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

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

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

4. Life Style

5. 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

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

7. 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

8. 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)

9. (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

10. 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

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

12. Radiation Technologist
Bachelor’s degree Chiang Mai U persons / year Mahidol U persons / year Narasuan U persons / year Ramkamhang U persons / year
Only 10% will work in RT division

13. Medical Physicist
Master degree Chiang Mai U persons / year Mahidol U persons / year

14. 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

15. 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…