CURRICULUM VITAE. Soehartati Gondhowiardjo, MD. PhD
|
|
- Roland Shields
- 6 years ago
- Views:
Transcription
1 CURRICULUM VITAE Soehartati Gondhowiardjo, MD. PhD Born : Jakarta, September 1955 Education 1. GP : FKUI, Radiologist : FKUI, Radiation Oncologist : FKUI / Muenster (Germany) PhD : FKUI, 1998 (EBV LMP1 and Proliferation in NPC) Current Positions : Chairperson of Indonesian National Cancer Control Committee (KPKN) President of Indonesian Radiation Oncology Society (PORI) President of Federation of Asian Organizations of Radiation Oncology (FARO) Past President of South East Asia Radiation Oncology Group (SEAROG)
2 Implementation of New Technologies in LMIC: 3D HDR Brachytherapy Soehartati Gondhowiardjo ICARO2, Vienna, June 20 th -23 rd, 2017
3 Introduction In 2011 Potter et al. reported the clinical outcome of the patients treated after the introduction of IGBT ( ) vs historical controls, showed : Significant improvement in local control at 3 years; % in stage IB/IIB, and 85 90% in stage IIB IV relative reduction of pelvic recurrence of 65 70% compared to their conventional results. Overall survival rates at 3 years were 74 79% for stage IB/IIB, and 45% for stage IIIB, significantly increased compared to their historical series, and rates of severe morbidity were reduced Other institutions which have published their first results also showed promising outcomes Potter et al., Radiotherapy and Oncol.,2011
4 Conventional BT vs IGBT Rijkmans et al., Gynecologic Oncol., 2014
5 Kim, Hayeon et al. Cost-effectiveness analysis of 3D image-guided brachytherapy compared with 2D brachytherapy in the treatment of locally advanced cervical cancer Brachytherapy 2015, 14 (1):, 29-36
6
7 Sensitivity Analysis... Note: The x-axis represents the difference in costs between 3D and 2D treatments. The y- axis is the difference in survival between 3D and 2D treatments. The X on the graph represents the baseline values. Area above the line slope represents that 3D image-guided brachytherapy is a favored strategy. (using a $50,000 per QALY gained threshold ) Kim, Hayeon et al. Cost-effectiveness analysis of 3D image-guided brachytherapy compared with 2D brachytherapy in the treatment of locally advanced cervical cancer. Brachytherapy 2015, 14 (1):, 29-36
8 IAEA/RCA RAS/6/062 Supporting 3D IGBT Services 4 RTCs were held from 2012 to 2015, NTC in each country ( ) 121 RO and MP were trained at RTCs. Training materials were available at the IAEA website. Guideline Transition from 2DBrachytherapy to 3D High Dose Rate Brachytherapy was published. Number of hospitals which implement 3D IGBT have Courtessy increased of Prof in RCA Shingo MS Kato, (11% in PLCC 2012, for 19% IAEA in RCA 2015) RAS. 6/062
9 Objective To Improve regional and national capacities for brachytherapy services by implementing 3D-IGBT by To strengthen the ability of RCA Member States to use the modern technology and evidence-based guidelines. Participating countries AUL, BAN, CHA, IND, INS, JPN, KOR, MAL, MON, MYN, PAK, PHI, SIN, THA, VIE (15 countries) Expected outcomes 1. Ros & MPs in RCA MSs are trained in the knowledge and techniques 2. Treatment guidelines for 3D IGBT are developed among RCA MSs. 9
10 Activities Training of ROs and MPs Regional Training Courses 4 RTCs (mumbai, chiang mai, saitama, singapore) NTCs in each country National Training Courses National Training Courses National Training Courses
11 Activities Transition from 2-D Brachytherapy to 3-D High Dose Rate Brachytherapy IAEA INTERNATINAL ATOMIC ENERGY DRAFT Guidelines IAEA TECDOC Transition from 2-D brachytherapy to 3-D high dose rate brachytherapy was published. Utilization of guideline Utilization of Guideline Utilization of guideline 11
12 Activities Surveys on 3D IGBT among RCA MSs 1 st survey: 2012 and to assess current status on resources and capabilities of 3D IGBT and 2 nd survey : 2015 to assess the progress
13 Survey Data Dissemination of 3D IGBT to RCA Countries No. of hospitals implementing 3D IGBT Country AUL CHA JPN MAL MON PHL SIN /23 10/300 22/135 0/7 0/1 2/25 3/ /23 20/300 39/135 5/8 0/1 3/32 3/3 THA 5/26 11/29 INS 0/27 5/29 All 62/520 62/547(11%) (12%) 103/ /560 (19%) (19%) 13
14 Survey Data Difficulties in introducing 3D IGBT in the hospital Difficulty in accessing MRI/CT at BT, in use CT/MRI for planning Shortage of equipment; CT/MRI, 3D TPS, MRI applicator Manpower shortage Limited time for 3D planning Heavy workload Poor cost/remuneration Small number of patient (MAL)???
