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| cost of proton therapy for prostate cancer: Surface Guided Radiation Therapy Jeremy David Page Hoisak, Adam Brent Paxton, Benjamin James Waghorn, Todd Pawlicki, 2020-02-13 Surface Guided Radiation Therapy provides a comprehensive overview of optical surface image guidance systems for radiation therapy. It serves as an introductory teaching resource for students and trainees, and a valuable reference for medical physicists, physicians, radiation therapists, and administrators who wish to incorporate surface guided radiation therapy (SGRT) into their clinical practice. This is the first book dedicated to the principles and practice of SGRT, featuring: Chapters authored by an internationally represented list of physicists, radiation oncologists and therapists, edited by pioneers and experts in SGRT Covering the evolution of localization systems and their role in quality and safety, current SGRT systems, practical guides to commissioning and quality assurance, clinical applications by anatomic site, and emerging topics including skin mark-less setups. Several dedicated chapters on SGRT for intracranial radiosurgery and breast, covering technical aspects, risk assessment and outcomes. Jeremy Hoisak, PhD, DABR is an Assistant Professor in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Hoisak’s clinical expertise includes radiosurgery and respiratory motion management. Adam Paxton, PhD, DABR is an Assistant Professor in the Department of Radiation Oncology at the University of Utah. Dr. Paxton’s clinical expertise includes patient safety, motion management, radiosurgery, and proton therapy. Benjamin Waghorn, PhD, DABR is the Director of Clinical Physics at Vision RT. Dr. Waghorn’s research interests include intensity modulated radiation therapy, motion management, and surface image guidance systems. Todd Pawlicki, PhD, DABR, FAAPM, FASTRO, is Professor and Vice-Chair for Medical Physics in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Pawlicki has published extensively on quality and safety in radiation therapy. He has served on the Board of Directors for the American Society for Radiology Oncology (ASTRO) and the American Association of Physicists in Medicine (AAPM). |
| cost of proton therapy for prostate cancer: Proton Therapy Physics Harald Paganetti, 2016-04-19 Proton Therapy Physics goes beyond current books on proton therapy to provide an in-depth overview of the physics aspects of this radiation therapy modality, eliminating the need to dig through information scattered in the medical physics literature. After tracing the history of proton therapy, the book summarizes the atomic and nuclear physics background necessary for understanding proton interactions with tissue. It describes the physics of proton accelerators, the parameters of clinical proton beams, and the mechanisms to generate a conformal dose distribution in a patient. The text then covers detector systems and measuring techniques for reference dosimetry, outlines basic quality assurance and commissioning guidelines, and gives examples of Monte Carlo simulations in proton therapy. The book moves on to discussions of treatment planning for single- and multiple-field uniform doses, dose calculation concepts and algorithms, and precision and uncertainties for nonmoving and moving targets. It also examines computerized treatment plan optimization, methods for in vivo dose or beam range verification, the safety of patients and operating personnel, and the biological implications of using protons from a physics perspective. The final chapter illustrates the use of risk models for common tissue complications in treatment optimization. Along with exploring quality assurance issues and biological considerations, this practical guide collects the latest clinical studies on the use of protons in treatment planning and radiation monitoring. Suitable for both newcomers in medical physics and more seasoned specialists in radiation oncology, the book helps readers understand the uncertainties and limitations of precisely shaped dose distribution. |
| cost of proton therapy for prostate cancer: Proton and Carbon Ion Therapy C-M Charlie Ma, Tony Lomax, 2012-10-09 Proton and Carbon Ion Therapy is an up-to-date guide to using proton and carbon ion therapy in modern cancer treatment. The book covers the physics and radiobiology basics of proton and ion beams, dosimetry methods and radiation measurements, and treatment delivery systems. It gives practical guidance on patient setup, target localization, and treatment planning for clinical proton and carbon ion therapy. The text also offers detailed reports on the treatment of pediatric cancers, lymphomas, and various other cancers. After an overview, the book focuses on the fundamental aspects of proton and carbon ion therapy equipment, including accelerators, gantries, and delivery systems. It then discusses dosimetry, biology, imaging, and treatment planning basics and provides clinical guidelines on the use of proton and carbon ion therapy for the treatment of specific cancers. Suitable for anyone involved with medical physics and radiation therapy, this book offers a balanced and critical assessment of state-of-the-art technologies, major challenges, and the future outlook of proton and carbon ion therapy. It presents a thorough introduction for those new to the field while providing a helpful, up-to-date reference for readers already using the therapy in clinical settings. |
| cost of proton therapy for prostate cancer: Stereotactic Body Radiation Therapy Simon S. Lo, Bin S. Teh, Jiade J. Lu, Tracey E. Schefter, 2012-08-28 Stereotactic body radiation therapy (SBRT) has emerged as an important innovative treatment for various primary and metastatic cancers. This book provides a comprehensive and up-to-date account of the physical/technological, biological, and clinical aspects of SBRT. It will serve as a detailed resource for this rapidly developing treatment modality. The organ sites covered include lung, liver, spine, pancreas, prostate, adrenal, head and neck, and female reproductive tract. Retrospective studies and prospective clinical trials on SBRT for various organ sites from around the world are examined, and toxicities and normal tissue constraints are discussed. This book features unique insights from world-renowned experts in SBRT from North America, Asia, and Europe. It will be necessary reading for radiation oncologists, radiation oncology residents and fellows, medical physicists, medical physics residents, medical oncologists, surgical oncologists, and cancer scientists. |
