IAEA Support to Medical Physics in Africa and Latin America: achievements & challenges

Similar documents
Overview IAEA mandate and organization. IAEA activities in medical radiation physics: achievements and challenges. Contents

IAEA activities in Medical Physics

Zakithi Msimang SAAPMB/SARPA 2011

IAEA experiences with QUATRO audits. J.Izewska, J. Zubizarreta Division of Human Health International Atomic Energy Agency

Role of IAEA in Promoting Nuclear Medicine

IAEA Contribution to the International Harmonization of Guidelines for Clinical Medical Physicists

Development and prospects on dosimetry at radiotherapy levels in the Secondary Standard Dosimetry Laboratory of Cuba.

IAEA-CN THE ESTRO-EQUAL RESULTS FOR PHOTON AND ELECTRON BEAMS CHECKS IN EUROPEAN RADIOTHERAPY BEAMS*

Improvement of radiation dosimetry: contribution of the IAEA

Atoms for Health. Atoms for Health The. Atoms for Health - Division of Nuclear Health - Dept of Nuclear Aplications P Andreo DIR-NAHU 1

CCRI(I)/ International Atomic Energy Agency ACTIVITIES OF THE DOSIMETRY AND MEDICAL RADIATON PHYSICS SECTION Activities in 2011 and 2012

PACT: Together against Cancer. The problem: Cancer in low and middle income countries. Case for Support

Human Health Using nuclear techniques to improve health around the world

Contents. From the editor. No. 59 ril 2011

Building Partnerships to Fight the Cancer Epidemic

Overview of Radiation Monitoring Laboratory Capabilities in Tunisia. Azza Hammou, CNRP, Tunis RMCC-8 Meeting, Amman Jordan JUNE 2013 CONTENT

Session V: The Programme of Action for Cancer Therapy - PACT

Radiation Protection Services in R.Macedonia

Contents. From the editor. No. 61 June Prepared by the Joint IAEA/WHO Secretariat of the SSDL Network

THE IAEA/WHO NETWORK OF SECONDARY STANDARD DOSIMETRY LABORATORIES SSDL NETWORK CHARTER

The IAEA. Technical Cooperation. Programme. Delivering results for peace and development HUMAN HEALTH AGRICULTURE AND FOOD SECURITY

Activities of the IAEA in Nuclear Medicine

Training Meeting on Networking Educational Networks

IAEA Support for Radiotherapy Services for Patients with Cervical Cancer

RPC s Credentialing Programs for Clinical Trials

IAEA Activities related to Nuclear Medicine

Plans for Future Radiotherapy Physics Education in the Russian Federation

Catharine Clark NPL, Royal Surrey County Hospital and RTTQA

International Medical Physics Education and Training Needs Over the Next 20 Years

Project RAS6/063. IAEA activities in Nuclear Medicine and Nuclear Cardiology. Maurizio Dondi Head, Nuclear Medicine Section

Establishing and Expanding Nuclear Medicine Programes

Nuclear Power in Africa:

Hong Kong Association of Medical Physics. Guide to Candidates

New Radiation Health Technologies Challenges, Opportunities, Limitations

Portugal and the IAEA Technical Cooperation. Pedro Vaz and Sofia Guedes Vaz

Nuclear Sciences and Medicine

QA for Clinical Dosimetry with Emphasis on Clinical Trials

IAEA SUBPROGRAMME ON DOSIMETRY AND MEDICAL RADIATION PHYSICS (DMRP) REPORT ON ACTIVITIES,

Major accidents in radiotherapy

Standard calibration of ionization chambers used in radiation therapy dosimetry and evaluation of uncertainties

Application of international standards to diagnostic radiology dosimetry

ISO and the Delivery of Competent NDT Services

REPORT OF THE TECHNICAL MEETING: THE NEW DOSE LIMIT FOR THE LENS OF THE EYE IMPLICATIONS AND IMPLEMENTATION VIENNA, 2-4 OCTOBER 2012

Scientific Forum on Cancer in Developing Countries: Facing the Challenge

Countries initially targeted: Bangladesh, Mongolia, Myanmar, Nepal, Lao People s Demoncratic Republic and Pakistan.

