Novel Therapies and Diagnostic Methods (Ospedale San Raffaele): Difference between revisions
From Beacon
| Line 147: | Line 147: | ||
! Surgical Oncology !! !! !! | ! Surgical Oncology !! !! !! | ||
|- | |- | ||
| '''Type''' || '''Name''' || ''' | | '''Type''' || '''Name''' || '''Availability''' || '''Uses per year''' | ||
|- | |- | ||
| Specialist || Breast surgery || 7 || | | Specialist || Breast surgery || 7 || 450 (yearly) | ||
|- | |- | ||
| Specialist || Urological surgery || 30 || | | Specialist || Urological surgery || 30 || | ||
|- | |- | ||
| Specialist || Thoracic surgery || 8 || | | Specialist || Thoracic surgery || 8 || 650 (yearly) | ||
|- | |- | ||
| Specialist || Digestive surgery || 8 || | | Specialist || Digestive surgery || 8 || | ||
| Line 159: | Line 159: | ||
| Specialist || Neurosurgery || 13 || | | Specialist || Neurosurgery || 13 || | ||
|- | |- | ||
| Specialist || Gynaecological surgery || 25 || | | Specialist || Gynaecological surgery || 25 || 2000 (yearly) | ||
|- | |- | ||
| Specialist || Head and neck surgery || | | Specialist || Head and neck surgery || yes || | ||
|- | |||
| Specialist || Soft tissue surgery || yes || | |||
|- | |- | ||
| Specialist || Orthopaedic surgery || 7 || | | Specialist || Orthopaedic surgery || 7 || | ||
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| Specialist || Oncoplastic surgery || 1 || | | Specialist || Oncoplastic surgery || 1 || | ||
|- | |- | ||
| Specialist || ENT surgery || | | Specialist || Paediatric surgery || 1 || | ||
|- | |||
| Specialist || ENT surgery || yes || | |||
|- | |||
| Specialist || Sarcoma surgery || yes || | |||
|- | |- | ||
| Technique || Video-assisted thoracoscopy || | | Technique || Video-assisted thoracoscopy || yes || | ||
|- | |- | ||
| Technique || Robotic surgery || | | Technique || Robotic surgery || yes || | ||
|- | |- | ||
! Radiotherapy !! !! !! | ! Radiotherapy !! !! !! | ||
|- | |- | ||
| '''Type''' || '''Name''' || ''' | | '''Type''' || '''Name''' || '''Availability''' || '''Uses per year''' | ||
|- | |||
| Machine || Linear accelerators || yes || | |||
|- | |||
| Machine || Linear accelerators with IMRT/VMAT || yes || | |||
|- | |||
| Machine || Linear accelerators with IGRT || yes || | |||
|- | |||
| Machine || Dedicated SRS units || 1 || | |||
|- | |||
| Machine || Brachytherapy unit || yes || | |||
|- | |||
| Technique || Stereotactic radiotherapy || yes || | |||
|- | |||
| Technique || Locoregional chemotherapy || yes || | |||
|- | |||
| Technique || Chemoembolization || yes || | |||
|- | |||
| Technique || Thermal ablation (with radiofrequency or microwave) || yes || | |||
|- | |||
| Technique || Total Body Irradiation (TBI) || yes || | |||
|- | |||
| Technique || 3D conformal radiotherapy || yes || | |||
|- | |||
| Technique || Radiosurgery || yes || | |||
|- | |||
| Technique || Respiratory motion management || yes || | |||
|- | |||
| Technique || Adaptive radiotherapy || yes || | |||
|- | |- | ||
| | | Technique || Conventional simulation || yes || | ||
|- | |- | ||
| | | Technique || Virtual simulation for treatment planning || yes || | ||
|- | |- | ||
| Technique || | | Technique || CT planning || yes || | ||
|- | |- | ||
| Technique || | | Technique || IMRT radiotherapy planning system || yes || | ||
|- | |- | ||
| Technique || | | Technique || Magnetic resonance for radiotherapy treatment planning || yes || | ||
|- | |- | ||
| Technique || | | Technique || PET CT treatment planning || yes || | ||
|- | |- | ||
| | | Machine || Gamma Knife || yes || 1000 (yearly) | ||
|- | |- | ||
| | | Machine || CyberKnife || yes || | ||
|- | |- | ||
| Machine || | | Machine || TomoTherapy Machines || yes || | ||
|- | |- | ||
! Hemato-Oncology / Bone Marrow Transplants !! !! !! | |||
|- | |- | ||
| | | '''Type''' || '''Name''' || '''Availability''' || '''Uses per year''' | ||
|- | |- | ||
| Facility || Transfusion Unit || yes || | |||
|- | |- | ||
| | | Facility || Bone marrow / stem cell bank || yes || | ||
|- | |- | ||
| Facility || | | Facility || Cellular therapy unit with GMP (Good Manufacturing Practice) || yes || | ||
|- | |- | ||
| | | Machine || Cytopheresis machine || yes || | ||
|- | |- | ||
| Technique || | | Technique || Quality Vigilance System || yes || | ||
|- | |- | ||