15 Current Radiotherapy Condition in FARO member countries World Population : 7 B people Asia Population : FARO Population : ASIA 60 % of World Population FARO 84% OF ASIA Population FARO 53 % of World Population
16 Radiotherapy In OUR REGION India P:1338 M M : 589 Ratio: 1:2.27 Pakistan P: 200 M M : 29 Ratio: 1: 6.89 Srilanka P: 20 M M : 14 Ratio: 1:1.43 No Bangladesh P:164 M M : 25 Ratio: 1:6.56 Singapore P: 6 M M : 20 Ratio: 1:0.3 Negara Thailand P:68 M M : 76 Ratio: 1:0.39 Population in Million China P:1386 M M : 2140 Ratio: 1:0.65 Total Machines Malaysia P: 31 M M : 47 Ratio: 1:0.15 Ratio TT : Pop 2017 Indonesia P: 261 M M : 80 Ratio: 1:3.26 / equipment Japan P:126 M M : 841 Ratio: 1: Japan : South Korea : The diversities in FARO Countries : a huge gap! 3 Singapore : Thailand : China : South Korea P: 50 M M : 1.36 Ratio: 1:0.3 6 Malaysia : Srilanka : Philippines : India : Philippines P:103 M M : 36 Ratio: 1: Indonesia : How about Brachytherapy?? 11 Bangladesh : Pakistan :
17 FARO Survey (2017): Availability of 3D Brachytherapy Availability of RT Centers, Brachytherapy service, and Brachytherapy 3D in FARO member countries Proportion of centers with EBRT only, 2D and 3D Brachytherapy % % % 70% 60% 50% 40% 21 % in average % % % 0 0% Japan Korea Singapore China Thailand Malaysia Phillipines Indonesia India Pakistan Sri Lanka Bangladesh Total RT centres RT Centers with BT 3D Brachytherapy EBRT Only 2D BT 3D BT (Except India and Malaysia)
18 FARO Survey (2017): Imaging modality for 3D Brachytherapy FARO Survey (2017): Most common diagnosis for BT: Cervical Cancer CT Scan is the most commonly used imaging
19 FARO Survey (2017): Challenges in implementing Brachytherapy 3D Lack of government investment Difficulty in accessing CT/MRI at BT Longer time to perform IGBT compared to 2D (2D: 5 pts, 3D: 2-3 pts) Lack of man power and training Higher workload for dosimetry/physics staff and physicians Additional cost for CT Scan for 3D brachytherapy (per session) Additional cost of an MRI prior to doing a 3D brachytherapy In some countries, health insurance doesn t cover the additional cost for 3D brachytherapy.
20 Survey Implementing 3D BT in Indonesia
21 Availability of 3D brachytherapy 3D Brachytherapy Source Development for 3D Brachytherapy in Indonesia 42 % (13/31) BT in Indonesia Iridium source 88% using Ir-192 source Cobalt source 2D vs 3D Brachytherapy centers in Indonesia Centers with 2D only BT equipment Centers with 3D BT equipment 81.25% centers with BT (13/16) in Indonesia are equipped with 3D applicator + 3D TPS
22 11 centers Challenges with 3D in performing BT equipment 3D available techniques 6 5 MRCCC Hospital 11 Soetomo Hospital 10 Santosa Bandung Hospital 9 4 Univ Hasanuddin Makasar Hospital 8 Dr Cipto Mangunkusumo Hospital 7 3 Murni Teguh Hospital Sardjito Hospital 5 Margono Soekarjo Hospital 4 Kariadi Hospital Semarang 3 Saiful Anwar Hospital 2 Access to CT/MR Dharmais Cancer Center 1 Time consumingreimbursement Lack of trained man power 0% 20% 40% 60% 80% 100% 120% Limited applicator % of 3D Pts % of 2D Pts Despite the availability of 3D applicator and 3D TPS, more than 64% of those centers are still performing 2D technique
23 INVESTMENT HUMAN RESOURCE Survey Data (Summary) Difficulties in introducing 3D IGBT in the hospital Items Shortage of 3D BT Equipment (CT/MR applicator, TPS, CT/MR) IAEA RCA RAS6/062 FARO Survey 2017 Difficulties in accessing CT/MR at BT Lack of man power Higher workload TIME Longer time to perform IGBT COST Higher workload for dosimetry Additional cost of an MRI prior to doing a 3D brachytherapy In some countries, health insurance doesn t cover additional cost for 3D BT No OF PTS Small number of patients IROS Survey 2017 High demand BOT Training program Increase the number of HR Improve the system CT dedicated for BT Increase the number of HR Convinced the government to improve the tariff include the CT Cost sharing from the patients
24 Cost comparison of HDR Iridium vs Cobalt No Items HDR Iridium HDR Cobalt 1 Initial investment cost $781, $629, Maintenance cost $22,000-48,200 $22,000-37,000 3 Source (estimated for 10 years) $ 550,000 $ 110,000 4 Applicator set price $52,685 $7,185 5 Tariff for 5 year BEP $ $ Overall, HDR brachytherapy with Cobalt source showed a more costefficient, due to the less price for the cost of source replacement
25 Cost comparison of 2D vs 3D HDR Brachytherapy No Items Iridium Cobalt 1 Initial investment cost $781, $629, Maintenance cost $22,000-48,200 $22,000-37,000 3 Source (estimated for 10 years) $ 550,000 $ 110,000 4 Applicator set price $52,685 $7,185 5 Tariff for 5 year BEP 2D $555 $481 3D $925 $740 Cost difference 3D- 2D = ~ USD! Not included the additional cost for CT scan with/without MR imaging prior to BT 3D procedure! 3D HDR brachytherapy is more costly, but cost effectiveness could be better depends on clinical outcome and utility (use our own QALY gained threshold )
26 Special Acknowledgement for Data Contribution All FARO council members Prof Shingo Kato, PLCC for IAEA RCA RAS 6/062 Members of the Indonesian Radiation Oncology Society (IROS)