SUSTAINING ACCESS TO HIGH QUALITY RADIOTHERAPY CARE: A LMIC PERSPECTIVE

TLD as a tool for remote verification of output for radiotherapy beams: 25 years of experience

Accreditation of Dosimetry Services

Facing the challenges: IAEA activities to protect the patients

Session 17 Practical Implementation of New Technologies in Low-to-Middle Income Countries

Appendix F. Results of the Electronic Survey of World Bank Task Team Leaders

Albert Lisbona Medical Physics Department CLCC Nantes Atlantique a

Education & Training for Radiation Dosimetry

Guideline & Reports 医学物理学会教育委員会資料

Breast Cancer Services in Germany

SUMMARY OF PERSONAL DOSIMETRY PRACTICIES IN RCA MEMBER COUNTRIES

The IAEA and Non-Communicable Diseases The Fight Against Non-Communicable Diseases

SSDL Newsletter. Contents. From the editor. No. 51 September IAEA/WHO Network of Secondary Standards Dosimetry Laboratories

Multi-stakeholder meeting on the optimised use of CT scanners

EPRINSIGHTS FOCUS: ENHANCING INFORMATION EXCHANGE FOR EMERGENCY PREPAREDNESS AND RESPONSE CONTENTS. Editorial

EMERGENCY PREPAREDNESS AND RESPONSE

Trends in Occupational Exposure in Malaysia

The IAEA BSS and development of an international dosimetry protocol

SSDL Newsletter. Contents. From the editor. No. 50 February IAEA/WHO Network of Secondary Standards Dosimetry Laboratories

Small field dosimetry, an example of what a Medical Physicist does (& some more examples) A/PROF SCOTT CROWE MEDICAL PHYSICIST

OPTIMISATION OF PATIENT PROTECTION AND IMAGE QUALITY IN DIAGNOSTIC RADIOLOGY

MEDICAL PHYSICS IN SUPPORT OF CANCER MANAGEMENT: HUMAN RESOURCE DEVELOPMENT IN RADIATION ONCOLOGY IN THE CONTEXT OF CANCER CONTROL PROGRAMMES

FORO: Enhancing Radiation Protection and Nuclear Safety in Ibero-America

Radiation Therapy in Africa

A. DeWerd. Michael Kissick. Larry. Editors. The Phantoms of Medical. and Health Physics. Devices for Research and Development.

Creating capacity legislation & regulation control of exposure emergency preparedness through technical cooperation

Nuclear Physics Activities at the IAEA Ralf Kaiser, Physics Section Head

Quality and Safety Initiatives for Radiation Oncology in Europe: different approaches, united view.

Quality assurance in external radiotherapy

CURRICULUM OUTLINE FOR TRANSITIONING FROM 2-D RT TO 3-D CRT AND IMRT

Establishing a quality assurance baseline for radiological protection of patients undergoing diagnostic radiology

Clinical Workshop. HDR and electronic. brachytherapy for skin cancer

ASRT Position Statements

Overview of Strengthened IAEA Safety Standards

Development of the Nation-Wide Dosimetric Monitoring Network in Ukraine

SSDL Newsletter. From the editor. Contents. No. 57 July IAEA/WHO Network of Secondary Standards Dosimetry Laboratories

IAEA section of dosimetry and medical radiation physics (DMRP).

EURADOS: Overview of actions and initiatives in radiation protection in medicine

EUCERD Recommendations on Rare Disease European Reference Networks (RD ERNs)

Accuracy Requirements and Uncertainty Considerations in Radiation Therapy

Cancer prevention and control in the context of an integrated approach

An International Atomic Energy Agency World Cancer Day Event A ROADMAP TO A CANCER-FREE WORLD. Programme. prevention diagnosis. *lymphoma cancer cell

General Project Data I.A.E.A TECHNICAL CO-OPERATION FULL PROJECT STATUS REPORT 2015/11/07 PAGE 1 OF 8

Cancer and Data in the New NHS May Di Riley, Director Clinical Outcomes

Emergency Preparedness and Response

THE HERMES INITIATIVE: HARMONISED EDUCATION IN RESPIRATORY MEDICINE FOR EUROPEAN SPECIALISTS

What Can Go Wrong in Radiation Treatment: Data from the RPC. Geoffrey S. Ibbott, Ph.D. and RPC Staff