| cost of proton therapy for prostate cancer: Proton Therapy Thomas J. FitzGerald, Maryann Bishop-Jodoin, 2021-08-18 Over the past twenty-five years, proton therapy has become more prominent worldwide. It is an important component of clinical radiation therapy for both adult and pediatric clinical care. Due to the inherent ability of protons to spare normal tissue, protons will continue to develop and become increasingly important in radiation oncology. As such, Proton Therapy - Current Status and Future Directions reviews many aspects of proton care including the application of protons in modern clinical trials. It also reviews problems associated with the migration of proton care worldwide and examines the future direction of proton care. This project was created by colleagues at IntechOpen and was carefully managed by Romina Rovan. It has been a privilege to help coordinate the text and chapters designed to acknowledge the history, footprint, and growing interest of proton care worldwide. Proton management is now embedded in the clinical trials process. In pediatric care, proton delivery is embedded with photons for the management of pediatric malignancies and adult groups have initiated proton-specific clinical trials. A proton registry has been established and outcomes are under evaluation. Due to the inherent ability of protons to spare normal tissue, protons will continue to develop and become increasingly important in radiation oncology. |
| cost of proton therapy for prostate cancer: Practical Radiation Oncology Supriya Mallick, Goura K. Rath, Rony Benson, 2019-11-25 This book addresses the most relevant aspects of radiation oncology in terms of technical integrity, dose parameters, machine and software specifications, as well as regulatory requirements. Radiation oncology is a unique field that combines physics and biology. As a result, it has not only a clinical aspect, but also a physics aspect and biology aspect, all three of which are inter-related and critical to optimal radiation treatment planning. In addition, radiation oncology involves a host of machines/software. One needs to have a firm command of these machines and their specifications to deliver comprehensive treatment. However, this information is not readily available, which poses serious challenges for students learning the planning aspect of radiation therapy. In response, this book compiles these relevant aspects in a single source. Radiation oncology is a dynamic field, and is continuously evolving. However, tracking down the latest findings is both difficult and time-consuming. Consequently, the book also comprehensively covers the most important trials. Offering an essential ready reference work, it represents a value asset for all radiation oncology practitioners, trainees and students. |
| cost of proton therapy for prostate cancer: Advances in Radiation Oncology Jeffrey Y.C. Wong, Timothy E. Schultheiss, Eric H. Radany, 2017-04-20 This book concisely reviews important advances in radiation oncology, providing practicing radiation oncologists with a fundamental understanding of each topic and an appreciation of its significance for the future of radiation oncology. It explores in detail the impact of newer imaging modalities, such as multiparametric magnetic resonance imaging (MRI) and positron emission tomography (PET) using fluorodeoxyglucose (FDG) and other novel agents, which deliver improved visualization of the physiologic and phenotypic features of a given cancer, helping oncologists to provide more targeted radiotherapy and assess the response. Due consideration is also given to how advanced technologies for radiation therapy delivery have created new treatment options for patients with localized and metastatic disease, highlighting the increasingly important role of image-guided radiotherapy in treating systemic and oligometastatic disease. Further topics include the potential value of radiotherapy in enhancing immunotherapy thanks to the broader immune-stimulatory effects, how cancer stem cells and the tumor microenvironment influence response, and the application of mathematical and systems biology methods to radiotherapy. |
| cost of proton therapy for prostate cancer: Delivering Affordable Cancer Care in the 21st Century Institute of Medicine, Board on Health Care Services, National Cancer Policy Forum, 2013-06-20 Rising health care costs are a central fiscal challenge confronting the United States. National spending on health care currently accounts for 18 percent of gross domestic product (GDP), but is anticipated to increase to 25 percent of GDP by 2037. The Bipartisan Policy Center argues that this rapid growth in health expenditures creates an unsustainable burden on America's economy, with far-reaching consequences. These consequences include crowding out many national priorities, including investments in education, infrastructure, and research; stagnation of employee wages; and decreased international competitiveness.In spite of health care costs that far exceed those of other countries, health outcomes in the United States are not considerably better. With the goal of ensuring that patients have access to high-quality, affordable cancer care, the Institute of Medicine's (IOM's) National Cancer Policy Forum convened a public workshop, Delivering Affordable Cancer Care in the 21st Century, October 8-9, 2012, in Washington, DC. Delivering Affordable Cancer Care in the 21st Century summarizes the workshop. |
| cost of proton therapy for prostate cancer: Proton and Charged Particle Radiotherapy Thomas F. De Laney, Hanne M. Kooy, 2008 This volume is the first comprehensive and practical clinical reference on proton and charged particle radiotherapy. The first half of the book explains the treatment delivery systems used, offers detailed guidance on treatment planning techniques, examines key clinical issues in proton radiotherapy, and reviews recent experience with heavier charged particle radiotherapy. The second half of the book offers how-to information on treatment of pediatric tumors, lymphomas, and tumors of the central nervous system, eye, skull base, cervical spine, bone and soft tissue, paranasal sinus, nasal cavity, nasopharynx, oropharynx, oral cavity, salivary glands, prostate, lung, gastrointestinal tract, female reproductive tract, and breast. More than 100 full-color illustrations complement the text. |
| cost of proton therapy for prostate cancer: IMRT, IGRT, SBRT John Meyer, 2011 Over the last 4 years, IMRT, IGRT, SBRT: Advances in the Treatment Planning and Delivery of Radiotherapy has become a standard reference in the field. During this time, however, significant progress in high-precision technologies for the planning and delivery of radiotherapy in cancer treatment has called for a second edition to include these new developments. Thoroughly updated and extended, this new edition offers a comprehensive guide and overview of these new technologies and the many clinical treatment programs that bring them into practical use. Advances in intensity-modulated radiotherapy (IMRT), and 4D and adaptive treatment planning are clearly presented. Target localization and image-guided radiotherapy (IGRT) systems are comprehensively reviewed as well. Clinical tutorials illustrate target definitions for the major cancer sites, and useful techniques for organ motion management are described and compared. There are also several chapters that explore the technical basis and latest clinical experience with stereotactic body radiotherapy (SBRT) and summarize practical treatment recommendations. Furthermore, the significant and increasing contributions of proton therapy to cancer care are also highlighted, alongside the practical allocation of all these new technologies from an economic perspective. As a highlight of this volume, a number of images can be viewed online in time-elapse videos for greater clarity and more dynamic visualizationWritten by leading authorities in the field, this comprehensive volume brings clinical and technical practitioners of radiotherapy fully up to date with the key developments in equipment, technologies and treatment guidelines. |
