Staus of hadrontherapy in Europe

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1 Staus of hadrontherapy in Europe By P. Le Dû P. Le Dû - NSS-MIC 07 Honolulu 1

2 Facilities Worldwide P. Le Dû - NSS-MIC 07 Honolulu 2

3 List of European facilities Protons ++ Facilities -PSI (Eros Pedroni) -St. Petersburg (DmitriSeliverstov, GrigoryFeofilov) -NCRH / Krakow(PawelOlko) -IFIMED / Valencia (Jose Barnabeu) CPO 5Regis Ferrand),Rinecker Trento Essen Ions Facilities HIT (ThomasHaberer, Udo Weinrich) CNAO Med-Austron(Erich Griesmaier) ETOILE (Jacques Balosso, Marcel Bajard) Marburg(GerhardKraft)- MAASTRO / The Ned. (Madelon Pijls-Johannesma) BHTC/ Belgium(Germaine Heeren, RogerDe Croock) NordicLight (Anders Brahme) P. Le Dû - NSS-MIC 07 Honolulu 3

4 Particle therapy facilities in Operation (PTCoG) Europe = 11 North America = 8 Japan = 8 P. Le Dû - NSS-MIC 07 Honolulu 4

5 Commissioning or Under Construction More than 16 centers over 5 years : 11 in Europe, 5 in Germany P. Le Dû - NSS-MIC 07 Honolulu 5

6 P. Le Dû - NSS-MIC 07 Honolulu 6

7 Evolution - Comments Switch form the first generation with parasitic use To the secondgeneration dedicated facilities like synchrotron radiation sources Ex : PSI, ICPO More and more turnkey constructions by specialized Companies Ex : Rieneker Marburg ETOILE Pavie Trento Catania Orsay P. Le Dû - NSS-MIC 07 Honolulu 7

8 P. Le Dû - NSS-MIC 07 Honolulu 8

9 Russia P. Le Dû - NSS-MIC 07 Honolulu 9

10 St Petersbourg P. Le Dû - NSS-MIC 07 Honolulu 10

11 PROTON THERAPY OF EYE MELANOMA at IFJ Kraków, Poland P. Le Dû - NSS-MIC 07 Honolulu 11

12 National Centreof Hadron Radiotherapy, NCRH Consortium P. Le Dû - NSS-MIC 07 Honolulu 12

13 National Centre of Hadron Radiotherapy, The NCRH Project P. Le Dû - NSS-MIC 07 Honolulu 13

14 SPAIN :Valencia Institute for Medical Physics (IFIMED):Research on Imagingand Accelerators applied to Medicine P. Le Dû - NSS-MIC 07 Honolulu 14

15 Institute for Medical Physics (IFIMED) P. Le Dû - NSS-MIC 07 Honolulu 15

16 Maastricht Radiation Oncology ( (MAASTRO) The Netherlands Business plan protons + C-ions 4 rooms: 3x treatment, 1x research synchrotron: 1 gantry; 2 horizontal beam expected referred patients: < 1500/year expected cost/treatment: euros Current Status --> Conducting of joint EuregionalPT project University Hospital Aachen (Germany) University Hospital Maastricht (The Netherlands) University of Maastricht (The Netherlands) University Hospital Liege (Belgium) University Hospital Hasselt (Belgium) MAASTRO clinic (The Netherlands) Current agreed location PTC: AVANTIS (border Germany-Netherlands, between Aachen and Maastricht) P. Le Dû - NSS-MIC 07 Honolulu 16

17 HIT Heidelberg P. Le Dû - NSS-MIC 07 Honolulu 17

18 HIT HEIDELBERG, Gantry for 430 MeV/uC beams P. Le Dû - NSS-MIC 07 Honolulu 18

19 Italy : CNAO Phase 1 Main goal : first patient summer 2008 P. Le Dû - NSS-MIC 07 Honolulu 19

20 CNAO Pavia CNAO is built to treat 3000 patients / year in phase 1 P. Le Dû - NSS-MIC 07 Honolulu 20

21 CNAO, Pavia, Carbon Facility (Phase 2) Building Accelerator based on the PIMMS design (CERN) 3 treatment rooms : H -H + V -H P. Le Dû - NSS-MIC 07 Honolulu 21

