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A Symposium on a new development of Proton Radiotherapy Nijmegen, September 17th, 2010 PowerPoint PPT Presentation


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A Symposium on a new development of Proton Radiotherapy Nijmegen, September 17th, 2010. We want to contribute to optimal treatments for patients close to their livings “Stand-alone Proton Units” : a modern technique, innovative and cost effective

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A Symposium on a new development of Proton Radiotherapy Nijmegen, September 17th, 2010

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A symposium on a new development of proton radiotherapy nijmegen september 17th 2010 l.jpg

A Symposium on a new development of Proton RadiotherapyNijmegen, September 17th, 2010

  • We want to contribute to optimal treatments for patients close to their livings

  • “Stand-alone Proton Units” : a modern technique, innovative and cost effective

    Jos J. Immerzeel, Radiation Oncologist, RISO


Introduction l.jpg

Introduction

This presentation:

  • Developments in the Netherlands

  • CPAC and the initiative in Deventer

  • Promises and Perils of the new development

  • Aim of this conference

Jos J. Immerzeel


Developments in the netherlands l.jpg

Developments in the Netherlands

  • 2008: three initiatives in NL:

    • Groningen, UMCG: protoncenter nearby nuclear-physics-accelerator-research center

    • Maastricht: Euregional cooperation (with GER/BE)

    • Amsterdam (NKI)- Rotterdam (Erasmus Univ.)- Leiden (Univ.)- Delft (Techn. Univ): Holland PTC

  • 2009: National Health Counsil: positive (conditional) standpoint

  • 2009: CvZ (College for Health Insurances): report on development of protontherapy; indications

  • 2010: Gouvernmental Decision expected Q4

Jos J. Immerzeel


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Developments in the Netherlands

  • “Standard” indications in NL: 250

  • Potential indications: 7000

  • # units needed: 10-15

    • “Classic” Protoncenter: 3-4 units

  • Is another initiative for proton therapy in East NL necessary?

Jos J. Immerzeel


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CPAC and the initiative in Deventer

  • 2006: new RISO building, also 2 Tomotherapy (IMRT) units; up to now unique in the NL…

  • 2007: Tomotherapy: DWA development --> CPAC

  • CPAC searches >15 investors/shareholders: RISO?

    • Three investment tranches, three milestones

  • March 2008: Board of RISO informed: positive about the opportunity

  • Juli 2008: Board decision: participate, but no public (RISO) risk-investments possible. Need to search for private investors.

Jos J. Immerzeel


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CPAC and the initiative in Deventer (2)

  • First tranche: own investment with funding party. Risk investment (private)

  • Establishment of DEVPRON BV

  • Second and third tranche:

    • after end of risk period

    • private investment + loan RISO (public )

  • Milestone 2009: acceleration of protons in a subscale DWA

Jos J. Immerzeel


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CPAC and the initiative in Deventer (3)

Standpoints of Board of RISO:

  • Participation in DEVPRON BV by the director should be less than 5%

  • Investments by RISO in DWA is only possible when risk towards a succesful development is deminished.

  • After this: the loan of RISO to Devpron BV can be considered as downpayment/investment

  • Once decided to buy a unit, Devpron BV would be taken over by RISO.

Jos J. Immerzeel


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CPAC and the initiative in Deventer (4)

  • 2010: promising developments of DWA

  • Investors : first rights to achieve treatment units

  • Participation in CPAC Scientific Advisory Board

  • Installation of Stearing group (Stakeholders)

  • Prof. Jurgen Debus (Heidelberg Ion-beam Therapy centre): Advisor for RISO

  • RISO: search for partners (University!)

Jos J. Immerzeel


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CPAC and the initiative in Deventer (5)

  • July 2010: Partnership with University of Nijmegen/ St. Radboud

  • Regional cooperation: Technical University Twente and radiotherapy centers

  • National: Investigation for cooperation with other initiatives

Jos J. Immerzeel


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Promises and Perils of the new development

  • Installation in existing radiation oncology centers (single vault units)

  • Lower costs regarding infrastructure

  • Lower costs for personell

  • No admixture with neutrons

    BUT:

  • Dose distribution of Protons: to good!

  • Imaging and dosimetry: extremely important

  • DWA is still a concept…..

Jos J. Immerzeel


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Aim of this conference

  • To inform the audience about the DWA compact Proton Accelerator and the initiative of Deventer /Nijmegen: more than a concept?

  • To convince stakeholders, decision-makers and collegues that this new development really is a chance

  • To initiate cooperation with the other initiatives (UMCG, Holland PTC, Maastricht)

Jos J. Immerzeel


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Cooperation in the Netherlands:

Jos J. Immerzeel


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Programme, Speakers

  • IntroductionJ. Immerzeel

  • Clinical experience of particle therapy in HeidelbergM. Münter

  • Technical aspects of protontherapyJ. Schippers

  • DWA developmentsR. Mackie

  • Coffee, Tea

  • Proton facilitiesJ.W. Leer

  • The UMC St.Radboud-RISO collaborationA. Minken

  • PaneldiscussionJ.W. Leer

  • Farewell reception

Jos J. Immerzeel


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