| cost of proton therapy for prostate cancer: Proton Therapy Steven J Frank, X. Ronald Zhu, 2020-05-18 As proton therapy treatment centers become smaller and more cost-effective, education and training for today’s multi-disciplinary oncology teams are more important than ever before. This state-of-the-art reference brings you fully up to date with all aspects of proton therapy, with guidance you can trust from MD Anderson Cancer Center, the largest and most experienced proton therapy center in the world. Led by Drs. Steven J. Frank and W. Ronald Zhu, Proton Therapy provides a unique opportunity to benefit from the unsurpassed knowledge and expertise of an esteemed team of leaders in the field. Covers all cancers for which proton therapy is used most often, including prostate, head and neck, pediatrics, central nervous system, gastrointestinal, sarcomas, lungs, breast, lymphomas, and gynecologic cancers. Provides up-to-date information on radiobiology, treatment planning and quality assurance, indications for proton therapy, management approaches, and outcomes after proton therapy by disease site. Discusses technologic advances such as spot scanning and treatment planning systems for the management of solid tumors; radiobiology of proton therapy, including DNA damage and repair mechanisms and acute and late effects on normal tissues; and multifield optimized intensity-modulated proton therapy (MFO-IMPT) for optimizing the distribution of linear energy transfer (LET) of proton beams within target volumes and away from critical normal structures. Includes a special section on head and neck cases in the e-book that photographically illustrates the full cycle of proton therapy care. |
| cost of proton therapy for prostate cancer: You Can Beat Prostate Cancer Robert Marckini, 2020-01-15 Choosing the right prostate cancer treatment can be a daunting task. This book makes it easy. The first edition was a best seller for 10 years. It received more than 400 Amazon reader reviews, mostly 5-star. The second edition, endorsed by highly respected medical professionals from the most prestigious cancer treatment centers in the world, builds on the original. It's about the author's journey from diagnosis through his exhaustive research, treatment and quality of life after treatment. The book explains in layman's terms the pros and cons of every major treatment option and focuses on a highly effective, non-invasive treatment - proton therapy - that cures cancer and leaves the patient with a higher quality of life and fewer, if any, side effects. It also covers the latest developments in prostate imaging and diagnostic technology. Finally, it presents the 10 steps for taking control of the detection and treatment of your prostate cancer. Newly diagnosed men and their loved ones should read this book. |
| cost of proton therapy for prostate cancer: Overtreated Shannon Brownlee, 2010-06-25 Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Brownlee dissects what she calls the medical-industrial complex and lays bare the backward economic incentives embedded in our system, revealing a stunning portrait of the care we now receive. Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. It offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee's humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone. |
| cost of proton therapy for prostate cancer: Adaptive Radiation Therapy X. Allen Li, 2011-01-27 Modern medical imaging and radiation therapy technologies are so complex and computer driven that it is difficult for physicians and technologists to know exactly what is happening at the point-of-care. Medical physicists responsible for filling this gap in knowledge must stay abreast of the latest advances at the intersection of medical imaging an |
| cost of proton therapy for prostate cancer: Treatment of Cancer Pat Price, Karol Sikora, 2020-11-24 Treatment of Cancer is a multi-author work and comprehensive guide on modern cancer treatment that aims to give clinician and student alike the framework for an integrated approach to patient care, including radiotherapy, chemotherapy, and surgery. Much information is presented in tables and charts for easy assimilation, and clear algorithms for patient pathways are included to make decisions straightforward while allowing for sound clinical judgement. |
| cost of proton therapy for prostate cancer: Stereotactic Radiosurgery for Prostate Cancer Michael J. Zelefsky, 2018-09-28 This book offers a comprehensive evaluation of the use of stereotactic body radiosurgery (SBRT) for the treatment of prostate cancer. The rationale, selection criteria, and treatment planning for prostate SBRT are explained. Important imaging and anatomic considerations are discussed, and detailed consideration devoted to organ motion and tumor tracking during SBRT. Outcomes of therapy are then examined, with thorough appraisal of side effect profiles and quality of life impacts. Clear guidance is provided on how to deliver the therapy in a way that minimizes the risk of long-term urinary and rectal toxicities. Stereotactic radiosurgery for prostate cancer is an increasingly used form of treatment. Retrospective investigations have demonstrated the safe application of high-dose treatments, with 5-year results comparable to those achieved with protracted external beam radiotherapy. Prospective studies are underway comparing SBRT with more traditional forms of image-guided and intensity-modulated radiotherapy. In offering in-depth guidance on safe delivery of prostate SBRT, this book will be of value for students of radiation oncology, more experienced practitioners, and medical physicists. |
| cost of proton therapy for prostate cancer: Dr. Patrick Walsh's Guide to Surviving Prostate Cancer Patrick C. Walsh, Janet Farrar Worthington, 2018-05-15 This guide covers every aspect of prostate cancer, from potential causes including diet to tests for diagnosis, curative treatment, and innovative means of controlling advanced stages of cancer. |