27 DRAFT Operational Agreement Project - RSCM Radiotherapy Medical Equipment UniT LINEAR ACCELERATOR Including Tax NO URAIAN Year 0 Investment Ye A INVESMENT VALUE 1.Unit Linac Total Invesment Operational Agreement Project 28,660,000, ,563 28,660,000, ,563 1 Interest Bank 2 Insurance rate 3 Collection Risk Rate 4 Trading Rate Preparation Radiothherapy Building (Thn 1) Total 7.00% 0.35% 0.25% 10.00% 3.00% 20.60% B NUMBER OF PATIENT INCOME PER YEAR Charge GOVERNMANT COVERAGE (MEDICARE) 1,606, % PRIVATE/OUT OF POCKET 43,300, % Radiotheraphy Income 239,326,560,000 20,815 3,117 23,932 C D E F HOSPITAL OPERATIONAL COST 40% 95,730,624,000 INVESTOR REVENUE= INCOME- HOSPITAL OPERASIONAL COST 60% 143,595,936,000 ACCUMULATION FROM INVESTOR REVENUE BEP CALCULATION 9,573 Rp 14,359 14,359 (20,204
28 DRAFT BISNIS PLAN Radiotherapy Medical Equipment UniT Brakiterapi (Dalam RUPIAH) - EXCL PPN NO URAIAN Tahun 0 Investasi A NILAI INVESTASI 1 Unit Brachytherapy 12,500,000,000 Total Investasi (24,6%) 12,500,000,000 B JUMLAH TINDAKAN PER TAHUN PENDAPATAN PER TAHUN Tarif Tarif rawat jalan 1,144, % Tarif rawat inap 80% Ringan 60% Sedang 40% 4,090, ,056, Pendapatan Radioterapi 38,923,591, C D E F OPERASIONAL RS (40%) ALOKASI INVESTASI (60%) 23,354,155, NILAI AKUMULASI ALOKASI INVESTASI PERHITUNGAN BEP
29 2 nd FARO MEETING: BENGALURU, INDia 9-10 November 2017 On ICC website: 3 rd FARO Meeting, BALI 2018 ion THANK YOU!
30 Website: Facebook: Contact Detail FARO Secretariat Office: Address c/o Radiation Oncology, Graduate School of Medicine, Gunma University Show Machi Maebashi-Shi, Gunma-Ken, Japan Tel For FARO Database: project.computesta.com/faro-db/web
Elekta: Emerging markets
Gynecologic Cancer InterGroup Cervix Cancer Research Network Elekta: Emerging markets Cervix Cancer Education Symposium, January 2016, Bangkok, Thailand 144,000 deaths were related to cervical cancer in
More informationEducation, Training, and Certification of Radiation Oncologists in Indonesia
Education, Training, and Certification of Radiation Oncologists in Indonesia with acknowledgement to Prof HM Djakaria (Indonesian College of Radiation Oncology) Outline Historical Context Current Status
More informationbiij History and growth of radiation oncology in Indonesia SA Gondhowiardjo *, Prof, MD, PhD, GB Prajogi, MD, SM Sekarutami, MD
Available online at http://www.biij.org/2008/3/e42 doi: 10.2349/biij.4.3.e42 biij Biomedical Imaging and Intervention Journal REVIEW ARTICLE History and growth of radiation oncology in Indonesia SA Gondhowiardjo
More informationThe 1 st. FARO Council Meeting. May 30, 2015 Kyoto International conference center, Japan
The 1 st FARO Council Meeting May 30, 2015 Kyoto International conference center, Japan Thai Association of Therapeutic Radiology and Oncology (THASTRO) 9 th Floor, Royal Golden Jubilee Building, Soi Soonvijai,
More informationCURRICULUM VITAE Soehartati Gondhowiardjo, MD. PhD
CURRICULUM VITAE Soehartati Gondhowiardjo, MD. PhD Born : Jakarta, September 1955 Education 1. GP : Faculty of Medicine Univ of Indonesia, 1980 2. Radiologist : Faculty of Medicine Univ of Indonesia, 1987
More informationCountry Presentations of FNCA FY2007 Workshop on Radiation Oncology
Country Presentations of FNCA FY2007 Workshop on Radiation Oncology Annex 3 Country presentations on CERVIX-III -China: Total Patients: 18, 8 alive: 1 with metastasis lung, another one metastasis to liver;
More information7/30/2017. One World Medical Physics: Challenges and Opportunities in Cancer Care. Worldwide Demographic Shift
People 60 Years and Older ( in Millions) 7/30/2017 One World Medical Physics: Challenges and Opportunities in Cancer Care Jatinder R Palta PhD, FAAPM, FASTRO, FACR Virginia Commonwealth University, and
More informationEstablishing and Expanding Nuclear Medicine Programes
Establishing and Expanding Nuclear Medicine Programes Dr. Rodolfo Núñez-Miller Nuclear Medicine and Diagnostic Imaging Section Division of Human Health IAEA Vienna (AUSTRIA). Outline Current Status of
More informationAsia s Diabetes Challenge
Asia s Diabetes Challenge 12 th Geneva Association Health and Aging Conference Karl-Heinz Jung Head, Japan, MENA & International 1. Facts about Diabetes 2. Asia Feeling the Heat 3. Case for Private Insurance
More informationBrachytherapy in Africa
Brachytherapy in Africa Deanine Halliman PhD Sr. Director Medical Affairs Elekta Brachytherapy Burden of cervical cancer in Africa est. 2012 incidence per 100,000 women Bouassa M, et al. Cervical cancer
More informationFROM ICARO1 TO ICARO2: THE MEDICAL PHYSICS PERSPECTIVE. Geoffrey S. Ibbott, Ph.D. June 20, 2017
FROM ICARO1 TO ICARO2: THE MEDICAL PHYSICS PERSPECTIVE Geoffrey S. Ibbott, Ph.D. June 20, 2017 1 DISCLOSURES My institution holds Strategic Partnership Research Agreements with Varian, Elekta, and Philips
More informationSession 17 Practical Implementation of New Technologies in Low-to-Middle Income Countries
17 Practical Implementation of New Technologies in LMICs Session 17 Practical Implementation of New Technologies in Low-to-Middle Income Countries Introduction Jacob (Jake) VanDyk Western University London,
More informationStrengthening Veterinary Services in Asia
