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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

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
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
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

developments in the netherlands1
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

cpac and the initiative in deventer
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

cpac and the initiative in deventer 2
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

cpac and the initiative in deventer 3
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

cpac and the initiative in deventer 4
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

cpac and the initiative in deventer 5
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

promises and perils of the new development
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

aim of this conference
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

programme speakers
Programme, Speakers
  • Introduction J. Immerzeel
  • Clinical experience of particle therapy in Heidelberg M. Münter
  • Technical aspects of protontherapy J. Schippers
  • DWA developments R. Mackie
  • Coffee, Tea
  • Proton facilities J.W. Leer
  • The UMC St.Radboud-RISO collaboration A. Minken
  • Paneldiscussion J.W. Leer
  • Farewell reception

Jos J. Immerzeel