| cost of proton therapy for prostate cancer: Target Volume Delineation and Treatment Planning for Particle Therapy Nancy Y. Lee, Jonathan E. Leeman, Oren Cahlon, Kevin Sine, Guoliang Jiang, Jiade J. Lu, Stefan Both, 2017-12-19 This handbook is designed to enable radiation oncologists to treat patients appropriately and confidently by means of particle therapy. The orientation and purpose are entirely practical, in that the focus is on the physics essentials of delivery and treatment planning , illustration of the clinical target volume (CTV) and associated treatment planning for each major malignancy when using particle therapy, proton therapy in particular. Disease-specific chapters provide guidelines and concise knowledge on CTV selection and delineation and identify aspects that require the exercise of caution during treatment planning. The treatment planning techniques unique to proton therapy for each disease site are clearly described, covering beam orientation, matching/patching field techniques, robustness planning, robustness plan evaluation, etc. The published data on the use of particle therapy for a given disease site are also concisely reported. In addition to fully meeting the needs of radiation oncologists, this know why and “know how” guide to particle therapy will be valuable for medical physicists, dosimetrists, and radiation therapists. |
| cost of proton therapy for prostate cancer: New Technologies in Radiation Oncology Wolfgang C. Schlegel, Thomas Bortfeld, Anca Ligia Grosu, 2006-01-27 - Summarizes the state of the art in the most relevant areas of medical physics and engineering applied to radiation oncology - Covers all relevant areas of the subject in detail, including 3D imaging and image processing, 3D treatment planning, modern treatment techniques, patient positioning, and aspects of verification and quality assurance - Conveys information in a readily understandable way that will appeal to professionals and students with a medical background as well as to newcomers to radiation oncology from the field of physics |
| cost of proton therapy for prostate cancer: Adenocarcinoma of the Prostate Andrew W. Bruce, John Trachtenberg, 2012-12-06 Carcinoma of the prostate increasingly dominates the attention of urologists for both scientific and clinical reasons. The search for an explanation and the prediction of the variable behaviour of the malignant prostatic cell continues unabated. The search for more precise tumour staging and more effective treatment is equally vigorous. Editors Andrew Bruce and John Trachtenberg have assembled acknowledged leaders in prostate cancer to present those areas of direct interest to the clinician. There are a number of other topics that might have been considered but most of these, such as experimental tumour models or biochemical factors affecting cell growth, still lack immediate application for the clinician. Carcinoma of the prostate continues to have its highest incidence in the western world, and the difference in comparison with the incidence in the Far East appears to be real and not masked by diagnostic or other factors. A number of other epidemiological aspects need careful analysis: Is the incidence increasing? Is the survival improving? Is the prognosis worse in the younger patient? Epidemiological data are easily misused and misinterpreted so that a precise analysis of the known facts makes an important opening chapter to this book. |
| cost of proton therapy for prostate cancer: Prostate Cancer Breakthroughs Jay S. Cohen, 2013 Prostate Cancer Breakthroughs 2014 takes you through the entire diagnostic process, answering your questions and suggesting others to ask, then describing 12 different treatment choices for you to consider. Studies have proven that most men diagnosed with prostate cancer do not need surgery or radiation treatment. Find out how to determine whether you do or don't and what your other options are. |
| cost of proton therapy for prostate cancer: Malignant Pleural Mesothelioma Ken O'Byrne, Valerie W. Rusch, 2006 This book provides health professionals and scientists with a comprehensive overview of the mesothelioma - an asbestos induced malignancy. It includes chapters on epidemology, diagnosis, histopathology, radiology, surgery, chemotherapy, immune therapy, and radiotherapy as well as the molecular biology and future therapies. |
| cost of proton therapy for prostate cancer: Image-Guided IMRT Thomas Bortfeld, Rupert Schmidt-Ullrich, Wilfried De Neve, David E. Wazer, 2006-05-28 Intensity-modulated radiation therapy (IMRT), one of the most important developments in radiation oncology in the past 25 years, involves technology to deliver radiation to tumors in the right location, quantity and time. Unavoidable irradiation of surrounding normal tissues is distributed so as to preserve their function. The achievements and future directions in the field are grouped in the three sections of the book, each suitable for supporting a teaching course. Part 1 contains topical reviews of the basic principles of IMRT, part 2 describes advanced techniques such as image-guided and biologically based approaches, and part 3 focuses on investigation of IMRT to improve outcome at various cancer sites. |
| cost of proton therapy for prostate cancer: Clinical Oncology Martin D. Abeloff, 2000 A must-have reference, this new edition provides practical information on treatment guidelines, details of diagnosis and therapy, and personal recommendations on patient management from experts in the field. Consistently formatted chapters allow for a user-friendly presentation for quick access of key information by the practicing clinician. Completely updated, this new edition includes all of the latest developments in treatment strategies of medical, surgical and radiation oncologists. |
| cost of proton therapy for prostate cancer: Best Prostate Cancer Treatment Robert Ferre, 2018-05-15 Any man, spouse, relative, or friend of a man facing prostate cancer should read this book. Here Robert Ferre explains in precious detail his experience receiving proton therapy for prostate cancer in 2016. So impressed was he that he wrote this (and two subsequent books) about the technology, how it works, how to pay for it, who¿s doing it, and what the future holds. This book is specifically about proton therapy and does not cover other modalities except for brief comparisons, in which protons come out the winner. Here you find far more detail about the nature and use of protons than any other non-medical book on the subject. Being in full color allows diagrams to show the intensity of the various forms of radiation. This second edition covers these and other topics:--Why your urologist never mentions proton therapy.¿--Proof that proton therapy gives the best result with the fewest side effects.¿--How proton therapy outperforms x-ray radiation such as IMRT. ¿--The author¿s personal description of receiving proton therapy treatments.¿--Recent technological advances in proton therapy not covered in older books.¿--A special program that pays 80% of the cost of proton therapy for those on Medicare.¿--How to deal with insurance companies and their resistance to proton therapy.¿--The amazing physics of proton therapy and pencil beam scanning. ¿--The superiority of pencil beam scanning for 80% of all cancers. ¿--More than 150 full-color photos and illustrations.¿--Obstacles and resistance to proton therapy. ¿--The future of proton therapy, compact equipment, lower prices, wider availability.¿--Proton therapy centers currently in operation, and those planned or under construction.Robert Ferre wrote this because of his own experience in which his doctors failed to tell him the truth about proton therapy. Cancer patients need to do their own research and become familiar with proton therapy. Then, they may need to buck their doctor¿s recommendation for surgery or x-rays and find their own way to the best proton therapy center, of which there are currently twenty-eight in the United States. |
