Application of 3D Conformal Radiotherapy for Predominant Cancers in the RCA Region RAS6048 LC: Japan

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Application of3D Conformal Radiotherapyfor
Predominant Cancersin the RCA RegionRAS/6/048L
C JapanPLCC Takashi Nakano
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What is 3D Conformal Radiotherapy ?
Linear Accelerator
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What is 3D Conformal Radiotherapy ?

• 2D RT

• 3D Conformal RT

X-simulator Ap-Pa ports Multi leaf collimator(-)
Square field
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Objectives RAS/6/048

• To improve the knowledge and skill of radiation
  oncologists and medical physicists in 3D
  conformal radiotherapy for the predominant
  cancers in the RCA region by implementing
  relevant IAEA documents.
• Expected impacts
• These activities will contribute to improvement
  of knowledge and skill of clinical practice of
  the high-precision 3D radiotherapy for
  predominant cancers in the RCA region.
• These activities will improve quality assurance
  for medical service and will improve survival
  rate of the patient.
• Hence, the 3D radiotherapy increasingly
  contributes cancer patients and contributes
  improved health care in the RCA countries.

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General Information RAS/6/048

• Duration 2007-2009 (3 years)
• Lead Country JAPAN
• Participating Member States 13 MSs
• Australia, Bangladesh, China, India, Indonesia,
  Japan, Mongolia, Myanmar, Pakistan, Philippines,
  Singapore, Thailand, Vietnam
• PLCC Prof. Takashi Nakano
• Technical Officer Prof. Eeva K. Salminen

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Project Planning MeetingRAS/6/048

• Singapore, May 7-11, 2007
• Assessed the current status of 3D conformal
  radiotherapy in the MSs.
• Devised the activities and timetable of the
  project.
• 4 Regional Training Courses (3 for RO, 1 for MP)
  in 2007 and 2008
• National Training Courses in 2009
• Agreed to form National Project Team in MS and to
  formulate National Work Plan.

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Work Plan RAS/6/048
Project Formulation Meeting
Technological transfer
Radiation Oncologist
Medical Physicist
Regional Training Courses
Train trainers Textbooks Provide educational CDs
Dissemination of tech.
National level
National Project Team
NTC
NTC
NTC
NTC
NTC
NTC
NTCNational training courses
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Work Plan RAS/6/048

• Four RTCs (3 for Radiation Oncologists and 1 for
  Medical Physicists) to train the members of
  National Project Teams.
• 2007 One RTC
• (Japan, 07/2007, 20 participants from 10 MSs)
• 2008 3 RTCs (Thailand, Singapore, India)
• National Training Courses in the MS
• To be held by NPT in each MS in 2009

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Regional Training Courses RAS/6/048Prior to
2008

• 1 RTC on Imaging and Treatment Planning for
  Radiation Oncologists
• (Japan, 07/2007, 20 participants from 10 MSs)
• 2 RTC on 3D Conformal Radiotherapy and QA -
  Part I (for Radiation Oncologists)
• 3 RTC 3D Conformal Radiotherapy and QA - (for
  Medical Physicists)
• 4 RTC on 3D Conformal Radiotherapy and QA -
  Part II (for Radiation Oncologists)

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Regional Training Courses RAS/6/048In 2008

• 2 RTC on 3D Conformal Radiotherapy and QA -
  Part I (for Radiation Oncologists)
• 23-27 April 2008, Thailand
• (Mahidol University, Siriraj Hospital)
• Purpose To provide RCA Member States training on
  quality assurance (QA) and quality control (QC)
  practices and procedures of 3D conformal
  radiation therapy in lung, head and neck cancer
  and breast.
• 2 external lecturers (Dr. KW Fong, Dr. J Wee
  SIN)
• 21 participants from 9 Member States.

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Regional Training Courses RAS/6/048In 2008

• 3 RTC on 3D Conformal Radiotherapy and QA -
  (for Medical Physicists)
• 15-19 September 2008, Singapore
• (National Cancer Center)
• Purpose To teach the main medical physics
  features needed for safe and effective
  implementation of 3D conformal radiotherapy.
• One external lecturer (Dr. KY Cheung - China)
• 12 participants from 7 Member States.