Strengthening Veterinary Services in Asia 4 th Steering Committee Highly Pathogenic Emerging and Re-Emerging Diseases (HPED) Programme Session 3 Progress on the OIE component Tokyo (Japan) 16 July 2013
More informationStructure of Postgraduate Training in Radiotherapy in India. Dr. G.K. Rath. Professor & Head Department of Radiation Oncology AIIMS, New Delhi
Structure of Postgraduate Training in Radiotherapy in India Dr. G.K. Rath Professor & Head Department of Radiation Oncology AIIMS, New Delhi Introduction Radiotherapy - relatively new specialty compared
More informationWHO FCTC Global Knowledge Hub on Smokeless Tobacco
ICMR- National Institute of Cancer Prevention & Research WHO FCTC Global Knowledge Hub on Smokeless Tobacco INTER-COUNTRY MEETING ON SMOKELESS TOBACCO POLICY 16 th -18 th AUG 2017 www.untobaccocontrol.org/kh/smokeless-tobacco/
More informationOral cavity cancer Post-operative treatment
Oral cavity cancer Post-operative treatment Dr. Christos CHRISTOPOULOS Radiation Oncologist Centre Hospitalier Universitaire (C.H.U.) de Limoges, France Important issues RT -techniques Patient selection
More informationPACT: Together against Cancer. The problem: Cancer in low and middle income countries. Case for Support
Case for Support Programme of Action for Cancer Therapy PACT PACT: Together against Cancer The problem: Cancer in low and middle income countries Cancer has reached epidemic proportions worldwide. Globally,
More informationA/P Regional Capacity Building Approach Overview
WCO A/P Regional Workshop on Strategic Initiative for Trade Facilitation 16-18 March 2015 Jakarta, Indonesia A/P Regional Capacity Building Approach Overview Kazunari IGARASHI1 Head of the ROCB A/P Presentation
More informationThe Burden of Heart Failure in the Asia Pacific. Eugenio B. Reyes, M.D. Associate Professor, University of the Philippines, College of Medicine
The Burden of Heart Failure in the Asia Pacific Eugenio B. Reyes, M.D. Associate Professor, University of the Philippines, College of Medicine Q1. The most prevalent risk factor for heart failure in the
More informationSUMMARY OF PERSONAL DOSIMETRY PRACTICIES IN RCA MEMBER COUNTRIES
A Personal Dosimetry Intercomparison Study in Asian and Pacific Region Hiroyuki MURAKAMI and Fumiaki TAKAHASHI Department of Health Physics, Japan Atomic Energy Research Institute and Richard V. Griffith
More informationPCI in Asia Pacific Region. Angioplasty Summit TCT Asia Pacific th April 2006
PCI in Asia Pacific Region Angioplasty Summit TCT Asia Pacific 2006 27 th April 2006 PCI inasia Pacific Region Pakistan Bangladesh Brunei Philipines AUSTRALIA Started 1981 Population: 20.5 million Growth
More informationFACTS FIGURES A FUTURE
International Agency for Research on Cancer, 2012 Let s face the ACTS GLOBAL INITIATIVE FOR CANCER REGISTRY DEVELOPMENT INITIATIVE MONDIALE POUR LE DEVELOPPEMENT DES REGISTRES DU CANCER INICIATIVA MUNDIAL
More informationRADIOTHERAPY: TECHNOLOGIES AND GLOBAL MARKETS
RADIOTHERAPY: TECHNOLOGIES AND GLOBAL MARKETS HLC176A February 2015 Neha Maliwal Project Analyst ISBN: 1-62296-043-2 BCC Research 49 Walnut Park, Building 2 Wellesley, MA 02481 USA 866-285-7215 (toll-free
More informationDosimetric Analysis of 3DCRT or IMRT with Vaginal-cuff Brachytherapy (VCB) for Gynaecological Cancer
Dosimetric Analysis of 3DCRT or IMRT with Vaginal-cuff Brachytherapy (VCB) for Gynaecological Cancer Tan Chek Wee 15 06 2016 National University Cancer Institute, Singapore Clinical Care Education Research
More informationIAEA experiences with QUATRO audits. J.Izewska, J. Zubizarreta Division of Human Health International Atomic Energy Agency
IAEA experiences with QUATRO audits J.Izewska, J. Zubizarreta Division of Human Health International Atomic Energy Agency Introduction of comprehensive audit The IAEA has recognized the need to audit medical
More informationASEAN and the Changing Geopolitics of Southeast Asia
ASEAN and the Changing Geopolitics of Southeast Asia Min Shu School of International Liberal Studies Waseda University 20 November 2017 IR of Southeast Asia 1 Outline of the Lecture ASEAN and its regional
More informationBasic Concepts in Image Based Brachytherapy (GEC-ESTRO Target Concept & Contouring)
Basic Concepts in Image Based Brachytherapy (GEC-ESTRO Target Concept & Contouring) Dr Umesh Mahantshetty, Professor, Radiation Oncology GYN & Urology Disease Management Group (DMG) Member Tata Memorial
More informationHIV / AIDS & HUMAN RIGHTS
SIXTH ANNUAL MEETING Asia Pacific Forum of National Human Rights Institutions "A Partnership For Human Rights In Our Region" HIV / AIDS & HUMAN RIGHTS 24 th 27 th September 2001 Colombo, Sri Lanka 1 BACKGROUND
More informationMinisterial Round Table: Accelerating implementation of WHO FCTC in SEAR
REGIONAL COMMITTEE Provisional Agenda item 14.3 Sixty-eighth Session SEA/RC68/28 Dili, Timor-Leste 7 11 September 2015 20 July 2015 Ministerial Round Table: Accelerating implementation of WHO FCTC in SEAR
More informationCOST EFFECTIVENESS ANALYSES OF RADIATION THERAPY TREATMENTS. Hayeon Kim. BS, Ewha Womans University, MS, Columbia University, 2001