| cost of proton therapy for prostate cancer: Initial National Priorities for Comparative Effectiveness Research Institute of Medicine, Board on Health Care Services, Committee on Comparative Effectiveness Research Prioritization, 2009-11-14 Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise. As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field. |
| cost of proton therapy for prostate cancer: Accelerated Partial Breast Irradiation David E. Wazer, Douglas W. Arthur, Frank Vicini, 2009-08-11 Accelerated partial breast irradiation (APBI) is being rapidly introduced into the clinical management of early breast cancer. APBI, in fact, encompasses a number of different techniques and approaches that include brachytherapy, intraoperative, and external beam techniques. There is currently no single source that describes these techniques and their clinical implementation. This text is a concise handbook designed to assist the clinician in the implementation of APBI. This includes a review of the principles that underlie APBI, a practical and detailed description of each technique for APBI, a review of current clinical results of APBI, and a review of the incidence and management of treatment related complications. |
| cost of proton therapy for prostate cancer: Clinical Radiation Oncology Leonard L. Gunderson, MD, MS, FASTRO, Joel E. Tepper, MD, 2015-08-26 Perfect for radiation oncology physicians and residents needing a multidisciplinary, treatment-focused resource, this updated edition continues to provide the latest knowledge in this consistently growing field. Not only will you broaden your understanding of the basic biology of disease processes, you'll also access updated treatment algorithms, information on techniques, and state-of-the-art modalities. The consistent and concise format provides just the right amount of information, making Clinical Radiation Oncology a welcome resource for use by the entire radiation oncology team. Content is templated and divided into three sections -- Scientific Foundations of Radiation Oncology, Techniques and Modalities, and Disease Sites - for quick access to information. Disease Sites chapters summarize the most important issues on the opening page and include a full-color format, liberal use of tables and figures, a closing section with a discussion of controversies and problems, and a treatment algorithm that reflects the treatment approach of the authors. Chapters have been edited for scientific accuracy, organization, format, and adequacy of outcome data (such as disease control, survival, and treatment tolerance). Allows you to examine the therapeutic management of specific disease sites based on single-modality and combined-modality approaches. Features an emphasis on providing workup and treatment algorithms for each major disease process, as well as the coverage of molecular biology and its relevance to individual diseases. Two new chapters provide an increased emphasis on stereotactic radiosurgery (SRS) and stereotactic body irradiation (SBRT). New Associate Editor, Dr. Andrea Ng, offers her unique perspectives to the Lymphoma and Hematologic Malignancies section. Key Points are summarized at the beginning of each disease-site chapter, mirroring the template headings and highlighting essential information and outcomes. Treatment algorithms and techniques, together with discussions of controversies and problems, reflect the treatment approaches employed by the authors. Disease Site Overviews allow each section editor to give a unique perspective on important issues, while online updates to Disease Site chapters ensure your knowledge is current. Disease Site chapters feature updated information on disease management and outcomes. Four videos accessible on Expert Consult include Intraoperative Irradiation, Prostate Brachytherapy, Penile Brachytherapy, and Ocular Melanoma. Thirty all-new anatomy drawings increase your visual understanding. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
| cost of proton therapy for prostate cancer: Adjuvant Therapy for Breast Cancer Monica Castiglione, Martine J. Piccart, 2009-07-11 Adjuvant treatment is administered prior to or as follow up to surgical procedures for breast cancer. Proven success in using medical therapies allowing for breast conserving procedures or reducing risk of occurrence. Although there has been much progress towards a cure, including the introduction of new targeted therapies, metastasizing cancer remains highly incurable. |
| cost of proton therapy for prostate cancer: Radiation Source Use and Replacement National Research Council, Division on Earth and Life Studies, Nuclear and Radiation Studies Board, Committee on Radiation Source Use and Replacement, 2008-05-25 In the United States there are several thousand devices containing high-activity radiation sources licensed for use in areas ranging from medical uses such as cancer therapy to safety uses such as testing of structures and industrial equipment. Those radiation sources are licensed by the U.S. Nuclear Regulatory Commission and state agencies. Concerns have been raised about the safety and security of the radiation sources, particularly amid fears that they could be used to create dirty bombs, or radiological dispersal device (RDD). In response to a request from Congress, the U.S. Nuclear Regulatory Commission asked the National Research Council to conduct a study to review the uses of high-risk radiation sources and the feasibility of replacing them with lower risk alternatives. The study concludes that the U.S. government should consider factors such as potential economic consequences of misuse of the radiation sources into its assessments of risk. Although the committee found that replacements of most sources are possible, it is not economically feasible in some cases. The committee recommends that the U.S. government take steps to in the near term to replace radioactive cesium chloride radiation sources, a potential dirty bomb ingredient used in some medical and research equipment, with lower-risk alternatives. The committee further recommends that longer term efforts be undertaken to replace other sources. The book presents a number of options for making those replacements. |
