Introduction IAEA RAS6100

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Radiation Oncology

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Introduction 메인으로 Radiation Oncology IAEA RAS6100 Introduction

Strengthening Clinical Application of Hypofractionated Radiotherapy (RCA)

Project title
Strengthening Clinical Application of Hypofractionated Radiotherapy (RCA)
Lead Country Coordinator
Dr. Wonil Jang (ROK)
Director, Dept. of Radiation Oncology, Korea Cancer Center Hospital, 
Korea Institute of Radiological & Medical Sciences(KIRAMS), 
Seoul, 01812, Republic of Korea
Implementation period: 2022~2025
Objectives
To enhance cancer treatment in the RCA region through the application of hypofractionated radiotherapy.
REPORT OF THE LEAD COUNTRY COORDINATOR
Project Description/Abstract 
This proposal addresses C.2.2 Priorities in Human Health of the Medium Term Strategy (MTS) for 2018–2023 under the Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology for Asia and the Pacific (RCA), which is to (1) strengthen cancer management programs in Member States (MSs), including training of radiation oncologists, medical physicists, and technologists; and (2) simplify and harmonize protocols on diagnostic imaging and for treatment/palliation planning and radiotherapy treatment. Non-communicable diseases, including cancer, are the main factors of life shortening, and cancer is the second leading cause of death globally. Asia accounts for nearly half of the new cancer cases and more than half of cancer deaths globally. However, there is a lack of infrastructure and human resources in the region. This project aims to strengthen the application of hypofractionated radiotherapy in the RCA region through a comprehensive approach, including the clinical aspect and the medical physics aspect of the whole treatment process. Hypofractionated radiotherapy is radiation treatment in which the total dose of radiation is divided into large doses, and treatments are given over a shorter period of time than conventional radiotherapy. Therefore, it focuses on the efficient use of radiotherapy resources (equipment and staff) and improved quality of life for patients by reducing the overall treatment period. Hypofractionated radiotherapy can be applied to currently used radiotherapy technologies such as three-dimensional conformal radiotherapy (3-D CRT), intensity modulated radiation therapy (IMRT), and image guided radiotherapy (IGRT), which have been enhanced through past RCA projects, and almost all types of cancer. 
Participating countries and its main outcomes
Participating Countries: 
21 Countries (Australia, Bangladesh, Cambodia, China, India, Indonesia, Japan, Republic of Korea, Lao P.D.R, Malaysia, Mongolia, Myanmar, Nepal, New Zealand, Pakistan, Philippines, Palau, Philippines, Singapore, Sri Lanka, Thailand, Vietnam)

Outcomes: 
Comprehensive adaptation of hypofractionated radiotherapy from physics to clinic strengthened for efficient cancer treatment
1. Number of centers offering hypofractionated radiotherapy by 4Q 2025: 1,500 centers
2. Number of centres offering new hypofractionated radiotherapy programs by 4Q 2025: 300 centers
3. Number/percentage of medical staff to adopt hypofractionated radiotherapy by 4Q 2025: 12,000 staffs
4. Number/percentage of providing hypofractionated radiotherapy with proper QA/QC program by 4Q 2025: 400 centers

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