COST EFFECTIVENESS ANALYSES OF RADIATION THERAPY TREATMENTS by Hayeon Kim BS, Ewha Womans University, 1996 MS, Columbia University, 2001 Submitted to the Graduate Faculty of the School of Medicine in partial
More informationCurrent Status of Image Guided Brachytherapy for Cervical Cancer In Japan
Mt. Haruna Tone river Current Status of Image Guided Brachytherapy for Cervical Cancer In Japan Takashi Nakano, MD, PhD Professor of Radiation Oncology Director of Heavy Ion Medical Research Center Gunma
More informationBuilding Radiotherapy Capacity for Treatment of Cervical Cancer in India
Building Radiotherapy Capacity for Treatment of Cervical Cancer in India Umesh Mahantshetty, Professor, Radiation Oncology & GYN DMG Member On behalf of Department of Radiation Oncology & Medical Physics
More informationMEDICAL PHYSICS IN SUPPORT OF CANCER MANAGEMENT: HUMAN RESOURCE DEVELOPMENT IN RADIATION ONCOLOGY IN THE CONTEXT OF CANCER CONTROL PROGRAMMES
PROSPECTUS MEDICAL PHYSICS IN SUPPORT OF CANCER MANAGEMENT: HUMAN RESOURCE DEVELOPMENT IN RADIATION ONCOLOGY IN THE CONTEXT OF CANCER CONTROL PROGRAMMES RAF/6/031-006 Title: Place: Regional (AFRA) Training
More informationNew Radiation Health Technologies Challenges, Opportunities, Limitations
New Radiation Health Technologies Challenges, Opportunities, Limitations IRPA-13 Glasgow Fridtjof Nuesslin Klinik für Strahlentherapie und Radiologische Onkologie 2012-IIRPA13 Radiation Health Technologies
More informationPAVING THE WAY FOR RESEARCH BIOBANKING IN INDONESIA ENDANG SR HARDJOLUKITO DEPT ANATOMICAL PATHOLOGY FACULTY OF MEDICINE UNIVERSITY OF INDONESIA
PAVING THE WAY FOR RESEARCH BIOBANKING IN INDONESIA ENDANG SR HARDJOLUKITO DEPT ANATOMICAL PATHOLOGY FACULTY OF MEDICINE UNIVERSITY OF INDONESIA 2 TYPES OF BIOBANK IN INDONESIA THERAPEUTIC BIOBANK : 4
More informationIAEA Support for Radiotherapy Services for Patients with Cervical Cancer
IAEA Support for Radiotherapy Services for Patients with Cervical Cancer Kirsten Hopkins Applied Radiation Biology and Radiotherapy Section Division of Human Health Hugely Important to IAEA Fourth commonest
More informationLocally advanced disease & challenges in management
Gynecologic Cancer InterGroup Cervix Cancer Research Network Cervix Cancer Education Symposium, February 2018 Locally advanced disease & challenges in management Carien Creutzberg Radiation Oncology, Leiden
More informationMinimizing Disparity in Cervical Cancer Cure Through Improved Access to Care
Minimizing Disparity in Cervical Cancer Cure Through Improved Access to Care The importance of radiotherapy Michael Milosevic, Toronto, Canada Global availability of brachytherapy Eduardo Zubizaretta,
More informationRole of Innovation in Medical Technology in the Efficient Allocation of Healthcare Resources
Role of Innovation in Medical Technology in the Efficient Allocation of Healthcare Resources ISPOR MDD Panel Discussion at 11 th Global Forum for Health Research Beijing, October 30, 2007 Ashoke Bhattacharjya,
More informationPHYS 383: Applications of physics in medicine (offered at the University of Waterloo from Jan 2015)
PHYS 383: Applications of physics in medicine (offered at the University of Waterloo from Jan 2015) Course Description: This course is an introduction to physics in medicine and is intended to introduce
More informationJefferies Healthcare Conference
Jefferies Healthcare Conference Jean-Marc BOTHY - CSO June 8, 2017 2017 IBA SA Disclaimer This presentation may contain forward-looking statements concerning industry outlook, including growth drivers;
More informationPalliative RT in Ovarian cancer
Outline Palliative RT in Ovarian cancer Case discussion Palliative treatment Radiation Techniques Asst Prof Pittaya Dankulchai, MD. Division of Radiation Oncology, Department of Radiology, Faculty of Medicine
More informationRecent Advances and current status of radiotherapy for cervix cancer
Recent Advances and current status of radiotherapy for cervix cancer Richard Pötter MD Department of Radiation Oncology, Medical University of Vienna, Austria ICARO-2, IAEA, Vienna, June, 24, 2017 Recent
More informationAccess to Radiotherapy: Bridging The Gap Through Innovation
Access to Radiotherapy: Bridging The Gap Through Innovation Mack Roach III, MD, FACR, FASTRO University of California San Francisco Andy Grove says: A fundamental rule in technology says that whatever
More informationSingapore Exchange Limited 1Q FY2009 Financial Results
Singapore Exchange Limited 1Q FY2009 Financial Results 15 October 2008 Singapore Exchange 1 1Q FY2009 Financial Performance NPAT fell 35% from record 1Q FY2008 Operating profit flat compared to 4Q FY2008
More informationThe Evolution of RT Techniques for Gynaecological Cancers in a developing country context
The Evolution of RT Techniques for Gynaecological Cancers in a developing country context Hannah Simonds Stellenbosch University/ Tygerberg Academic Hospital ESMO Africa 2017 I have no disclosures External
More informationCarbon-ion radiotherapy for marginal lymph node recurrences of cervical cancer after definitive radiotherapy: a case report
