IAEA/RCA Project Design Meeting, Vienna, Austria, November 2014 Enhancing Stereotactic Body Radiation Therapy for Frequent Cancers in the RCA Region (RAS ) Working Group 6

Achievements of RAS/6/065 Distribution of basic knowledge/general understanding/expertise Proving the concept/benefits of this technology At the national level, PR for professional associations/government/policy makers/general public/medical experts: IND, MON, PHI, SRL, THA Creation of guidelines Creation of regional training hubs network: 6 countries (AUL, CPR, IND, JPN, ROK, SIN)

New Concepts of RAS This is not continuation of the previous project as this would be a project with a new modality based on achievements of the previous project. Concern is not awareness any more. Basic infrastructure is now established. Demands for using this technology has increased. To meet the new scale of demands based on the success of the first project

Improved clinical outcomes in cancer patients treated with SBRT Improved survival Improved quality of life Reduced burden of patients (cost, overall treatment duration) Cancer statistics of MSs & related IOs(WHO, IARC, etc) Institutional report of MSs The enhancement of cancer treatment in the Region through the application of Stereotactic Body Radiation Therapy (SBRT) 5 year survival rate of the Region Cancer statistics of MSs & related IOs(WHO, etc) Overall Objective Before PDMAfter PDM Means of Verification IndicatorsNarrative Description

Outcome Before PDM Enhanced regional capacities in SBRT in the RCA region 68 radiation oncologists, 68 medical physicists, and 68 radiation therapists trained at RTCs(training for trainers) and functional as trainers at national level by 4Q2018 PPAR After PDM Provision of valuable treatment alternative for wider patient populations through usage of SBRT No. of new centers offering SBRT by 4Q2018 No. of centers offering new SBRT programs by 4Q2018 No./Percentage of patients received SBRT with proper QA/QC program by 4Q2018 1/2. National statistics, Survey, PPAR, Country report by NPCs 3. QA/QC report Means of Verification IndicatorsNarrative Description

1. Professionals trained on SBRT at regional and national level 2. Expert network for training and consultation ROs, 68 MPs, and 68 RTTs trained at regional training courses and functional as national trainers by 4Q Availability of documented information on experts networked by 4Q Report of the RTC 2. PPAR 1. Professionals trained on SBRT at regional and national level 2. Strengthening existing Regional Training Hubs/Network by establishing IT resources ROs, 68 MPs, and 17 RTTs trained at regional training courses and functional as national trainers by 4Q At least one follow-up national training activity by 4Q Establishment of IT resources for the RTHs by 4Q Report of the RTC, PPAR, NPC reports 2. Accessible IT resources Output Before PDMAfter PDM Means of Verification IndicatorsNarrative Description

IT Resource Using IAEA CLP4NET (Cyber Learning Platform for Nuclear Education and Training, nkm.iaea.org) nkm.iaea.org Contents Introduction Guidelines Materials of regional training courses Materials of expert missions Information/Resourses/Database of regional training hubs Etc…

Activity (1) Before PDM 1.1 Conducting Regional Training Courses on SBRT for radiation oncologists and medical physicists (QA/QC, Lung, Liver, Re- irradiation) 1.2 Expert Missions 1.1 Lecturers and participants identified 1.2 Training & Consultation plan ready 1.1 PPAR 1.2 Mission report After PDM 1.1 Conducting 4 Regional Training Courses on SBRT 3 RTCs on clinical aspects of frequent cancer sites for ROs & MPs 1 RTC on physics/QA/QC for MPs & RTTs Expert missions to support implementation of SBRT & training of staff in MSs 1.1 RTCs implemented 1.2 Expert missions completed 1.1 PPAR, certificates 1.2 Expert mission report Means of Verification IndicatorsNarrative Description

Activity (2) Before PDM 2.1 Defining & reviewing regional resources 2.2 Documenting expert network at regional level 2.1 Meeting participants identified 2.2 Documented information ready 2.1 Meeting report 2.2 PPAR After PDM 2.1 Defining & reviewing regional resources 2.2 Expert meeting for organization of IT resources (infrastructure/contents) 2.3 Host resources on network 2.4 Maintaining functionality & sustainability of IT resources Information of Regional Training Hubs Resource documents for SBRT participants from 6 RTHs by 2Q Database of RTHs on relevant SBRT documents 2.4 Operational website (CLP4NET) 2.1.1/2.1.2 PPAR 2.2 Expert meeting report/training & participation certificate 2.3/2.4 PPAR/IT resources Means of Verification IndicatorsNarrative Description

Special thanks Expert : Mr Sung Chul Jung Mr Daniel Tan Yat Harn TO : Ms Karen Christaki Ms Elena Fidarova PMO : Mr Massoud Malek PAC : Mr Tomoaki Tamaki Mr Raghavan Unni Pookot