Improvement in QA for Brachytherapy of Frequent Cancers in the Region RAS6040 LC: Japan PLCC: Takash

1
Improvement in QA for Brachytherapy of Frequent
Cancers in the Region RAS/6/040LC JapanPLCC
Takashi Nakano
2
Brachytherapy
Before Treatment
After Treatment
3
Objectives RAS/6/040

• To improve the quality of the radiotherapy in
  recipient RCA Member States.
• The project has three separate components
• To improve brachytherapy treatment
• To train radiotherapy technologists (RTTs)
• To build the regional capability for radiotherapy
  equipment maintenance and repairs.
• Because the project was formulated by combining
  three separate proposals.

4
General Information RAS/6/040

• Duration 2005-2008 (4 years)
• Lead Country JAPAN
• Participating Member States 15 MSs
• Bangladesh, China, India, Indonesia, Japan,
  Korea, Malaysia, Mongolia, Myanmar, Pakistan,
  Philippines, Singapore, Sri Lanka, Thailand,
  Vietnam
• PLCC Prof. Takashi Nakano
• Technical Officer Dr. Eduardo H. Zubizarreta

5
Regional Training Courses RAS/6/040Prior to
2008

• 1 RTC on Brachytherapy in the Comprehensive
  Management of Lung Cancer
• (June 20-24, 2005, Japan)
• 2 RTC on Current Standards and Future
  Directions in Radiation Oncology
• (January 15-19, 2006, Philippines)
• 3 RTC on Radiation Biology for Radiation
  Oncology
• (May 15-19, 2006, Japan)
• 4 RTC on Brachytherapy for Gastrointestinal
  Malignancies - Beyond Palliation
• (October 23-27, 2006, Japan)
• 5 RTC for Radiotherapy Technologists based on
  the IAEA Syllabus
• (August 20-24, 2007, India)
• 6 RTC on Optimal Management of Locally Advanced
  Cervical Cancer
• (September 10-14, 2007, Japan)

6
Regional Training Courses RAS/6/040In 2008

• 7 RTC on Improvements in Brachytherapy for
• the Most Common Cancers
• August 4-8, 2008, Tata Memorial Hospital, India
• Purpose To present up-to-date evidence-based
  information and latest advances in
  state-of-the-art management of brachytherapy
  techniques
• One external lecturer (Dr. G. Kovacs - HUN).
• 18 participants from 9 Member States.
• Teaching materials were provided to the
  participants in a CD-ROM format.

7
Regional Training Courses RAS/6/040In 2008

• 8 RTC on Quality Audits in Radiation Oncology
• October 13-17, 2008
• Cipto Mangunkusumo Natl Cancer Center,
  Indonesia
• Purpose To introduce the methodology of
  comprehensive audits, based on the IAEA-QUATRO
  guidelines among the participants, so they can
  afterwards spread it at a country level.
• Four external lecturers.
• (Dr. Calaguas (PHI), Dr. Healy (AUL), Dr.
  Scalliet (FRA), Dr. Zubizarreta (IAEA) )
• 35 participants from 9 Member States.
• 189 professionals have been trained in the
  project.

8
Expert Team Missions RAS/6/040

• To conduct a comprehensive audit of the
  radiotherapy facilities.
• The expert team members
• Radiation Oncologist
• Radiotherapy Technologist
• Medical Physicist
• Expert from the Host Country
• 8 Expert missions (to 8 MS) by 2008.
• 2005 3 missions, 2006 5 missions, 2007 2
  missions

9
Expert Team Missions RAS/6/040
10
Cooperation between FNCA and RCAfor synergistic
enhancement of project attainments

• Radiation therapy of uterine cervix cancer
• Results of FNCA study and the FNCA protocol
  have been introduced to the participants of RCA
  RTC.

Case
Before CRT
After CRT CR
11
Work Plan RAS/6/040In 2009

• Final Progress Review Meeting
• 9-13 February 2009
• Mumbai, India

12
Conclusions of RAS/6/040

• The project has made an important contribution to
  the improvement of quality of radiotherapy
  services in the Member States.
• Almost all Member States have national QA
  programs, which generally involve machine QA and
  patient safety.
• One hundred and thirty professionals were trained
  in brachytherapy treatment for common types of
  cancer in the region
• (59 others were trained in RTT education and
  quality audits)
• Member states have initiated action to implement
  the recommendations of the QUATRO audits.

13

• THANK YOU