conebeam Computed Tomography(CBCT) being corrected before irradiation, the accuracy significantly decreased.The most important events were connected with the human factor. Improving human technical level could enhance radiotherapy quality control efficiently.

英文摘要：

The reliability of radiotherapy was evaluated and effective approaches were obtained in order to improve radiotherapy quality by using the Probabilistic Safety Assessment（PSA） method. This study investigated the feasibility of the PSA method being applied to radiotherapy through Image-guided Radiotherapy（IGRT） and chest tumor irradiation. A fault tree has been constructed after analyzing causal relationship of the events.After calculating Risk A, a total inaccuracy radiotherapy probability and the importance of all base events were obtained. The probability of inaccurate radiotherapy was 2.87%. Under the condition that the target delineation was perfectly right, the accuracy of radiotherapy significantly improved. With the calculation without Conebeam Computed Tomography（CBCT） being corrected before irradiation, the accuracy significantly decreased.The most important events were connected with the human factor. Improving human technical level could enhance radiotherapy quality control efficiently.