Tamaki et al. Radiation Oncology 2013, 8:79 CASE REPORT Open Access Carbon-ion radiotherapy for marginal lymph node recurrences of cervical cancer after definitive radiotherapy: a case report Tomoaki Tamaki
More informationRadiotherapy & Cervical Cancer Dr Mary McCormack Consultant Clinical Oncologist University College Hospital, London,UK
Lead Group Log Radiotherapy & Cervical Cancer Dr Mary McCormack Consultant Clinical Oncologist University College Hospital, London,UK Cervical Cancer treatment Treatment planning should be made on a multidisciplinary
More informationIndonesia Situation Assessment on Amphetamine-Type Stimulants
Indonesia Situation Assessment on Amphetamine-Type Stimulants Tun Nay Soe Programme Coordinator, Global SMART Programme (East Asia) UNODC Regional Office for Southeast Asia and the Pacific 20 February
More informationMRI Guided GYN Brachytherapy: Clinical Considerations
MRI Guided GYN Brachytherapy: Clinical Considerations AAPM Junzo Chino MD Duke Radiation Oncology 8/8/2013 Disclosures none Learning Objectives Historical Context: Film based Brachytherapy Advantages of
More informationExploring Investments in Meat and Poultry Plants in the USA
Exploring Investments in Meat and Poultry Plants in the USA An introduction as to how the GCC, Arab/Muslim Countries can have control of stunning and slaughtering processes. A Presentation By: Habib A.
More informationIAEA Support to Medical Physics in Africa and Latin America: achievements & challenges
IAEA Support to Medical Physics in Africa and Latin America: achievements & challenges Ahmed Meghzifene Head, Dosimetry & Medical Radiation Physics Presentation objectives To learn about: 1. IAEA activities
More informationThe Trilateral FTA: A Pillar of Trilateral Cooperation and East Asia Economic Integration
The Trilateral FTA: A Pillar of Trilateral Cooperation and East Asia Economic Integration 2012.10.23 (TUE) North-East Asia Forum on Trade and Transport Facilitation 1 CONTENTS 1. Significance of Trilateral
More informationEducation, Professional Training and Certification of Radiation Oncologists in Japan. President of JASTRO; Yasumasa Nishimura, MD PhD
Education, Professional Training and Certification of Radiation Oncologists in Japan President of JASTRO; Yasumasa Nishimura, MD PhD Society background of JASTRO Japanese population is 128 million Japan
More informationGlobal Best Practices in Tobacco Control
Global Best Practices in Tobacco Control Samira Asma, DDS, MPH Chief, Global Tobacco Control Centers for Disease Control and Prevention Regional Consultation on Multisectoral Policies for Prevention and
More informationMajor accidents in radiotherapy
Major accidents in radiotherapy related to treatment units (a) IAEA International Atomic Energy Agency Incorrect decay data (USA) IAEA International Atomic Energy Agency Background A cobalt unit was used
More informationMotto- Our well-being is a product of meaning we create!
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
More informationAI surveillance of domestic birds in Vietnam. Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control in Asia,
AI surveillance of domestic birds in Vietnam Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control in Asia, 2008-2012 Kenji Sakurai, OIE Asia-Pacific Tokyo, 13-14 December 2012 Contents
More informationGlobal Radiation Therapy Market Report
Global Radiation Therapy Market Report ----------------------------------------- 2013 Executive Summary Radiotherapy is used to kill cancerous cells and is commonly used either alone or in combination
More informationFacts and trends in sexual and reproductive health in Asia and the Pacific
November 13 Facts and trends in sexual and reproductive health in Asia and the Pacific Use of modern contraceptives is increasing In the last years, steady gains have been made in increasing women s access
More informationThe Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific
Health System Strengthening and Sustaining the Response The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific Jintana Ngamvithayapong-Yanai, Ph.D. On behalf of TB/HIV Working Group, the
More informationProgress with GF-TADs in Asia and the Pacific Region
Progress with GF-TADs in Asia and the Pacific Region 17 th OIE Sub-Commission Meeting of SEAFMD 7-11 March 2011, Bali, Indonesia Regional Representative for Asia and the Pacific Itsuo Shimohira Contents
More informationLeaving no one behind in Asia and the Pacific. Steven J. Kraus Director UNAIDS Regional Support Team, Asia and the Pacific 28 th January 2015
Leaving no one behind in Asia and the Pacific Steven J. Kraus Director UNAIDS Regional Support Team, Asia and the Pacific 28 th January 2015 Number Regional overview of trends in HIV infections and AIDS-related
More informationEconomic Implications of Advancements in Radiation Technology. Dramatic Growth of RT Capacity in the US
Economic Implications of Advancements in Radiation Technology Sponsored by: OTN Anthony M. Berson, M.D. Radiation Oncology, St. Vincent s Comprehensive Cancer Center Richard Emery Vice President, Aptium
More informationCYCLOTRONS WORLD MARKET REPORT & DIRECTORY EDITION TOC and Summary USED IN NUCLEAR MEDICINE MARKET DATA, COMPANIES PROFILES.