| cost of proton therapy for prostate cancer: Image-Guided Cancer Therapy Damian E. Dupuy, Yuman Fong, William N. McMullen, 2013-08-06 Image-Guided Cancer Therapy: A Multidisciplinary Approach provides clinicians with in-depth coverage of the growing, dynamic field of interventional oncology. Combining the knowledge of expert editors and authors into one powerhouse reference, this book looks at tumor ablation, HIFU, embolic therapies, emerging technologies, and radiation therapy throughout the body (liver, bone, breast, gynecologic and prostate cancers, to name just a few) , and includes discussion of different imaging modalities. In the words of Peter Mueller, MD, author of the book’s Foreword: “... The senior authors are all world renowned experts in interventional oncology, which is another example of the high quality authorship and experience that is brought to this book. The later chapters discuss therapies that are simply not covered in any other source. Everyone who is doing or wants to do ablation therapies and interventional oncology will face a time when they will be asked to use their expertise in less used and less investigated areas. There is nowhere else where the reader can get information on the prostate, breast, and gynecologic areas, and especially pediatrics....This book is an outstanding contribution to the literature and will become a ‘must read’ for all physicians who are interested in Interventional Oncology.” |
| cost of proton therapy for prostate cancer: Invasion of the Prostate Snatchers Ralph Blum, Mark Scholz, 2010 Looks at the effectiveness of the prostatectomy and surveys the latest research in prostate cancer managment. |
| cost of proton therapy for prostate cancer: Time-Driven Activity-Based Costing Robert S. Kaplan, Steven R. Anderson, 2007-02-22 In the classroom, ABC looks like a great way to manage a company’s resources. But many executives who have tried to implement ABC on a large scale in their organizations have found the approach limiting and frustrating. Why? The employee surveys that companies used to estimate resources required for business activities proved too time-consuming, expensive, and irritating to employees. This book shows you how to implement time-driven activity-based costing (TDABC), an easier and more powerful way to implement ABC. You can now estimate directly the resource demands imposed by each business transaction, product, or customer. The payoff? You spend less time and money obtaining and maintaining TDABC data—and more time addressing problems that TDABC reveals, such as inefficient processes, unprofitable products and customers, and excess capacity. The authors also show how to use TDABC to link strategic planning to operational budgeting, to enhance the due diligence process for mergers and acquisitions, and to support continuous improvement activities such as lean management and benchmarking. In presenting their model, the authors define the two questions required to build TDABC: 1) How much does it cost per time unit to supply resource capacity for each business process? 2) How much resource capacity (time) is required to perform work for a company’s many transactions, products, and customers? The book demonstrates how to develop simple, valid answers to these two questions. Kaplan and Anderson illustrate the TDABC approach with a wealth of case studies, in diverse settings, based on actual implementations. |
| cost of proton therapy for prostate cancer: The Key to Prostate Cancer Mark Scholz, 2018-01-31 A Guide to Personalized Care. With a self-administered quiz, Key directs readers to targeted information that is stage-specific. Written by 30 leading experts and edited by a prostate oncologist, Key is a welcome antidote for an industry dominated by surgeons. |
| cost of proton therapy for prostate cancer: Radiotherapy in Cancer Care International Atomic Energy Agency, Eduardo Zubizarreta, 2017-11-28 Cancer treatment is complex and calls for a diverse set of services. Radiation therapy is recognized as an essential tool in the cure and palliation of cancer. Currently, access to radiation treatment is limited in many countries and non-existent in some. This lack of radiation therapy resources exacerbates the burden of disease and underscores the continuing health care disparity among States. Closing this gap represents an essential measure in addressing this global health equity problem. This publication presents a comprehensive overview of the major topics and issues to be taken into consideration when planning a strategy to address this problem, in particular in low and middle income countries. With contributions from leaders in the field, it provides an introduction to the achievements and issues of radiation therapy as a cancer treatment modality around the world. Dedicated chapters focus on the new radiotherapy technologies, proton beams, carbon ion, intraoperative radiotherapy, radiotherapy for children, treatment of HIV-AIDS malignancies, and costing and quality management issues. |
| cost of proton therapy for prostate cancer: Brachytherapy Physics Bruce Thomadsen, 2005 This text is organized into 6 sections: Fundamentals; Dosimetry; Interstitial Fundamentals; Interstitial Applications; Intercavitary Applications for Gynecological Cancer, and Unconventiional Delivery Systems. The book includes a CD-ROM containing an electronic version of the book (with many illustrations in full color) plus a compiled list of references. |
| cost of proton therapy for prostate cancer: Diagnosing and Treating Adult Cancers and Associated Impairments National Academies Of Sciences Engineeri, National Academies of Sciences Engineering and Medicine, Health And Medicine Division, Board On Health Care Services, Committee on Diagnosing and Treating Adult Cancers, 2021-11-10 Cancer is the second leading cause of death among adults in the United States after heart disease. However, improvements in cancer treatment and earlier detection are leading to growing numbers of cancer survivors. As the number of cancer survivors grows, there is increased interest in how cancer and its treatments may affect a person's ability to work, whether the person has maintained employment throughout the treatment or is returning to work at a previous, current, or new place of employment. Cancer-related impairments and resulting functional limitations may or may not lead to disability as defined by the U.S. Social Security Administration (SSA), however, adults surviving cancer who are unable to work because of cancer-related impairments and functional limitations may apply for disability benefits from SSA. At the request of SSA, Diagnosing and Treating Adult Cancers and Associated Impairments provides background information on breast cancer, lung cancer, and selected other cancers to assist SSA in its review of the listing of impairments for disability assessments. This report addresses several specific topics, including determining the latest standards of care as well as new technologies for understanding disease processes, treatment modalities, and the effect of cancer on a person's health and functioning, in order to inform SSA's evaluation of disability claims for adults with cancer. |
| cost of proton therapy for prostate cancer: A National Cancer Clinical Trials System for the 21st Century Institute of Medicine, Board on Health Care Services, Committee on Cancer Clinical Trials and the NCI Cooperative Group Program, 2010-07-08 The National Cancer Institute's (NCI) Clinical Trials Cooperative Group Program has played a key role in developing new and improved cancer therapies. However, the program is falling short of its potential, and the IOM recommends changes that aim to transform the Cooperative Group Program into a dynamic system that efficiently responds to emerging scientific knowledge; involves broad cooperation of stakeholders; and leverages evolving technologies to provide high-quality, practice-changing research. |
