Using the full range of IAEA services to improve cancer control in JordanAkram Al-Ibraheem MD, FEBNM, FANMBN

In memory of a brave & devoted leader;Mr. Yukiya Amano’s visit to King Hussein Cancer Center , Jordan in

2017“Transferring peaceful nuclear technology to developing countries has been a priority for the Agency since the start. Improving cancer control in developing countries is an especially important part of our work” Mr. Y. Amano

HRH Princess Ghida Talal presenting KHCCs’ Trophy to Mr. Amano

Population

Health Indicators

Socioeconomic Indicators

Geography

Life expectancy @ birth =74.3 Years (Male 72.7, Female 76.0)

Unemployment rate: 18.7%

GDP: 3258.50 USD per capita

Population: 9,531,712

Distances: 570 km north to south

Jordan

Population Pyramid , Jordan 2018

285

450

550

769 11

26 1396

3302

3354

3380

3362

3412

3430

3478

3591

3678 41

9843

32 4606

4798

4849

4675 50

1354

1656

9555

56

250750

12501750225027503250375042504750525057506250

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

No.

of C

ases

Year

Hospital-BasedPopulation-BasedJCR

39.4 9.7

5.9

5.4

3.8

3.0

2.8

2.7

2.4

2.3

14.5

11.3

10.1

8.1

5.1

4.5

4.3

4.0

3.8

2.8

Breast

Common Cancers Among Jordanians

ColorectalLung Colorectal

Chart1

الثديالثدي

القولون والمستقيمالقولون والمستقيم

الغدة الدرقيةالغدة الدرقية

الرحمالرحم

أورام الغدد اللمفاويةأورام الغدد اللمفاوية

المبيضينالمبيضين

لوكيميالوكيميا

رئةرئة

هودجكنزهودجكنز

دماغدماغ

Column2

Column3

39.4

9.7

5.9

5.4

3.8

3.0

2.8

2.7

2.4

2.3

14.5

11.3

10.1

8.1

5.1

4.5

4.3

4.0

3.8

2.8

39.4

-14.5

9.7

-11.3

5.9

-10.1

5.4

-8.1

3.8

-5.1

3

-4.5

2.8

-4.3

2.7

-4

2.4

-3.8

2.3

-2.8

Sheet1

Column1Column2Column3

الثدي39.4-14.5

القولون والمستقيم9.7-11.3

الغدة الدرقية5.9-10.1

الرحم5.4-8.1

أورام الغدد اللمفاوية3.8-5.1

المبيضين3-4.5

لوكيميا2.8-4.3

رئة2.7-4

هودجكنز2.4-3.8

دماغ2.3-2.8

Sheet2

-12.4الرئة12.4

-12القولون والمستقيم12

-9.2المثانة9.2

-8.4البروستات8.4

-7.5أورام الغدد اللمفاوية7.5

-5.5لوكيميا5.5

-4.3دماغ4.3

-3.8الحنجرة3.8

-3.7المعدة3.7

-3.6الكلية3.6

IAEA Efforts to Combat Cancer in Jordan

Utilizing Nuclear Technology in Control of Cancer:Diagnosis & Treatment

This is achieved through Capacity Building Equipment Research Technical Advise &Quality Assurance & dosimetry

Close collaboration, closer care: IAEA and KHCC in Jordan signing Practical Arrangement ICNMP

The IAEA has assisted Jordan in the development andapplications of nuclear science and technology for itssocio-economic development in several areas:

Human Health; Food and Agriculture; Water Resources Management; and the Development of a Robust Infrastructure

for Nuclear Energy

Capacity Building; Professionals in Radiation Medicine, Nuclear Medicine & Radiation Oncology & Radiology

• Regional Training courses (RTC)

• Scientific Visits & CME

Technologist Physicists Physicians • Workshops• Conference• ARSNM

Cost-sharing IAEA-KHCC ProjectFirst SPECT/CT in Jordan

• SPECT/CT machine has been installed at KHCC and started in June 2019

• About 5000 diagnostic nuclear studies will be performed on this machine annually

• Added value: Improvement in the accuracy of staging of

different cancers Treatment planning Accurate treatment evaluation and proper

follow up Advanced training for NM professionals to

meet the goals of the ICNMP

Medical imaging is one of the specialties with the highest innovation rate

IAEA Secured the Donation of State-of-the-art LINAC to MoH

• By Elekta, an international oncology equipment manufacturer

• Al-Bashir hospital is the only public hospital in Amman which provides cancer treatment

• The radiotherapy unit at the hospital lacks the human and infrastructural capacity to meet the increased demand

• Once the new equipment is delivered, the radiotherapy facility will improve cancer treatment services (IMRT), with the aim of treating at least 6000 patients a year

• Delivery later this year, will provide life-saving cancer treatment to low-income Jordanians and refugees

IAEA’s Support for the Jordan Research & Research Reactor JRTR

Close cooperation from early phase of the JRTRproject, with all concerned national authorities:

The Operator: Jordan Atomic Energy Commission – JAEC

The Regulator: The Energy & Minerals Regulatory Commission - EMRC

Several technical meetings, expert and peer-review missions, based on IAEA Safety &Security standards since 2009 and continuingthrough today

Support to the Regulator/EMRC: Development of national regulations,

and establishment of a licensing process for research reactors;

Support regulatory review of the JRTR safety analysis report;

Support of Security Requirements; and Development of regulatory inspection

program for research reactors

IAEA’s Support for the JRTR Support to the Operator/JAEC:

Review of safety features of the bidding specifications;

Evaluation of the reactor design safety & security provisions;

Management system for construction and commissioning;

Training program for operating personnel;

QA and Safety in construction; Review of commissioning program; INSARR mission: Focusing on

commissioning results and preparation for routine operation

Enabling Jordan to Domestically Produce a Wide-Range of

Radiopharmaceuticals, that were not Previously Possible in Jordan

IAEA Support to Strategic research & Quality Assurance in Jordan

ConclusionIn the PERTAIN study, the preliminary results indicate that introducing FDG PET/CT-guided concurrent CRT for patients with stage III NSCLC in LMIC resulted in a significant improvement in OS and PFS. The final study results based on complete data are expected in 2020.

CRPs are instrumental to build capacity in research in IAEA MS

Providing opportunities for scientists and institutions at KHCC to conduct more strategic research

The IAEA contributes to quality assurance and patient safety in NM & radiotherapy

Theranostics in Jordan

PETRA

Using the full range of IAEA services to improve cancer control in JordanIn memory of a brave & devoted leader;�Mr. Yukiya Amano’s visit to King Hussein Cancer Center , Jordan in 2017JordanIAEA Efforts to Combat Cancer in Jordan Capacity Building; Professionals in Radiation Medicine, �Nuclear Medicine & Radiation Oncology & Radiology�Cost-sharing IAEA-KHCC Project�First SPECT/CT in JordanIAEA Secured the Donation of State-of-the-art LINAC to MoHIAEA’s Support for the Jordan Research & Research Reactor JRTRIAEA’s Support for the JRTRIAEA Support to Strategic research & Quality Assurance in JordanTheranostics in Jordan Slide Number 12