CYCLOTRONS USED IN NUCLEAR MEDICINE WORLD MARKET REPORT & DIRECTORY MARKET DATA, COMPANIES PROFILES TOC and Summary EDITION 2015 A report written by Paul-Emmanuel Goethals & Richard Zimmermann Page 1/5
More informationProton Therapy Market Outlook - Global Analysis
Proton Therapy Market Outlook - Global Analysis Proton Therapy Market Outlook - Global Analysis BioPortfolio has been marketing business and market research reports from selected publishers for over fifteen
More informationRole of IAEA in Promoting Nuclear Medicine
Section of Nuclear Medicine Division of Human Health Department of Sciences and Applications Role of IAEA in Promoting Nuclear Medicine Thomas NB Pascual Nuclear Medicine Section Is the world's centre
More informationWhen the last member of a species dies without any surviving
89 Here Today, Gone Tomorrow? TA L K I N G I T OV E R When the last member of a species dies without any surviving offspring, we say that that species has become extinct. Every species alive today is related
More informationINTRODUCTION PATIENT. J. Radiat. Res., 52, (2011)
J. Radiat. Res., 52, 54 58 (2011) Regular Paper Intracavitary Combined with CT-guided Interstitial Brachytherapy for Locally Advanced Uterine Cervical Cancer: Introduction of the Technique and a Case Presentation
More informationWhen the last member of a species dies without any surviving
89 Here Today, Gone Tomorrow? ta l k i n g i t ov e r When the last member of a species dies without any surviving offspring, we say that that species has become extinct. Every species alive today is related
More informationInternational Medical Physics Education and Training Needs Over the Next 20 Years
Departments of Oncology and Medical Biophysics International Medical Physics Education and Training Needs Over the Next 20 Years Jacob (Jake) Van Dyk Professor Emeritus London, Ontario, Canada Objectives
More informationTowards an ASEAN Community Guest Lecture
Towards an ASEAN Community Guest Lecture Seoul National University Department of Geography Towards an ASEAN Community Regional cooperation The Association of Southeast Asian Nations (ASEAN) Towards an
More informationProgress of Expert Working Group on ESM (EWG)
Workshop 2015 of the Asian Network for Prevention of Illegal Transboundary Movement of Hazardous Wastes 23-25 November 2015, Singapore Progress of Expert Working Group on ESM () Michikazu Kojima Institute
More informationIntroduction. 1. Preface
Introduction 1. Preface As a Center for the Asia and the Pacific Program of Educational Innovation for Development (APEID), The National Institute of Special Education (NISE) has been hosting "APEID Seminar
More informationHIV Drug Resistance Surveillance and Monitoring in the Southeast Asia Region
HIV Drug Resistance Surveillance and Monitoring in the Southeast Asia Region Padmini Srikantiah, MD MPH HIV/AIDS Unit WHO- Regional Office for Southeast Asia The HIV epidemic in Southeast Asia Estimated
More informationWCPT COUNTRY PROFILE December 2017 JAPAN
WCPT COUNTRY PROFILE December 2017 JAPAN JAPAN NUMBERS WCPT Members Practising physical therapists 88,607 Total number of physical therapist members in your member organisation 128,000 Total number of
More informationDose-Volume Histogram Analysis in Point A-based Dose Prescription of High-dose-rate Brachytherapy for Cervical Carcinoma
Showa Univ J Med Sci 30 2, 227 235, June 2018 Original Dose-Volume Histogram Analysis in Point A-based Dose Prescription of High-dose-rate Brachytherapy for Cervical Carcinoma Rei KOBAYASHI 1, Yoshikazu
More informationEU Market Situation for Poultry. Committee for the Common Organisation of the Agricultural Markets 20 April 2017
EU Market Situation for Poultry Committee for the Common Organisation of the Agricultural Markets 2 April 217 -9.% -11.% -5.% -.1% -.7% -2.2% 3.% 1.7% 1.2%.8%.6%.%.%.% 7.9% 7.% 6.4% 6.2% 6.% 5.5% 5.3%
More informationThe Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific
Health System Strengthening and Sustaining the Response The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific Jintana Ngamvithayapong-Yanai, Ph.D. On behalf of TB/HIV Working Group, the
More informationMeasles and Rubella Fact Sheet SEAR #
and Fact Sheet SEAR 8-9 Table : South-East Asia Regional (SEAR) Strategic Plan 7- Goal: To reduce the number of measles deaths by 9 in relative to estimates. Objectives: Achieve at least 9 national Containing
More informationMedicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
Ms. Seema Verma Administrator Centers for Medicare and Medicaid Services US Department of Health and Human Services Attention: CMS-1695-FC P.O. Box 8013, 7500 Security Boulevard Baltimore, MD 21244-1850
More informationA centralized model of effective radiation oncology service development: the Azerbaijan Republic experience