Data Collected During Audits for Clinical Trials. July 21, 2010 Geoffrey S. Ibbott, Ph.D. and RPC Staff

CONTENTS NOTE TO THE READER...1 LIST OF PARTICIPANTS...3

62nd Session of the IAEA General Conference. 17 to 21 September Statement by

Internet Society Philadelphia Chapter Meeting. 11 June 2010

The Practice Standards for Medical Imaging and Radiation Therapy. Sonography Practice Standards

IAEA EXPERIENCE IN ISO ACCREDITATION OF WHOLE BODY COUNTER AS PART OF THE RADIATION MONITORING AND PROTECTION

Educational workshop: Real-time Image-Guided HDR Brachytherapy for Prostate Cancer

NONE. Disclosures. Accreditation Update

Transcription:

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 in dosimetry and medical radiation physics 2. IAEA technical assistance mechanisms 3. Challenges facing medical physicists working in Latin America and Africa 4. IAEA support provided to medical physicists in Africa and Latin America Scope of the presentation This presentation is focussed on medical radiation physics, which is limited to the the use of radiation in Radiation oncology Nuclear Medicine, and Diagnostic and interventional radiology including radiation protection aspects. 3 1

IAEA activities in medical physics CLINICAL MEDICAL PHYSICS DOSIMETRY SERVICES Development and CLINICAL harmonization MEDICAL PHYSICS CALIBRATIONS & AUDITS of guidance on Development physical and and harmonization Dosimetry Laboratory technical aspects of of guidance QA to on physical and and QA Networks support safe and effective technical use aspects of of QA to radiation in support medicine safe and effective use of radiation in medicine 4 IAEA activities in medical physics Guidelines Radiotherapy X-ray diagnostic & interventional radiology Nuclear Medicine 5 IAEA activities in medical physics Dosimetry Codes of Practice Radiotherapy X-ray diagnostic & interventional radiology Nuclear Medicine 6 2

IAEA activities in medical physics Education and Training material Example of MSc programme Clinical training guides Handbooks 7 IAEA co-ordinated research: MP topics Advanced dosimetry in diagnostic and interventional radiology Paediatric imaging in diagnostic radiology and nuclear medicine Quantitative nuclear medicine imaging for patient specific targeted radionuclide therapy Dosimetry audits for advanced radiotherapy techniques Accuracy and uncertainties in radiotherapy Doctoral CRPs Radiotherapy physics (6 Ph.D. students) Advanced imaging modalities (6 Ph.D. students) 8 IAEA audits: RT, DR and NM All-inclusive guidelines for self-appraisal and external audit Includes data collection sheets to facilitate the audit process Aiming at quality improvement 3

QUATRO activities by 2015 >5 missions 2-5 missions 1 mission Training of auditors and regional QUATRO workshops in all regions 87 QUATRO missions to date: Africa 7; Asia 11 + 2 re-audits; Europe 33 + 4 re-audits; Latin America 12; Middle East - 10 + 8 re-audits 10 IAEA activities in medical physics DOSIMETRY SERVICES CLINICAL MEDICAL CALIBRATIONS PHYSICS & DOSIMETRY AUDITS SERVICES Development and harmonization Dosimetry Laboratory CALIBRATIONS & AUDITS of guidance on physical and and QA Networks Dosimetry Laboratory technical aspects of QA to and QA Networks support safe and effective use of radiation in medicine 11 IAEA Dosimetry Laboratory Calibration services (labs) IAEA/WHO SSDL Network (86 labs in 69 countries) Dosimetry calibrations Inter-laboratory comparisons Proficiency tests Dose assurance services (hospitals) 2000 hospitals, 130 countries IAEA/WHO TLD audit services Support to national audit networks Used after commissioning of new machines. Main focus: dosimetry services to countries with no national infrastructure 4

13 Overview The IAEA technical cooperation (TC) programme is the main mechanism through which the IAEA delivers its support to its Member States. All Member States are eligible for support, although TC activities focus on the needs and priorities of low & middle income countries. 14 Overview TC programme is developed and managed jointly by the Member States and the IAEA Secretariat. TC Programme is based on requests from the Member States The IAEA technical Departments are responsible for the technical integrity of the TC program. Yearly budget of about 120 million About 32 million (~26%) are spent on Human Health (largest component) 15 5