22 CNAO, Pavia, Carbon-Therapy P. Le Dû - NSS-MIC 07 Honolulu 22

23 ETOILE Chronology 1 P. Le Dû - NSS-MIC 07 Honolulu 23

24 ETOILE chronology 2 P. Le Dû - NSS-MIC 07 Honolulu 24

25 ETOILE chronology 3 P. Le Dû - NSS-MIC 07 Honolulu 25

26 MED AUSTRON (Austria( Austria) MedAustronwill provide a National Ion-Irradiation Facility for Cancer treatment, cancer research and non-clinical research The county of Lower Austria has decided to finance, build and operate MedAustron The tendering procedure will start soon Ground breaking will be at the beginning of 2008 First beam is expected in 2012 P. Le Dû - NSS-MIC 07 Honolulu 26

27 P. Le Dû - NSS-MIC 07 Honolulu 27

28 Status of BHTC P. Le Dû - NSS-MIC 07 Honolulu 28

29 Nordic Light (A. Brahme) P. Le Dû - NSS-MIC 07 Honolulu 29

30 IBA Proton therapy center A modified version is under construction in ORSAY (ICPO) Should be ready for January 2010 P. Le Dû - NSS-MIC 07 Honolulu 30

31 ACCEL RINECKER PROTON THERAPY CENTRE P. Le Dû - NSS-MIC 07 Honolulu 31

32 ACCEL ---> VARIAN-ACCEL P. Le Dû - NSS-MIC 07 Honolulu 32

33 ACCEL for PROSCAN at PSI P. Le Dû - NSS-MIC 07 Honolulu 33

34 SIEMENS Marburg Carbon Therapy Centre Surface P. Le Dû - NSS-MIC 07 Honolulu 34

35 Some remarks P. Le Dû - NSS-MIC 07 Honolulu 35

36 SIEMENS Medical Solutions - Carbon facilities P. Le Dû - NSS-MIC 07 Honolulu 36

37 SIEMENS Medical Solutions -Turn-key carbon facilitiesaccelerator P. Le Dû - NSS-MIC 07 Honolulu 37

38 IBA Proton Carbon facility proposal CarbonGantryRoom2Superconducting isochronous cyclotron accelerating Q/M = 1/2 ions to 400 MeV/U P. Le Dû - NSS-MIC 07 Honolulu 38

39 The France Networks France PNRH (Projet Natial de Recherche in Hadrontherapy Under the umbrella of the French INCA (Institut National de Cancer 4 Centers : ETOILE, ICPO (ORSAY),Nice,CAEN (ASCLEPIOS/GANIL) Future centres?? Nantes, Toulouse??? 6 work packages Medical aspects Modelling,dose distribution,treatment planning Radiobiology Control and Beam delivery Image guided treatment Optic and beam delivery (R&D) P. Le Dû - NSS-MIC 07 Honolulu 39

40 ENLIGHT ++ European network (COST) Coordinator M. Dosanjh (CERN) 7 work Packages (WP) WP1 Clinical study and medical training WP2 Radiobiology WP3 Treatment planning for Intensity Modulated Particle Therapy WP4 Adaptative Image Guided Ion therapy and treating moving organs WP5 Novel in-beam PET systemsand in-vivo tumour response imaging WP6 EURO GANTRY (Superconducting) WP7 Information and communication echnology ( HADRON NET) P. Le Dû - NSS-MIC 07 Honolulu 40

41 Conclusion (1) Hadrontherapy is born thanks to the developmentsmade in the field of fundamental physics (Pioneer work at Berkeley, Uppsalla Fermi for Loma Linda Chiba, GSI ) Hadrontherapy benefits less and less of the investments done for fundamental physics NOW HADRONTERAPY IS A BUSINESS ($$$$$ ) Industrial competition (ACCEL/Varian,IBA,SIEMENS Involvement of Academic Laboratories more and more complex Even if some groups are still getting some money for fun Study exotic solutions following a French proverb : Why do it simple when we can make it complicated? P. Le Dû - NSS-MIC 07 Honolulu 41

42 Conclusion : Carbon therapy (2) P. Le Dû - NSS-MIC 07 Honolulu 42

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