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TELECOMMUNICATING RADIATION ONCOLOGY

TELECOMMUNICATING RADIATION ONCOLOGY. A MULTISITE LINEAR ACCELERATORS IMPLANTATION AS A POSSIBLE MODEL FOR DEVELOPING COUNTRIES. DENEUFBOURG Jean-Marie. Radiation Oncology Department University Hospital LIEGE -- BELGIUM. RADIATION THERAPY IN CURATIVE CANCER TREATMENT.

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TELECOMMUNICATING RADIATION ONCOLOGY

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  1. TELECOMMUNICATING RADIATION ONCOLOGY A MULTISITE LINEAR ACCELERATORS IMPLANTATION AS A POSSIBLE MODEL FOR DEVELOPING COUNTRIES DENEUFBOURG Jean-Marie Radiation Oncology Department University Hospital LIEGE -- BELGIUM Annual Meeting 2005

  2. RADIATION THERAPY IN CURATIVE CANCER TREATMENT BACKGROUND 1 participation to 50 % of cures : <> exclusively <> association with - surgery - chemotherapy Annual Meeting 2005

  3. Patient and family information Help and psychological support associations volunteers Global and continuous care WHO recommendation Radiation oncologists Oncology nurses Social-administrative workers Patient chart & registration Simulation • External radiotherapy • exclusive • pre- or post- operative • chemotherapy associated Treatment planning Radiophysicists, dosimetrists Management of acute effects + general practitioner + organ specialist physician Quality control Irradiation sessions Radiation therapists Supportive measures nutrition, infection, anemia, pain... Radiation oncologists Radiation therapists

  4. IMPROVING THE POTENTIAL FOR A POSITIVE OUTCOME IN EXTERNAL RADIATION THERAPY BACKGROUND 2 Flow chart optimization Technological advances integration >>> INCREASING COMPLEXITY → availability of competences →affordability of costs Annual Meeting 2005

  5. FOR MOST CANCER PATIENTS IN THE WORLD... PURPOSE - high quality of care - geographical and economical accessibility are often compromised >>>customizing radiation therapy to health needs of populations to financial resources of communities Annual Meeting 2005

  6. MULTISITE LINACS IMPLANTATION STARTING : University Hospital Comprehensive Radiation Oncology Department METHODS1 PATIENTS BASED ACTIVITIES ◊ e-chart ◊ cancerregistry TREATMENT RELATED FUNCTIONALITIES ◊ simulation ◊ treatment planning / dosimetry ◊ allirradiation techniques Annual Meeting 2005

  7. MULTISITE LINACS IMPLANTATION EXPANDING : METHODS2 At each remote location : - a general hospital - a Primus® Siemens linear accelerator - full capabilities in external irradiation Annual Meeting 2005

  8. REAL TIME TRANSMISSION OF DATA AND IMAGES FULL INTERACTIVITY LANTIS–IMAGE RT CHC St Joseph SERVERS DATA BASE LANTIS–IMAGE RT CHU Sart Tilman LANTIS–IMAGE RT CHR de la Citadelle LANTIS –IMAGE RT CHA Libramont Optic fiber network 100 Mbits/sec + Hertzian communication INTERNET CAPABILITY - VPN

  9. Telecommunicating avoids unnecessary multiplication of expensive equipment CENTRALSATELLITE SIMULATION +CT imaging + + virtual procedure 0 +DOSIMETRY 0 +PLANNING SYSTEMS 0 QUALITY ASSURANCE + on site monitoring + + telemaintenance 0 RESULTS1 Annual Meeting 2005

  10. Telecommunicating avoids unnecessary multiplication of expensive equipment ... CENTRALSATELLITE TREATMENT +scheduling + + irradiation delivery + +BILLING 0 ADMINISTRATION + local + + general 0 RESULTS2 ... while advanced technologies and methods enter in routine practice Annual Meeting 2005

  11. Telecommunicating ensures optimal functions of available professionals CENTRALSATELLITE +e-charting+ +cancer registration+ +treatment guidelines+ +cases reports and discussions+ +outcome evaluation+ +follow-up+ RESULTS3 Annual Meeting 2005

  12. Telecommunicating ensures optimal functions of available professionals ... CENTRALSATELLITE +research & development+ +clinical trials+ +continuing education+ RESULTS4 ... while caregivers, despite of virtuality, constitute a homogeneous team and have their scientific activities boosted by confrontation as well as integration Annual Meeting 2005

  13. Telecommunicating can help to generalize patient oriented activities... CENTRALSATELLITE +information circulation+ +educational programmes+ +supportive measures+ + self-help groups + RESULTS5 ... while geographical accessibility is made possible Annual Meeting 2005

  14. Telecommunicating might bring the beginning of a solution to the dilemna between high quality of care for most cancer patients and limited financial resources. CONCLUSION In radiation oncology, a multisite hierarchical implantation of linear accelerators linked through an Internet network could represent a valuable model for specific developing countries. Annual Meeting 2005

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