HADRONTHERAPY IN ROMANIA

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HADRONTHERAPY IN ROMANIA
LYON HADRONTHERAPY WORKSHOP 20-21 July 06
HADRONTHÉRAPIE EN ROUMANIE
NICOLAE IOAN VERGA M.D., Ph.D., D.Sc. CAROL
DAVILA UNIVERSITY OF MEDICINE AND PHARMACY,
ROMANIAN SOCIETY OF HADRONTHERAPY BUCHAREST,
ROMANIA
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• For 300.000 Romanian cases of cancer, the
  existent radiotherapies facilities of national
  oncology system are inadequate.
• The recommendations of AEIA about the country
  necessity planning of radiotherapy are in direct
  proportions with the national inhabitant revenue
  and the number of people.
• Incorrect because this kind of plan offer an open
  door for the actual chemotherapy and surgery, the
  treatment tools reputable for their high costs
  and low efficacy.

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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• For a cancer patient it is preferable to make
  many efficient therapeutically acts in a short
  time with a low human costs, therapy followed by
  the diagnostic for evaluation of present state
  and a prognostic evolution.
• This is a correct medical, scientifically and
  humanitarian point of view and the hadrontherapy
  is solution, now and after ten years when the
  number of cancer cases will be double.
• This high costs means financials and human
  (biologically, psychically and social ) costs
  difficulty supportable by an economic system
  destructed like these from my country.
• We are too poor to buy the cheap things !

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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Ours first results

• We have only 4(four !) patients traits with
  protontherapy . Now, one is dead, two make
  recurrences and one has a good evolution !

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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In this situation we are beginning to make a
professional and scientifically organization,
named Romanian Society of HadrontherapyRSH.
We are medical doctors, physicists,
radiobiology specialists and our target is to
develop Hadrontherapy in our country.
LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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We started our work with signaling our presence
into mass media, to make clinical audits in
different specialties, to make of feasibility
studies for hadrontherapy facilities.In this
year we hope to organize the first consultative
workshop in the field of hadrontherapy.
LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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Another important direction is to assure the
economic bases of our activities and our
economists work for planning a good strategy for
this.
LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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Another objective of medical department of RSH is
to select the patients with indications for
hadrontherapy, to contact the hadrontherapy
centers and to suggest our Minister of Health and
our National House of Health Insurance the best
possibilities to treat the patients, to make a
good follow-up, and to evaluate the efficiency of
their treatment.
LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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Our research

• National
• International

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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National

• Our national actual facilities are resumed to be
  a support for the international research
  collaborations.
• But, step by step, we organize the studies in
  some phenomena of fragmentation, the
  theoretically studies for simulation, for
  building the computational biology and
  theoretical medicine models, studies in
  neutrotherapy.

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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• International
• We began at Dubna
• Protontherapy
• MedNuclotron Program .
• In MedNuclotron we have two groups
• one in radiobiology in space (Romanian Space
  Research Institute)
• another in radiotherapy with protons and carbon
  ions
• University of Medicine and Pharmacy,
• INCDIE ICPE-CA,
• IFIN HH.

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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• The objectives of the second group are
• -         the spatial and temporal dosimetry of
  the tissue irradiation in the neighboring of the
  target tissue (neurons, protons another nuclear
  fragments and the gamma irradiations)
• -         the supplemental irradiation of the
  target and the rest of human body, after the
  exposure of protons or carbon ions beams
• -         the radiobiological and radio electro
  biological effects after hadrontherapy
• -         specific detectors, equipment and
  dosimetricaly methods
• -         computational biology and theoretically
  medicine models
• -         some clinically audit, comparison and
  association between protontherapy, ions carbons,
  electromagnetic radiotherapy
• -         study of centralized hadrontherapy
  (based to synchrotron or Fixed Field Alternating
  Gradient synchrotron) or distributed
  hadrontherapy (based to little superconducting
  cyclotron or new sources of hadron beams)
• -         the PET and BNCT studies

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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The collaboration needs and opportunities

• -         economically problems of hadrontherapy
• o       feasibility studies
• o       protocols of collaboration in the
  treatment of our patients
• -  the research collaborations or multi-centers
  research
• -         technological collaborations
• -         theoretically and computing fields
• -         medical, radiobiological research

LYON HADRONTHERAPY WORKSHOP 20-21 July 06
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• The proposed instruments of collaboration

• -         workshops,
• -         common participating in research
  programs,
• -         contracts of technology transfer,
  technology acquisitions, etc.
• -         learning programs and exchange
  experience for the specialists, etc.

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• The Romanian institutions interested are

• University of Medicine and Pharmacy
• Romanian Society of Hadrontherapy
• National Institutes with interests in nuclear,
  electromagnetic, biology, research (ICDIE
  ICPE-CA, IFIN HH, IBC, etc.)
• Private Romanian companies

LYON HADRONTHERAPY WORKSHOP 20-21 July 06