Radiation Oncology
Strategic Plan
SUMMARY OF 5-YEAR STRATEGIC PLAN FOR RADIATION ONCOLOGY SERVICES IN SOUTH AUSTRALIA
Recommended Distribution of Linear Accelerators (LAs)
As detailed in the submission to the State Health Department, 12 LAs will be required for a radiotherapy utilization rate of 50% in 2006. Based on the population profiles of the CURB sub-regions of SA, it is recommended that the installation of the additional 2 LAs should be in the Northern Metro Region of Adelaide and managed as a satellite facility of the RAH.
The current distribution of the 10 LAs in SA is outlined below:
Central Adelaide – 8 LAs (5 Public, 3 Private)
Southern Metro – 2 LAs (Private)
Northern Metro – nil
Current percentage distribution of New Cases of Cancer diagnosed and proposed treatment location:
Central Adelaide – 50% cases treated sourced from Western and Eastern Metro regions and the rest of SA (rural/regional) due to accommodation requirements in the city
Southern Metro – 20% cases treated
Northern Metro – 30% cases treated
Current Service Provision
Clinical Services
- 5 Linear Accelerators (LAs) (1 of the 3 new replacements is to be relocated to the Lyell McEwin in mid to late 2008) all with MLC, EPI and IMRT capabilities, one with on-board imaging
- SXRT
- Statewide brachytherapy:
- HDR: intraluminal sites, e.g. bile duct, oesophagus, bronchus and vagina vault.
- LDR selectron: gynaecological
- Radioactive iodine isotope therapy for thyroid cancer
- Prostate LDR iodine seed prostate brachytherapy. Funding for 48 public patients for 2006/2007 financial year
- Prostate HDR for limited high risk and intermediate cases, 1 a month until more staff resources become available.
- 3D radiotherapy planning including Conformal Radiotherapy
- Highly specialised Statewide External Beam Treatment Services – TBI/E, Stereotactic Radiosurgery, Paediatric radiotherapy
- CT/Simulator system
- Radiation Oncology Information Systems (Varian Varis/Vision)
Outreach Consultative Services
- Metro Public Hospitals (TQEH, Repat, Lyell McEwin, Modbury, WCH)
- Private Hospitals (Calvary, Ashford, Burnside)
- Rural/Regional (Darwin – incl. on-site simulation, Mt Gambier, Broken Hill, Pt Lincoln)
Proposed Service Provision at various sites – over next 5 years
Clinical Services
North Terrace
- 5 LAs (all with MLC, EPI and IMRT capabilities) one with on-board imaging
- DXRT/SXRT (New combined SXR/DXR unit to be purchased in 2008)
- Statewide brachytherapy:
- HDR: intraluminal sites, e.g. bile duct, oesophagus, bronchus and vagina vault.
- LDR selectron: gynaecological
- Radioactive iodine isotope therapy for thyroid cancer
- Prostate LDR iodine seed prostate brachytherapy. Funding for 48 public patients for 2006/2007 financial year
- Prostate HDR for limited high risk and intermediate cases, 2 a month until more staff resources become available.
- 3D radiotherapy planning
- Conformal Radiotherapy
- Intensity Modulated Radiation Therapy (IMRT) including adaptive planning – late 2007
- CT/Simulator system
- Highly specialised Statewide External Beam Services – TBI/E, Stereotactic Radiosurgery, Paediatric radiotherapy, Intra-operative radiotherapy
- Radiation Oncology Information Systems (Varian Varis/Vision)
Adelaide Northern Metropolitan Region – Satellite Service of RAH
- 2LA's (DMLA, with MLC, EPI)
- 3D radiotherapy planning system
- Conformal Radiotherapy
- CT simulation system in 2010
Outreach Services
Consultative
- Metro Public Hospitals (TQEH, Repat, Lyell McEwin, Modbury, WCH)
- Private Hospitals (Calvary, Ashford, Burnside)
- Rural/Regional (Mt Gambier, Broken Hill, Pt Lincoln, Mildura, Clare, Alice Springs)
Training/Research Services (North Terrace)
- Metro Public Hospitals (TQEH, Repat, Lyell McEwin, Modbury, WCH)
- RAH Radiation Oncology Training Centre (advanced training in areas such as radiotherapy planning and dosimetry for Radiation Therapists, Medical Physicists and Radiation Oncologists)
- RAH Radiation Oncology Research Institute (management of a collaborative, multidisciplinary research program with the major focus of research being on ‘individualising patient treatment')
The RAH also continues to be the only provider of comprehensive Radiation Oncology services in SA deemed suitable as per RANZCR guidelines to be a ‘hub' for a ‘satellite' service. Patients from the Northern (and Southern Metro Region requiring highly specialised statewide treatment services (i.e.; Brachytherapy Stereotactic Radiosurgery etc) would continue to access the RAH for these treatments.