| cost of proton therapy for prostate cancer: Radiotherapy of Prostate Cancer Carlo Greco, Michael Zelefsky, 2000-07-06 Radiotherapy of Prostate Cancer aims to guide the reader through the recent data from clinical trials, to highlight the various approaches and to clarify the role of traditional radiation therapy in the management of the disease. It details established management protocols as well as more controversial isssues and experimental approaches ranging from external beam radiotherapy, 3-dimensional conformal radiotherapy, heavy particle therapy and brachytherapy. The reader will not only gain a vast amount of knowledge regarding the many modes of currently available radiotherapy strategies for this disease, but will also gain a clearer perspective of the indications of a particular modality's use and how best to integrate therapy for the individual patient. |
| cost of proton therapy for prostate cancer: Cummings Otolaryngology--head & Neck Surgery Paul W. Flint, Bruce H. Haughey, Valerie J. Lund, John K. Niparko, K. Thomas Robbins, J. Regan Thomas, Marci M. Lesperance, 2015 2015 BMA Medical Book Awards Highly Commended in Surgical Specialties Category! Now in its 6th edition, Cummings Otolaryngology remains the world's most detailed and trusted source for superb guidance on all facets of head and neck surgery. Completely updated with the latest minimally invasive procedures, new clinical photographs, line drawings, and new surgical videos, this latest edition equips you to implement all the newest discoveries, techniques, and technologies that are shaping patient outcomes. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, multi-disciplinary text in the field! Overcome virtually any clinical challenge with detailed, expert coverage of every area of head and neck surgery, authored by hundreds of leading luminaries in the field. Experience clinical scenarios with vivid clarity through a heavily illustrated, full-color format which includes approximately 3,200 images and over 40 high quality procedural videos. Get truly diverse perspectives and worldwide best practices from a multi-disciplinary team of contributors and editors comprised of the world's leading experts. Glean all essential, up-to-date, need-to-know information. All chapters have been meticulously updated; several extensively revised with new images, references, and content. Stay at the forefront of your field with the most updated information on minimally-invasive surgical approaches to the entire skull base, vestibular implants and vestibular management involving intratympanic and physical therapy-based approaches, radiosurgical treatment of posterior fossa and skull base neoplasms, and intraoperative monitoring of cranial nerve and CNS function. Apply the latest treatment options in pediatric care with new chapters on pediatric sleep disorders, pediatric infectious disease, and evaluation and management of the infant airway. Find what you need faster through a streamlined format, reorganized chapters, and a color design that expedites reference. Manage many of the most common disorders with treatment options derived from their genetic basis. Assess real-world effectiveness and costs associated with emergent technologies and surgical approaches introduced to OHNS over the past 10 years. Incorporate recent findings about endoscopic, microscopic, laser, surgically-implantable, radiosurgical, neurophysiological monitoring, MR- and CT-imaging, and other timely topics that now define contemporary operative OHNS. Take it with you anywhere! With Expert Consult, you'll have access the full text, video clips, and more online, and as an eBook - at no additional cost! |
List Prices for Proton Radiation Therapy - practicalradonc.org
Abstract Purpose: Some patients elect for self-pay proton radiation therapy (PT) in the United States, but price transparency is a significant con-cern. The U.S. government recently …
Protons Versus Photons for Prostate Cancer: An Answer That …
Cost is a complex amalgamation of dollars spent by an institution or investor, payer, and patient. In the context of prostate cancer, the net upfront costs to the health care system for protons is …
Proton Therapy for Prostate Cancer
Current research includes explorations of dose escala-tion, hypofractionation, and patient-reported quality-of-life outcomes. Early results from these studies are promising and will likely …
A Systematic Review of the Cost and Cost-Effectiveness …
We show that this modality is not the most cost-effective option for prostate or early-stage lung cancers; however, it is the most cost-effective for several pediatric cancers and remains …
Proton therapy of cancer: Potential clinical advantages and …
We assessed the cost-effectiveness of proton therapy in the treatment of four different cancers: left-sided breast cancer, prostate cancer, head and neck cancer, and childhood …
Proton versus photon-based radiation therapy for prostate …
cost-effectiveness of such a technology in prostate cancer. Fortunately, we have ongoing studies that are going to inform the field regarding these critical questions.
Proton Therapy in an Era of Cost Containment - JNCCN
The expansion of proton RT has been hindered by the high cost of building a new proton facility ($140–$200 million) and the need to recover these costs with high patient throughput. Many …
A Guide to Proton Therapy for Patients with Prostate Cancer
Clinical trials report that patients with lower-risk prostate cancer who get proton therapy have a cure rate of 90–99% at five years. These trials also reported only a 1–2% risk of serious side …
Health Insurance Mandate Review: Proton Radiation Therapy …
Proton therapy is a safe and effective treatment that is generally accepted as the standard of care for certain types of cancer patients. However, there is not yet sufficient evidence that proton …
Cost Effectiveness of Proton Therapy AAPM 2009 Final.ppt
Are protons worth it (for prostate cancer)? Are costs and productivity measured? Are long-term costs projected? Does RT toxicity translate into QALY decrements? Only way to answer the …
Comparative Toxicities and Cost of Intensity-Modulated …
Comparative Toxicities and Cost of Intensity-Modulated Radiotherapy, Proton Radiation, and Stereotactic Body Radiotherapy Among Younger Men With Prostate Cancer
Comparative cost-effectiveness of stereotactic body radiation …
Results: Compared to intensity-modulated radiation therapy (IMRT) and proton beam therapy (PT), stereotactic body radiation therapy (SBRT) was less costly and resulted in more QALYs.
Interpreting cost-utility analysis of prostate cancer treatment
As the debate regarding the potential ben-efits of proton therapy rages on, the increased cost of the therapy has become widely pub-licized. Yu et al.2 report a median Medicare reimbursement...