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Regional Training Courses RAS/6/048In 2008

• 4 RTC on 3D Conformal Radiotherapy QA for
  Imaging and Treatment (with focus on
  gastrointestinal, genitourinary, and cervix
  cancer)
• 24-28 November 2008, India
• (Tata Memorial Hospital)
• Purpose To provide RCA Member States training on
  QA and QC practices and procedures of 3D
  conformal radiation therapy in gastrointestinal,
  genitourinary, and cervix cancers.
• 17 participants from 7 Member States.

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Progress RAS/6/048

• Bangladesh
• - One National Workshop on 3D Conformal
  Radiotherapy was held in the National Institute
  of Cancer Research and Hospital (NICRH), on 16
  June, 2008.
• - A one-day long seminar on IMRT and IGRT was
  conducted in NICRH on 24th December 2008 to
  prepare for technical cooperation project on
  implementation of 3DCRT and to assist smooth
  implementation of RCA activities in Bangladesh.
• - A Technical Cooperation (TC) project on
  Assistance in establishment of 3D Conformal
  Radiotherapy for cancer control in Bangladesh
  has been accepted by IAEA and currently under
  preparation by the National Project Team.

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Progress RAS/6/048

• China
• - In cooperation with European Society for
  Therapeutic Radiology and Oncology (ESTRO), the
  National Project Team of China has organized a
  meeting of 3D radiotherapy on 24-28 April, 2008
  in Beijing with more than 400 participants from
  120 radiation oncology centers. The meeting
  covered the 3D conformal radiotherapy in gastric
  cancer, prostate cancer, lung cancer, esophageal
  cancer, cervical cancer, rectal cancer, head and
  neck cancer.
• - Another meeting on rectal cancer is currently
  under preparation to be held in October, 2009.

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Progress RAS/6/048

• Indonesia
• - The RTC participants were from different
  radiation oncology centers which are either
  currently practicing or in the process of
  implementing 3D conformal radiotherapy (3DRT).
  The participants have shared their knowledge with
  the staff of their respective centers to improve
  the daily practice of 3DRT or to implement 3DRT
  into their daily practice.
• - The National Project Team is currently
  designing the National Training Course.

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Progress RAS/6/048

• Singapore
• - Singapore has organized the RTC 2008-2 which
  had 12 participants (1 from China, 2 from India,
  2 from Pakistan, 1 from Philippines, 2 from
  Thailand, and 2 from Vietnam). The RTC was
  well-received and benefited all the participants.

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Progress RAS/6/048

• Vietnam
• - The National Workshop on 3D Conformal RT for
  radiation oncologists, medical physicists, and
  radiation therapy technologists was held in the
  Q4 of 2008.
• - 3D Conformal RT is routinely being applied
  for head and neck cancer and breast cancer in NCI
  Oncology Hospital and Cho Ray Hospital in Ho Chi
  Ming City.
• - In an effort to improve the QA/QC of 3D
  Conformal RT, Vietnam Association of Medical
  Physics was established in November of 2008.
• - Excessive number of cancer patients and lack
  of radiotherapy machines simulators, dosimetry
  systems, and QA tools are constraints of
  successful implementation of the project.

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Plan in 2009 RAS/6/048

• National Training Courses are to be held in the
  Member States by the National Project Teams.
• CD-ROMs of the training materials used in the
  RTCs were provided to the participants to be used
  in the National Training Courses
• Final Progress Assessment Meeting is scheduled at
  the end of 2009.

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Issues RAS/6/048

• Progress Reports have been submitted only by the
  Members States mentioned in this presentation.
  Other MS have NOT submitted their Progress
  Reports.
• Close communication with the NPCs is essential
  for the implementation of National Training
  Courses.
• Administrative and financial assistance from
  National Representatives to NPT to hold NTC is
  requested.

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Thank you very much for your attention
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