Radiation Oncology at the Border Doacute;nde Estamos.ppt

Radiation Oncology at the Border: Dónde Estamos? Lars Ewell, PhD Assistant Professor, Department of Radiation Oncology, University of Arizona College of Medicine lewell@ Radiation Oncology at the Border: Dondé Estamos? Introduction Radiation Oncology Radiation Oncology en Los Estados Unidos Radiation Oncology en Mexico Equipment Costs Accidents Future in Both Countries Conclusion Introduction Goal of radiation therapy is to kill cancerous cells, while sparing normal tissue. Radiation therapy can be either curative, or palliative. In contrast to diagnostic procedures, therapeutic doses are high. 5000 cGy vs 10 cGy (CAT scan). Radiation Oncology en Los Estados Unidos In the US in 1995, 41% of the 1,252,050 newly diagnosed cases of cancer were treated with radiation. These radiation treatments relieved suffering and extended the lives of the patients being treated. Along with early diagnosis, radiation treatments contributed to a 1.1% decrease in annual cancer death rates from 1993 through 20021. Radiation Oncology en Los Estados Unidos Radiation Oncology en Los Estados Unidos Radiation Oncology en la Universidad de Arizona Hospital / ~ 60 Patients Cada Dia 5 Attending Physicians, 5 Residents 3 (4) Physicists (Físicos Médicos) Dosimetrists, Therapists, Nurses, Administrators 3 machines: Elekta SLi, Siemens S2 and Novalis Brainlab Brachytherapy: Permanent Prostate Seed, Eye Plaque (ocular melanoma), High Dose Radiotherapy (HDR) Pinnacle Treatment Planning System Marconi 5,000 CAT Scan Radiation Oncology en Los Estados Unidos: Agencies/Regulations Nuclear Regulatory Commission (NRC): Regulates reactor produced radio-nuclides used in radiotherapy. American Board of Radiology (ABR): Provides board certification for physicians and physicists. Radiological Physics Center (RPC): Provides quality assurance for radiotherapy physics equipment. Radiation Oncology en Mexico Comisión Nacional de Seguridad Nuclear y Salvaguardias (CNSNS): Provides for regulation of radiothera