MEDICAL PHYSICS IN LITHUANIA – PAST AND FUTURE
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Transcript of MEDICAL PHYSICS IN LITHUANIA – PAST AND FUTURE
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VYDMANTAS ATKOČIUS
INSTITUTE OF ONCOLOGY, VILNIUS UNIVERSITY, LITHUANIA
2010, Budapest, 16 June
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HISTORY
• 2 BETATRONS
• 4 60Co EBRT UNITS
1972 • Some X-ray treatment units
• 226Ra sources for brachytherapy
• 0 Medical physicists• Some roentgen technicians
3 Russian condenser R-meters
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HISTORY
• 2 mos training course for medical physics (certificate)
1979 • VICTOREEN 570 CONDENSER R-METER – three chambers for low, medicine and high energies
• Dose output measurement at two RT centers and time tables for irradiation – onsite visits, 4 per yr.
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1995 – 1997
1997 – 2000
POLISH PHYSICISTS
POLISH PHYSICISTS
PERSONALCONTACTSPERSONALCONTACTS
EMANUEL VAN DERSCHUEREN
EMANUEL VAN DERSCHUEREN
EURAQApan-EUropean RAdiation Quality
Assurance
EROPAQpan-European Radiation Oncology
Programme for Assurance of Treatment Quality
HISTORY
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EURAQA data:
The Middle Ages–1995 2 from 5 (40 %) radiotherapy centers without medical physicists (Quite alone in Central and Eastern Europe)
1996–2000 All RT centers have at least one medical physicist (after 1-2 mos training at Institute of Oncology, VU)
2010 Workload of medical physicist (about 400 pts/yr in Lithuania)
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IAEA
• RER/6/008: Building Capacity in Medical Physics (1997 – 2001)
• RER/6/012: Quality Assurance / Quality Control in Radiation Oncology (2001 – 2008)
• RER/6/013 and other related programmes
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Year Beams
checked Beams with deviation
more 3% (in %) Beams with deviation
more 5% (in %)
1995 4 (LOC) 0 0
1996 11 40.0 33.3
1998 11 54.4 27.0
1999 11 18.0 0
2000 13 0 0
World Congress, Melbourne, Australia, 2001 Oral presentation
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MEDICAL PHYSICS TODAY IN LITHUANIA
• Medical Physics (speciality) was included in the list of specialities in medicine
• Medical Physicists working in RT – 26 • Medical Physics Committee in Lithuania
Society for Radiation Oncology, (1995) – 24 members
• Society of Medical Physicists (Kaunas), (2008) – 18 members
• Lithuanian Association of Medical Physicists and Biomedical Engineers (2009) – newly established
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MEDICAL PHYSICS PREPARATION CHART
(2008)
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MEDICAL PHYSICS - EDUCATION• KAUNAS TECHNOLOGY UNIVERSITY:
– Basic education – 3-4 years– Level of Master in Medical Physics – 2 years– Postgraduate training (in clinic) – 2 years
• MEDICAL FACULTY + INSTITUTE OF ONKOLOGY, VILNIUS UNIVERSITY:
– Level of Master in Medical Physics – 2 years
Basic education in physics, biomedicine or technology (physics not less 27 ECTS and mathematics or IT not less 15 ECTS) – 4 years in different faculties
– Postgraduate training (in clinic of Institute of Oncology ,VU) – 2 years (under supervision of Qualified Medical Physicist or Medical Physics Expert)
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MF PROGRAMMES IN COMPARISON ISWEDEN,Lund University Göteborg UniversityKarolinska University, Sockholm
UK,King‘s College LondonCollege of London
LITHUANIA
KTU VU
Radiation protection, 5P Radiation protection 4 Kr. 4 Kr.
Radiation biology, 5P Radiobiology 2 Kr. 3 Kr.
Human anatomy, 5P Anatomy and physiology 4 Kr. 4 Kr.
Biostatistics for physicists, 5P Biomedical statistics 2 Kr. 3 Kr.
Interaction of ionizing radiation with matter, 5P
Interaction of nonionizing and ionizing radiation with matter
4 Kr. 3 Kr.
Imaging systems and imaging, 5P(Photon imaging)
Imaging systems4 Kr. 7 Kr.
Mathematical methods and image processing, including applied system analysis, 5P
Basic signal processing in medical imaging 4 Kr. 5 Kr.
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MF PROGRAMMES IN COMPARISON IISWEDEN,Lund University Göteborg UniversityKarolinska University, Sockholm
UK,King‘s College LondonCollege of London
LITHUANIA
KTU VU
Radiation detectors and measurements, 5P
Radiation detectors and dosimetry
4 Kr.
Diagnostic radiology, 5P Diagnostic radiology 4 Kr. 3 Kr.
Physics of radiotherapy, 5P Physics of radiotherapy 4 Kr.5 Kr
Radiation dosimetry, 5P 2 Kr.
Imaging systems and imaging, 5P NMR imagingUltrasound imaging
4 Kr. 4 Kr.
Nuclear medicine, 5P Nuclear medicine 2 Kr. 4 Kr.
MSC. Degree project, 20P 20 Kr. 17 Kr.
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NEED FOR MF PROFESSION IN LITHUANIA
Overall (diagnostics and cancer treatment) 100 - 150
Graduated in KTU 23
Perform MF duties in oncology centers 26
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Active players:• Professional societies• Oncology centers• RSC (Radiation Protection Center)• Radiotherapists and clinics
administrators
Passive players:• Government• Ministry of Health
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CONCLUSIONS1. MF speciality in Lithuania is on the
way:– Two universities are involved in education
process– Three is a need of the government approval
for medical physics career, training and licensing, schema
2. International assistance (EU directives, OECI, IAEA) for activation this process is gainful and extremely required
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Thank Thank you you forfor attention attention