Overview- IAEA Tech Coop Activities 125 countries/territories receive support from the IAEA Per year ~ 3200 expert missions fielded ~ 1600 fellowships and scientific visits ~ 3200 participants in training courses ~ 190 training courses ~ 2500 Purchase Orders 16 Scope of IAEA support in medical physics Planning/Setting up new centres/upgrades/qa National education programmes Fellowships for education and training Experts (equip. commissioning, on-site training, etc.) Procurement of equipment Regional training courses Comprehensive audits 17 Impact of IAEA support Direct impact: improved patent care through Trained staff Availability of equipment Strengthened QA, etc. Indirect impact: recognition of the importance and role of medical physicists Medical physicists are project counterparts Importance of multi-disciplinary team work 18 6

DMRP activities in Technical Cooperation 2010-2015 Total number of projects: 345 DMRP activities by subject 2010-2015 Number of Countries:112 Nuclear Medicine 16% Nuclear Medicine Radiotherapy 63% Radioprotection - SSDL 12% Training 4% Diagnostic Radiology 5% Radioprotection - SSDL Training Diagnostic Radiology Radiotherapy Support to TC July 2015 19 DMRP activities in Technical Cooperation 2010-2015 Total number of projects: 345 Projects per Region Number of Countries:112 INTERREGIONAL 3 1% LATIN AMERICA 64 19% AFRICA 100 29% AFRICA ASIA EUROPE INTERREGIONAL EUROPE 101 29% ASIA 77 22% LATIN AMERICA Support to TC July 2015 20 Main challenges in Latin America and Africa 21 7

Number of recurrence Main challenges in Latin America and Africa 1. Lack of professional recognition by health authorities and hospital managers, especially in imaging 2. Lack of understanding of the role and responsibilities of medical physicists in clinical environments, especially by some imaging specialists 3. Lack of medical physics education programme, especially structured and supervised clinical programmes, continuous professional developments, and accreditation and certification p 22 IAEA Survey- Status of Med Phys in Africa, June 2015 45 40 35 30 25 20 15 10 5 0 Challenges 23 IAEA support to medical physics in Africa 24 8

IAEA support to medical physics in Africa Countries with national projects which have a medical physics component Countries participating in a regional project on medical physics 25 Example of IAEA support, RAF6044 Project aiming specifically at supporting medical physics Duration, 2012-2016, with a total budget of 1.466.000 QA/QC equipment Training courses Expert mission (commissioning, QA, etc.) 26 Dar es Salaam recommendations 2014 WHO IAEA meeting on MP in diagnostic radiology, Ministries of Health from 22 African countries Dar es Salaam recommandations 2014 recommend that Member States: recognize Medical Physicists as health professionals with specialist education and training establish mechanisms so that all medical imaging centres in country have access to medical physics services establish posts and employ medical physicists to serve in radiology and nuclear medicine departments 9

Federation of African Medical Physics Organisations --- FAMPO IAEA facilitated the establishment of FAMPO through RAF/6/031- Regional TC project to support medical physics in Africa 28 IAEA support to medical physics in Latin America Countries with a national project which includes a medical physics component Countries participating in regional project on medical physics 29 Example of IAEA support, RLA6072 Project aiming specifically strengthening professional skills in radiation oncology, Duration: 2014-2017, with a total budget of 1.381.000 Training courses Expert mission (commissioning, QA, etc.) 30 10

Summary IAEA focuses on medical radiation physics, developing guidelines, codes of practice, education material and supporting coordinated research IAEA provides integrated support, mainly to low and middle income countries, for setting up new centres, upgrades, QA and audits, transitioning to new technologies, education and training IAEA promotes the recognition of the medical physics profession in radiation oncology and, especially in imaging for the benefit of patient care. 31 H. Svensson, 1987-1994 H. Eisenlohr, 1971-1987 Acknowledgments Dosimetry & Medical Radiation Physics P. Andreo, 1995-2000 2003-2008 K. Shortt, 2000-2007 32 THANK YOU Dosimetry & Medical Radiation Physics Section SSC-16, 10-14 March 2014 33 11