20 Radiotherapy in Cancer Control Plans A centralized model of effective radiation oncology service development: the Azerbaijan Republic experience Jamil Aliyev 1, Isa Isayev 1, Kamal Akbarov 1, Aygun
More informationSTATUS OF EAR AND HEARING CARE IN SOUTH EAST ASIA REGION
STATUS OF EAR AND HEARING CARE IN SOUTH EAST ASIA REGION Dr. Suneela Garg Director Professor, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India Director - Society for Sound
More informationLinking DVH-parameters to clinical outcome. Richard Pötter, Medical University of Vienna, General Hospital of Vienna, Austria
Linking DVH-parameters to clinical outcome Richard Pötter, Medical University of Vienna, General Hospital of Vienna, Austria Outline DVH parameters for HR CTV (D90) and OAR (2 ccm) simple integration of
More informationThe IAEA and Non-Communicable Diseases The Fight Against Non-Communicable Diseases
The IAEA and Non-Communicable Diseases The Fight Against Non-Communicable Diseases The International Atomic Energy Agency works to improve human health through the use of nuclear techniques. This includes
More informationPROTON THERAPY. Proton Therapy Edition 2016 WORLD MARKET REPORT & DIRECTORY EDITION
Proton Therapy Edition 2016 PROTON THERAPY WORLD MARKET REPORT & DIRECTORY EDITION 2016 A report written by Paul-Emmanuel Goethals & Richard Zimmermann Page 1/7 www.medraysintell.com Proton Therapy Edition
More informationGlobal Polybutylene Terephthalate (PBT) Market Study ( )
Global Polybutylene Terephthalate (PBT) Market Study (2014 2025) Table of Contents 1. INTRODUCTION 1.1. Introduction to Polybutylene Terephthalate Market Product Description Properties Industry Structure
More informationAdvances in Gynecologic Brachytherapy
Advances in Gynecologic Brachytherapy Anuj V Peddada, M.D. Director Department of Radiation Oncology Penrose Cancer Center Colorado Springs, CO USA Brachytherapy Issues in Gyn/onc Cervix Endometrial Rational
More informationCancer Cervix An IAEA Perspective
Gynecologic Cancer InterGroup Cervix Cancer Research Network Cancer Cervix An IAEA Perspective May Abdel-Wahab, MD, PhD, FACR, FASTRO Director, Division of Human Health, International Atomic Energy Agency
More informationManagement of Cervical Cancer in Resource Limited Settings
Management of Cervical Cancer in Resource Limited Settings Linus Chuang MD MPH MS Professor, Gynecologic Oncology Icahn School of Medicine at Mount Sinai New York NY 84% of incidence and death occur in
More informationCassava in the Philippines. Algerico M. Mariscal and Jose L. Bacusmo
Cassava in the Philippines Algerico M. Mariscal and Jose L. Bacusmo Introduction Cassava is one of important source of food, feed and starch among Filipinos Known to perform well even under unfavorable
More informationThe Development of Rehabilitation Services in the Australasian Region
The Development of Rehabilitation Services in the Australasian Region John OLVER AM MBBS MD FAFRM (RACP) Director Rehabilitation Epworth Healthcare Professor Rehabilitation Medicine Department of Medicine
More informationCancer prevention and control in the context of an integrated approach
SEVENTIETH WORLD HEALTH ASSEMBLY A70/A/CONF./9 Agenda item 15.6 25 May 2017 Cancer prevention and control in the context of an integrated approach Draft resolution proposed by Brazil, Canada, Colombia,
More informationAdvances in Image-guided Brachytherapy
Advances in Image-guided Brachytherapy Hospital Authority Convention 2016 Terry Wong, Physicist Department of Medical Physics Pamela Youde Nethersole Eastern Hospital Introduction What is Brachytherapy?
More informationCosta Rica International Rotation Blog
Costa Rica International Rotation Blog July 10 th, 2014 I m off to a great start here in Costa Rica. As part of our residency curriculum, the Radiation Medicine and Applied Sciences Department here at
More informationGlobal Terephthalic Acid (PTA) Market Study ( )
Global Terephthalic Acid (PTA) Market Study (2014 2025) Table of Contents 1. INTRODUCTION 1.1. Introduction to Terephthalic Acid Market Product Description Properties Industry Structure Value Chain Market
More informationTraining a new generation of radiation oncologists in Latin America Celine K. Torzsok
Training a new generation of radiation oncologists in Latin America Celine K. Torzsok FALP Santiago de Chile Why a Master in Advanced Radiation Therapy? Quick advances in technological skills and knowledge:
More informationUniversity Cooperation Platform
Starting a Brachytherapy Program in Government Controlled Healthcare Systems Razvan Galalae, MD, PhD Associate Professor, Medical Faculty, Christian Albrecht University Kiel, Germany, and Head of Radiotherapy
More informationMeeting the MDGs in South East Asia: Lessons. Framework
Meeting the MDGs in South East Asia: Lessons and Challenges from the MDG Acceleration Framework Biplove Choudhary Programme Specialist UNDP Asia Pacific Regional Centre 21 23 23 November 2012 UNCC, Bangkok,
More information