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Title: Current status of the HIBMC and results of representative diseases

Abstract

The proton radiotherapy (PRT) has been spreading, since 1990 when 250 MeV proton beams with rotation gantry was developed for medical use. On the other hand, carbon-ion radiotherapy (CRT) that has both physical and biological features is available at 4 facilities in the world. HIBMC is the only facility to be able to use both particles. From Apr 2001 to Dec 2008, 2486 patients were treated with PRT in 2030 patients or with CRT in 456. Treatment to the Head and Neck (H and N: in 405 patients), the lung (245), the liver (371), and the prostatic carcinoma (1059) was a major subject. The 2-year local control rates is 72% in H and N (n = 163, T1:9, T2:18, T3:36, T4:79, malignant melanoma 48, adenoid cystic carcinoma 35, squamous cell carcinoma (SCC) 32, adenocarcinoma 14, others 34), 88% in lung (n = 116, T1:59, T2:42, T3:4, T4:6, SCC 30, adenocarcinoma 59, others 27), and 89% in liver cancer (n = 153, Proton: 130, carbon: 23). Biochemical disease free 3-year survival of 291 prostate cancer is 100% in 9 patients with initial prostate-specific antigen (PSA) level < = 4 ng/ml, 99% in 140 with PSA 4.1-10 ng/ml, 90% in 71 withmore » PSA 10.1-20 ng/ml, and 79% in 71 with PSA>20 ng/ml. These results are excellent comparable or superior to those of surgery. Thus, particle therapy is sophisticated radiotherapy, however the only problem to prohibit the progress is high costs for construction and maintenance. Facilities at which both proton and carbon ion beams can be used, including the HIBMC, have to investigate the differential use. We started clinical randomized trial to compare both ion beams, and started biological examinations in a project aiming at the development of a laser driven proton radiotherapy. We stated about the current status of the HIBMC and the results of representative diseases.« less

Authors:
; ; ; ; ; ; ; ; ; ;  [1]; ;  [1]
  1. Department of Radiology, Hyogo Ion Beam Medical Center (HIBMC) (Japan)
Publication Date:
OSTI Identifier:
21344336
Resource Type:
Journal Article
Journal Name:
AIP Conference Proceedings
Additional Journal Information:
Journal Volume: 1153; Journal Issue: 1; Conference: 2. international symposium on laser-driven relativistic plasmas applied to science, industry and medicine, Kyoto (Japan), 19-23 Jan 2009; Other Information: DOI: 10.1063/1.3204552; (c) 2009 American Institute of Physics; Journal ID: ISSN 0094-243X
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANTIGENS; CARBON IONS; CLINICAL TRIALS; COMPARATIVE EVALUATIONS; HEAD; ION BEAMS; LIVER; LUNGS; MELANOMAS; MEV RANGE; NECK; PATIENTS; PROSTATE; PROTON BEAMS; RADIOTHERAPY; BEAMS; BODY; CARCINOMAS; CHARGED PARTICLES; DIGESTIVE SYSTEM; DISEASES; ENERGY RANGE; EPITHELIOMAS; EVALUATION; GLANDS; IONS; MALE GENITALS; MEDICINE; NEOPLASMS; NUCLEAR MEDICINE; NUCLEON BEAMS; ORGANS; PARTICLE BEAMS; RADIOLOGY; RESPIRATORY SYSTEM; TESTING; THERAPY

Citation Formats

Murakami, Masao, Demizu, Yusuke, Niwa, Yasue, Miyawaki, Daisuke, Terashima, Kazuki, Arimura, Takeshi, Mima, Masayuki, Maeda, Takuya, Akagi, Takashi, Hishikawa, Yoshio, Abe, Mitsuyuki, Nagayama, Shinichi, Baba, Masashi, and Shin Nippon Biomedical Laboratories, Ltd. Current status of the HIBMC and results of representative diseases. United States: N. p., 2009. Web. doi:10.1063/1.3204552.
Murakami, Masao, Demizu, Yusuke, Niwa, Yasue, Miyawaki, Daisuke, Terashima, Kazuki, Arimura, Takeshi, Mima, Masayuki, Maeda, Takuya, Akagi, Takashi, Hishikawa, Yoshio, Abe, Mitsuyuki, Nagayama, Shinichi, Baba, Masashi, & Shin Nippon Biomedical Laboratories, Ltd. Current status of the HIBMC and results of representative diseases. United States. https://doi.org/10.1063/1.3204552
Murakami, Masao, Demizu, Yusuke, Niwa, Yasue, Miyawaki, Daisuke, Terashima, Kazuki, Arimura, Takeshi, Mima, Masayuki, Maeda, Takuya, Akagi, Takashi, Hishikawa, Yoshio, Abe, Mitsuyuki, Nagayama, Shinichi, Baba, Masashi, and Shin Nippon Biomedical Laboratories, Ltd. 2009. "Current status of the HIBMC and results of representative diseases". United States. https://doi.org/10.1063/1.3204552.
@article{osti_21344336,
title = {Current status of the HIBMC and results of representative diseases},
author = {Murakami, Masao and Demizu, Yusuke and Niwa, Yasue and Miyawaki, Daisuke and Terashima, Kazuki and Arimura, Takeshi and Mima, Masayuki and Maeda, Takuya and Akagi, Takashi and Hishikawa, Yoshio and Abe, Mitsuyuki and Nagayama, Shinichi and Baba, Masashi and Shin Nippon Biomedical Laboratories, Ltd.},
abstractNote = {The proton radiotherapy (PRT) has been spreading, since 1990 when 250 MeV proton beams with rotation gantry was developed for medical use. On the other hand, carbon-ion radiotherapy (CRT) that has both physical and biological features is available at 4 facilities in the world. HIBMC is the only facility to be able to use both particles. From Apr 2001 to Dec 2008, 2486 patients were treated with PRT in 2030 patients or with CRT in 456. Treatment to the Head and Neck (H and N: in 405 patients), the lung (245), the liver (371), and the prostatic carcinoma (1059) was a major subject. The 2-year local control rates is 72% in H and N (n = 163, T1:9, T2:18, T3:36, T4:79, malignant melanoma 48, adenoid cystic carcinoma 35, squamous cell carcinoma (SCC) 32, adenocarcinoma 14, others 34), 88% in lung (n = 116, T1:59, T2:42, T3:4, T4:6, SCC 30, adenocarcinoma 59, others 27), and 89% in liver cancer (n = 153, Proton: 130, carbon: 23). Biochemical disease free 3-year survival of 291 prostate cancer is 100% in 9 patients with initial prostate-specific antigen (PSA) level < = 4 ng/ml, 99% in 140 with PSA 4.1-10 ng/ml, 90% in 71 with PSA 10.1-20 ng/ml, and 79% in 71 with PSA>20 ng/ml. These results are excellent comparable or superior to those of surgery. Thus, particle therapy is sophisticated radiotherapy, however the only problem to prohibit the progress is high costs for construction and maintenance. Facilities at which both proton and carbon ion beams can be used, including the HIBMC, have to investigate the differential use. We started clinical randomized trial to compare both ion beams, and started biological examinations in a project aiming at the development of a laser driven proton radiotherapy. We stated about the current status of the HIBMC and the results of representative diseases.},
doi = {10.1063/1.3204552},
url = {https://www.osti.gov/biblio/21344336}, journal = {AIP Conference Proceedings},
issn = {0094-243X},
number = 1,
volume = 1153,
place = {United States},
year = {Sat Jul 25 00:00:00 EDT 2009},
month = {Sat Jul 25 00:00:00 EDT 2009}
}