Proton Therapy for Prostate Cancer - New York Proton Center
Proton therapy achieves similar or even improved cancer outcomes compared with traditional radiotherapy, but with significantly less radiation exposure to normal tissues. Proton therapy is …
APPENDIX A. PROTON BEAM THERAPY COVERAGE POLICIES
Because proton beam therapy for the treatment of prostate cancer is significantly more expensive than conventional external beam radiation therapy but is not clinically superior, it is considered …
Cost of New Technologies in Prostate Cancer Treatment: …
Patient summary: We review the cost and cost effectiveness of robot-assisted radical prostatectomy, intensity-modulated radiotherapy, and proton beam therapy in prostate cancer …
PROsTATE CANCER indicate Promising long- term results that …
Proton therapy for localized prostate cancer is a promising treatment, although contro versial within the urologic oncology community. Proton therapy provides dosimetric advantages
Prostate Cancer Therapy Too Good to Be True Explodes …
Imagine a prostate cancer therapy that has almost no side effects. Hospitals say it exists and they’re vying to be among the first to offer it. Too bad the treatment may not work as well as …
Proton beam therapy and localised prostate cancer: current
Proton therapy is a promising, but costly, treatment for prostate cancer. Theoretical physical advantages exist; yet to date, it has been shown only to be comparably safe and effective when...
Clinical Commissioning Policy: Proton Beam Therapy for …
NHS England has carefully reviewed the evidence to treat prostate cancer with Proton Beam Therapy. We have concluded that there is not enough evidence to make the treatment …
List Prices for Proton Radiation Therapy - practicalradonc.org
Abstract Purpose: Some patients elect for self-pay proton radiation therapy (PT) in the United States, but price transparency is a significant con-cern. The U.S. government recently …
Protons Versus Photons for Prostate Cancer: An Answer …
Cost is a complex amalgamation of dollars spent by an institution or investor, payer, and patient. In the context of prostate cancer, the net upfront costs to the health care system for protons is …
Proton Therapy for Prostate Cancer
Current research includes explorations of dose escala-tion, hypofractionation, and patient-reported quality-of-life outcomes. Early results from these studies are promising and will likely …
A Systematic Review of the Cost and Cost-Effectiveness …
We show that this modality is not the most cost-effective option for prostate or early-stage lung cancers; however, it is the most cost-effective for several pediatric cancers and remains …
Proton therapy of cancer: Potential clinical advantages and …
We assessed the cost-effectiveness of proton therapy in the treatment of four different cancers: left-sided breast cancer, prostate cancer, head and neck cancer, and childhood …
Proton versus photon-based radiation therapy for prostate …
cost-effectiveness of such a technology in prostate cancer. Fortunately, we have ongoing studies that are going to inform the field regarding these critical questions.
Proton Therapy in an Era of Cost Containment - JNCCN
The expansion of proton RT has been hindered by the high cost of building a new proton facility ($140–$200 million) and the need to recover these costs with high patient throughput. Many …
A Guide to Proton Therapy for Patients with Prostate Cancer
Clinical trials report that patients with lower-risk prostate cancer who get proton therapy have a cure rate of 90–99% at five years. These trials also reported only a 1–2% risk of serious side …
Health Insurance Mandate Review: Proton Radiation …
Proton therapy is a safe and effective treatment that is generally accepted as the standard of care for certain types of cancer patients. However, there is not yet sufficient evidence that proton …
Cost Effectiveness of Proton Therapy AAPM 2009 Final.ppt
Are protons worth it (for prostate cancer)? Are costs and productivity measured? Are long-term costs projected? Does RT toxicity translate into QALY decrements? Only way to answer the …
Comparative Toxicities and Cost of Intensity-Modulated …
Comparative Toxicities and Cost of Intensity-Modulated Radiotherapy, Proton Radiation, and Stereotactic Body Radiotherapy Among Younger Men With Prostate Cancer
Comparative cost-effectiveness of stereotactic body radiation …
Results: Compared to intensity-modulated radiation therapy (IMRT) and proton beam therapy (PT), stereotactic body radiation therapy (SBRT) was less costly and resulted in more QALYs.
Interpreting cost-utility analysis of prostate cancer treatment
As the debate regarding the potential ben-efits of proton therapy rages on, the increased cost of the therapy has become widely pub-licized. Yu et al.2 report a median Medicare reimbursement...
Proton Therapy for Prostate Cancer - New York Proton Center
Proton therapy achieves similar or even improved cancer outcomes compared with traditional radiotherapy, but with significantly less radiation exposure to normal tissues. Proton therapy is …
APPENDIX A. PROTON BEAM THERAPY COVERAGE …
Because proton beam therapy for the treatment of prostate cancer is significantly more expensive than conventional external beam radiation therapy but is not clinically superior, it is considered …
Cost of New Technologies in Prostate Cancer Treatment: …
Patient summary: We review the cost and cost effectiveness of robot-assisted radical prostatectomy, intensity-modulated radiotherapy, and proton beam therapy in prostate cancer …
PROsTATE CANCER indicate Promising long- term results …
Proton therapy for localized prostate cancer is a promising treatment, although contro versial within the urologic oncology community. Proton therapy provides dosimetric advantages
Prostate Cancer Therapy Too Good to Be True Explodes …
Imagine a prostate cancer therapy that has almost no side effects. Hospitals say it exists and they’re vying to be among the first to offer it. Too bad the treatment may not work as well as …
Proton beam therapy and localised prostate cancer: current …
Proton therapy is a promising, but costly, treatment for prostate cancer. Theoretical physical advantages exist; yet to date, it has been shown only to be comparably safe and effective when...
Clinical Commissioning Policy: Proton Beam Therapy for …
NHS England has carefully reviewed the evidence to treat prostate cancer with Proton Beam Therapy. We have concluded that there is not enough evidence to make the treatment …
