IBA proton therapy solutions - American Association of ... · IBA proton therapy solutions Yves...
Transcript of IBA proton therapy solutions - American Association of ... · IBA proton therapy solutions Yves...
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IBA proton therapy solutionsYves Jongen, Founder and Chief Research OfficerAAPM Particle Beam Therapy Symposium, August 3 2013
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Protect, Enhance, and Save Lives - 2 -
IBA CLINICALLY PROVEN PROTON THERAPY TECHNOLOGY
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IBA EXPERIENCE IN PROTON THERAPY
20,000+PATIENTS TREATED
20+CENTERS SOLD
20+YEARS OF
EXPERIENCE
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IBA PROTON THERAPY PATIENT BASE
IBA
Mitsubishi(Japan only)
Hitatchi Accel/ Varian
Siemens
22,300Patients
7,300 6,940
Mevion
& Protom
1370 1230 0
Source: PTCOG End 2012
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UNRIVALLED EXPERIENCELARGEST PATIENT BASE
20 000+ PATIENTS TREATED (END 2012)
20.000+PATIENTS
50.000+PATIENTS
11.000PATIENTS
7.300PATIENTS
Today By 2015
IBA EQUIPMENT
#2 PT EQUIPMENT PROVIDER
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25 YEARS OF EXPERIENCE AND INNOVATION26 REFERENCE CENTERS
15 CENTERSTREATINGPATIENTS
6 CENTERSUNDER
INSTALLATION/COMMISSIONING
5CENTERSUNDER
CONSTRUCTION
Treating since 2013
Treating since 2013
Taiwan Cancer CenterOpening in 2017
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INSTALLED BASE LANDSCAPE: IBA 55% SHARE
Number of rooms
IBA
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360°GRANTRY TREATMENT ROOM360°GRANTRY
TREATMENT ROOMFIXED BEAM TREATMENT ROOM
SMALL FIXED BEAM TREATMENT ROOM
220°COMPACT GANTRYTREATMENT ROOM
THE ONLY PROVEN CLINICAL PT TECHNOLOGYA COMPLETE RANGE OF PROTON THERAPY SOLUTIONS
4 TYPES OF TREATMENT ROOMS
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RECORD TIME OF 12 MONTHS TO FIRST PATIENT*
*From building occupancy date at Seattle Cancer Care Alliance (SCCA) Proton Therapy Center, a Procure Proton Therapy center, Seattle, WA, USA
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IBA, A COMMUNITY OF RENOWNED PARTNERS AND CUSTOMERS
• COMMUNITY OF CLINICAL USERS DEFINING THE FUTURE OF
PROTON THERAPY
• THE BROADEST COLLABORATIVE PROTON THERAPY RESEARCH
PROGRAM
• A YEARLY USERS’ MEETING ORGANIZED TO DEVELOP PROTON
THERAPY TECHNOLOGY AND APPLICATIONS
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THE PBS TECHNOLOGY OF TOMORROW IS NOW DEMONSTRATED (AND ACCEPTED) IN TRENTO
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• Better dose conformity
• Single field uniform dose or intensity
modulated proton therapy (IMPT)
• Easier operation
• Lower cost
• Easy plan evolution (Adaptive Proton
Therapy)
• Lower neutron production
ADVANCED PENCIL BEAM SCANNING
Courtesy of Alex Trofimov (Massachusetts General Hospital)
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VERY SYMETRICAL AND GAUSSIAN PENCIL BEAM REDUCES CLINICAL COMMISSIONING TIME
-5.0%
-3.0%
-1.0%
1.0%
3.0%
5.0%
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
3 8 13 18 23 28 33
Spot
sig
ma
(mm
)
Penetration depth (g/cm²)
Spot Size (One sigma) in air at Isocentre Gantry 0° AtreP
Spot size X
Spot size Y
asymmetryBeam Asymmetry
Spec ≤ 10%
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226 MeV
PENCIL BEAM SCANNING ACCEPTANCE TEST PATTERN
95% of the points with gamma
index< 1
1DTA (1.5% , 1.5mm)
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FASTER DOSE DELIVERY IS THE KEY OF ADVANCED PBS
Delivery of a 2Gy in 10X10X10cm³
At high range in less than 60s At low range using Ridge Filter in less than 60s
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• 70% vo lume reduct ion• Footpr in t o f a tenn is cour t
* CBCT and 220°Compact Gantry are ongoing developments. The marketing approval will be subject to review by competent authorities (FDA, Notified bodies, et al…)
PROTEUS®ONE
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Protect, Enhance, and Save Lives - 18 -
A HIGH PERFORMANCE, NO COMPROMIZE, COST EFFECTIVE ONE ROOM SYSTEM
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Protect, Enhance, and Save Lives - 19 -
WHY AN ENERGY SELECTION SYSTEM IS NEEDEDPolychromatic
Monochromatic
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ESS INTEGRATED IN THE GANTRY OPTICSREDUCED GANTRY RADIUS & LONG SAD: SCANNING UPSTREAM
25 ft /
7.2 m
62.3 ft / 19 m
• Size XS
• Neutron
• PBS
• IGPT
• Patient centric
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PATIENT ALIGNMENT & MOTION CONTROL
X-ray tube
Flatpanel
X-ray tubes
Flat panels
2 OPTIONS
Flat panel
X-ray tube
Stereoscopic X-ray CBCT
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PHILIPS AMBIENT EXPERIENCE
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0
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Esophagus Thymus Heart Thyroid Adrenals Liver Pancreas Bladder Kidneys Brain
H*(
10) (
mSv
/Gy)
ScatteringGantry MountedAcceleratorProteusONE
ProteusPLUS
PBS limits to the minimum the neutron dose
RATIO OF NEUTRON TO PROTON DOSE (MEDULLOBLASTOMA)
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PROTEUSONE, FULL FEATURES, FULL PERFORMANCE SINGLE ROOM SYSTEM
24
Open Gantry
Patient and staff-friendlyopen environment
IMPT by PBS
3D Cone-Beam CT* Image-Guided PT
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THE PROTOTYPE S2C2 IN FACTORY TESTS
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WILLIS KNIGHTON COMPACT GANTRY IN FACTORY IN JUNE
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WILLIS KNIGHTON COMPACT GANTRY IN FACTORY IN JUNE
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QUESTIONS?