Motto- Our well-being is a product of meaning we create!
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1 Physician- Dr. Brandon Fisher Born in Utah- USA Radiation Oncology in Utah Philanthropist President -RadiatingHope Board of Directors - Above and Beyond Cancer Mountain climber Weber County Search and Rescue Rock and High Altitude climbing Motto- Our well-being is a product of meaning we create!
2 Provide and update radiation equipment in developing countries and advance cancer care in those countries.
3 Radiating Hope sites:
4 Cancers globally: 15+ million case in /3 will occur in developing countries. It is not an exaggeration to say that cancer represents an imminent crisis for developing countries. -IAEA Director General Yukiya Amano - Ferlay J, Shin HR, Bray F, et al: Estimates of worldwide burden of cancer in 2008: GLOBOCAN Int J Cancer 127: , Farmer P, Frenk J, Knaul F, et al: Expansion of cancer care and control in countries of low and middle income: a call to action. Lancet 376: , 2010.
5 US: Approximately 1 machine for 100,000 people 2% of machines are cobalt Africa: 1 machine for 4.8 million people 48% of machines are cobalt South America: 1 machine for 600,000 people 30% of machines are cobalt Nepal: 1 machine for 6 million people 40% of machines are cobalt VIDEO: Cancer care in Tanzania
6 Cervix Cancer Education Symposium, Mexico
7 Global Oncology Implementation of Cervical Brachytherapy in Developing Countries Implementation of HDR brachytherapy in Senegal
8
9 HDR Brachytherapy in Senegal West Africa has one of the highest incidence rates of carcinoma of the cervix in the world. Senegal, a country of 13 million people, had a single 60-Cobalt teletherapy unit. No brachytherapy capabilities. Goal: Radiating Hope- provide first brachytherapy machine. Provide curative cervical cancer treatments. Institut Joliot-Curie Cancer Center in Dakar, Senegal
10 Implementation of HDR brachytherapy -Senegal, West Africa The Institut Curie: 1 Cobalt machine 1 Conventional Simulator No HDR Faculty: 2 Rad Oncs 3 physicists 3 therapists no nurse The cancer center: -treats patients per day -only treatment facility within a 500-km radius -provides services to several neighboring countries.
11 Cervical Cancer in Senegal Waiting room in Senegal- 40% Cervical Cancer Most common cancer: -40% cervical -Cervical cancer treatment in Senegal prior to HDR: 1)External beam, 45 Gy 2)Boost gross disease with external beam 3)Surgery Outcomes: Mostly Palliative Need HDR brachythearpy
12 Arrival of HDR machine
13 End Result: Advancing Cancer Care Globally Equipment donation Shipping Installation Training Maintenance Symposium Training
14 Radiating Hope sites: Honduras- Centro Oncologico Hondureno SEDIMA in Tegucigalpa Population 8.2 million Radiation Centers: 5 Radiation machines: 7 external beam radiation machines Brachytherapy- Mainly Cesium and 1 HDR machine
15 Guatemala Instituto de Cancerologia (INCAN) in Guatemala City» 16 million people» Radiation Centers: 6» Radiation Machines: 11 external beam machines (10 linacs and 1 cobalt)» Brachytherapy: Mainly Cesium and 4 HDR machines Site visit in 2016» We initially met with Dr. Carlos Mauricio (Medical Director), Dr.Lily Ureta (Radiotherapy Department Head) and Kirk Najera (physicist)
16 Site visit: Goals Improved/additional imaging equipment (Mammography, MR, CT) Training for technologists (therapists) nurses (oncology specialty) and residents; stated desire for protocols Removal of multiple defunct Co-60 sources Additional Cs-137 applicators Cerrobend (now); MLCs (future) Liga Nacional contra el Cáncer Met with Vice President of, Vicky De Falla -Reiterated the need for additional mammography units.
17 End Result: Advancing Cancer Care Globally Equipment donation Shipping Installation Training Maintenance Symposium Training
18 How to get involved: Join the Radiating Hope Society Become a Radiating Hope Center of Excellence Rotation site Equipment donation Shipping Installation Training Maintenance Symposium Be a symposium site Join our symposiums Training
19 Gracias
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