Royal Thai Air Force Hospital Radiation Therapy in Thailand Dr. Kasem Chongsiriwat Royal Thai Air Force Hospital

Thailand Geography Southeastern Asia, bordering the Andaman Sea and the Gulf of Thailand

Thailand General Information Population : 63.584 millions (in 2001)* Race : Thai Religion : Buddhism (85%) Occupation : Agriculture (3/4 of the population)*

Life Style

Common Cancer in Thailand Male Lung Liver Colon and rectum Female Breast Cervix uteri Source: Cancer Registry 2001.Department of Medical Services.The National Cancer Institute, MOPH

Oncologist Team in Thailand Doctor Surgical oncologist Radiation Oncologist Medical Oncologist Hematologist Gynecological Oncologist Pediatric Oncologist Pathologist

Radiation Therapy Center in Thailand (government sector) Level 1 (Excellence Cancer centers) provide complete services, conduct research and model development 1 Level 2 (Advance Cancer Center) provide complete services, conduct clinical research 2 3 Level 3 (General Cancer Center) provide complete service

Ramathibodi Hosp (BKK) Phramongkutklao Hosp (BKK) Siriraj Hosp (BKK) Level 1 (Excellence Cancer Center) (10 Centers) Rajavithi Hosp (BKK) Ramathibodi Hosp (BKK) Phramongkutklao Hosp (BKK) Siriraj Hosp (BKK) King Chulalongkorn Hosp (BKK) Thai Air Force Hosp (BKK) National Cancer Institute (BKK) Songklanakarind Hosp (Songkla) Chiang Mai U. Hosp(Chiang Mai) Srinakarind Hosp. (Khon Kaen)

(Advance Cancer Center) (10 Center) Chonburi Lopburi Saraburi Nakhon Ratchasima Phitsanolok Ubonrat chathani Khon Kaen Level 2 (Advance Cancer Center) (10 Center) Saraburi Hosp Lopburi Cancer Center Chonburi Hosp Chonburi Cancer Center Nakhon Ratchasima Hosp Ubon Hosp Ubon Cancer Center Khon Kaen Hosp Phitsanulok Hosp Vajira Hosp

Level 3 (Basic Cancer Center) (8 Center) Lopburi Hosp Phrapokklao Hosp Suratthani Chanthaburi Lopburi Udonthani Lampang Level 3 (Basic Cancer Center) (8 Center) Lopburi Hosp Phrapokklao Hosp Udonthani Hosp Udonthani Cancer Center Lampang Hosp Lampang Cancer Center Suratthani Hosp Suratthani Cancer Center

Resource Human Power Radiation Oncologist ~70 Med. Physicist ~40 RTT ~150 Medical Engineer ~2 Machine Linac ~22 Co-60 ~21 HDR brachy. ~16 LDR brachy ~8 Simulator ~20 CT-simulator ~8

Radiation Technologist Bachelor’s degree 1. Chiang Mai U. 40 persons / year 2. Mahidol U. 70 persons / year 3. Narasuan U. 40 persons / year 4. Ramkamhang U. 40 persons / year Only 10% will work in RT division

Medical Physicist Master degree 1. Chiang Mai U. 5-10 persons / year 2. Mahidol U. 7-10 persons / year

Capability for equipment and repairs in the field of radiotherapy Most RT centers in Thailand buy service contract from the retailer to maintenance their equipment Only two centers have an engineer

Needs… Independent Organization that has authority in cancer care planning for the whole country Cancer Registry in the same system for the whole country Training for Radiation Oncologist to use Brachy. Machine efficiently Training for RTT in QA Thai version : Textbook, Guideline…