The invention discloses an automatic
examination method and
system for radiotherapy records based on a multi-
modal pre-training model, and a storage medium, and belongs to the field of medical
artificial intelligence and radiooncology
quality control. The method comprises the following steps: acquiring and standardizing multi-
modal data of the whole process of radiotherapy; extracting and fusing image, text and
dose features through an improved vision-
language model and an enhanced ClinicalBERT (ClinicalBERT); retrieving related clinical evidences from the radiotherapy
knowledge base based on a retrieval enhancement generation framework; inputting the fusion features and the retrieval evidence into a locally deployed multi-
modal model to generate a structured review report; and executing six functional modules of target coverage evaluation,
organ protection analysis, DVH interpretation, quality scoring, guide compliance inspection and
anomaly detection based on a report, outputting a grading decision result, and supporting full-link audit tracing. According to the invention, automatic and standardized examination of radiotherapy records is realized, the examination efficiency and consistency are improved, and the
labor burden and subjective difference are reduced.