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Abstract：
To date, the virtual multidisciplinary tumor boards (vMTBs) are increasingly used to achieve high-quality treatment recommendations across health-care regions, which expands and develops the local MTB team to a regional or national expert network. This review describes the process of lung cancer-specific MTBs and the transition process from face-to-face tumor boards to virtual ones. The review also focuses on the project organization\'s description, advantages, and disadvantages. Semi-structured interviews identified five major themes for MTBs: current practice, attitudes, enablers, barriers, and benefits for the MTB. MTB teams exhibited positive responses to modeled data feedback. Virtualization reduces time spent for travel, allowing easier and timely patient discussions. This process requires a secure web platform to assure the respect of patients\' privacy and presents the same unanswered problems. The implementation of vMTB also permits the implementation of networks especially in areas with geographical barriers facilitating interaction between large referral cancer centers and tertiary or community hospitals as well as easier access to clinical trial opportunities. Studies aimed to improve preparations, structure, and conduct of MTBs, research methods to monitor their performance, teamwork, and outcomes are also outlined in this article. Analysis of literature shows that MTB participants discuss 5-8 cases per meeting and that the use of a vMTB for lung cancer and in particular stage III NSCLC and complex stage IV cases is widely accepted by most health professionals. Despite still-existing gaps, overall vMTB represents a unique opportunity to optimize patient management in a patient-centered approach.
摘要：
迄今为止,虚拟多学科肿瘤委员会（vMTB）越来越多地用于在医疗保健地区实现高质量的治疗建议，它将本地MTB团队扩展和发展为区域或国家专家网络。这篇综述描述了肺癌特异性MTBs的过程以及从面对面肿瘤板到虚拟肿瘤板的过渡过程。审查还侧重于项目组织的描述，优势,和缺点。半结构化访谈确定了MTB的五个主要主题：当前实践，态度，启用者，障碍,以及对MTB的好处。MTB团队对建模的数据反馈表现出积极的反应。虚拟化减少了旅行所花费的时间,允许更容易和及时的耐心讨论。这个过程需要一个安全的网络平台，以确保尊重患者的隐私，并提出同样的未解决的问题。vMTB的实施还允许实施网络，特别是在具有地理障碍的地区，促进大型转诊癌症中心与三级或社区医院之间的互动，以及更容易获得临床试验机会。旨在改进制剂的研究，结构,以及MTB的行为，监测他们表现的研究方法，团队合作,本文还概述了结果。文献分析表明，MTB参与者每次会议讨论5-8例，并且vMTB用于肺癌，特别是III期NSCLC和复杂的IV期病例已被大多数卫生专业人员广泛接受。尽管仍然存在差距，整体vMTB代表了在以患者为中心的方法中优化患者管理的独特机会.