| Technique || | | Technique || Allogenic stem cell transplants || yes || | ||
|- | |- | ||
| Technique || Autologous | | Technique || Autologous bone marrow transplants || yes || | ||
|- | |- | ||
| Technique || Autologous stem cell transplants || yes || | |||
|- | |- | ||
| '''Type''' || '''Name''' || ''' | ! Specialists !! !! !! | ||
|- | |||
| '''Type''' || '''Name''' || '''Availability''' || '''Uses per year''' | |||
|- | |||
| Specialist || Physician with a specialisation in palliative care || yes || | |||
|- | |- | ||
| Specialist || Medical oncologist || 18 || | | Specialist || Medical oncologist || 18 || | ||
|- | |- | ||
| Specialist || Physician specialised in pain treatment || | | Specialist || Nurse with a specialisation/certification in palliative care || yes || | ||
|- | |||
| Specialist || Nurse with a specialization/certification in oncology || yes || | |||
|- | |||
| Specialist || Physician specialised in pain treatment || yes || | |||
|- | |- | ||
| Specialist || Neurologist || 35 || | | Specialist || Neurologist || 35 || | ||
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|- | |- | ||
| Specialist || Psychiatrist || 6 || | | Specialist || Psychiatrist || 6 || | ||
|- | |||
| Specialist || Pharmacist || yes || | |||
|- | |||
| Specialist || Social worker || yes || | |||
|- | |||
| Specialist || Spiritual care || yes || | |||
|- | |- | ||
| Specialist || Physiotherapist || 35 || 7000 (yearly) | | Specialist || Physiotherapist || 35 || 7000 (yearly) | ||
| Line 237: | Line 285: | ||
! Others !! !! !! | ! Others !! !! !! | ||
|- | |- | ||
| '''Type''' || '''Name''' || ''' | | '''Type''' || '''Name''' || '''Availability''' || '''Uses per year''' | ||
|- | |||
| Machine || Endoprosthesis || yes || | |||
|- | |||
| Technique || Interventional Endoscopy || yes || | |||
|- | |||
| Technique || Rigid Bronchoscopy || yes || | |||
|- | |||
| Technique || Embolization with microparticles || yes || | |||
|- | |- | ||
| | | Technique || Biliary drainage || yes || | ||
|- | |- | ||
| | | Facility || Clinical Trial Center || yes || | ||
|- | |- | ||
| Facility || Clinical Trial | | Facility || Phase 1 Clinical Trial Unit || yes || | ||
|- | |- | ||
| | | Technique || Peritoneal drainage || yes || | ||
|- | |- | ||
|} | |} | ||
Revision as of 13:45, 17 September 2024
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Diagnostics
| Radiology | |||
|---|---|---|---|
| Type | Name | Availability | Uses per year |
| Machine | CT scanners | 4 | |
| Machine | MRI (specify the strength and field of the techniques) | 2 | |
| Machine | Mammography (please specify analogic mammography or digital) | 2 | digital/6500 (yearly) |
| Machine | Digitalised imaging (PACS) | yes | |
| Machine | Ultrasound | 7 | |
| Machine | Gamma Camera | yes | |
| Technique | MRI-guided biopsy | yes | |
| Technique | Ultrasound-Guided Transcutaneous Tru-Cut Biopsy (USGTCB) | yes | |
| Technique | Stereostatic biopsy | yes | |
| Technique | Ultrasound guided biopsy | yes | |
| Technique | Endoscopic retrograde cholangiopancreatography (ERCP) | yes | |
| Technique | EBUS-TBNA | yes | |
| Technique | CT guided biopsis | yes | |
| Technique | E/S Fine-needle biopsy | yes | |
| Technique | Vacuum-assisted breast biopsy (VABB) | 1 | |
| Technique | Angiography | yes | |
| Nuclear Medicine | |||
| Type | Name | Availability | Uses per year |
| Machine | Pet Scan | 5 | 7500 (yearly) |
| Machine | PET (PET CT + PET MRI) | yes | |
| Machine | PET CT | 4 | |
| Machine | PET/MRI | 2 | |
| Facility | Radionuclide treatment facilities | yes | |
| Machine | SPECT | 2 | |
| Machine | SPECT CT | 1 | |
| Technique | Sentinel node scintigraphy | yes | |
| Technique | Bone scintigraphy | yes | |
| Pathology | |||
| Type | Name | Availability | Uses per year |
| Machine | Electron microscopy | yes | |
| Facility | Cytology laboratory | yes | |
| Facility | Histopathology laboratory | yes | |
| Technique | Comparative Genomic Hybridization (CGH) | yes | |
| Technique | FISH (Fluorescence In Situ Hybridization) | yes | |
| Technique | PCR (Polymerase Chain Reaction) | yes | |
| Technique | Cytometry | yes | |
| Technique | Liquid biopsy | yes | |
| Technique | Immunofluorescence techniques | yes | |
| Technique | Histochemistry | yes | |
| Technique | Techniques for molecular pathology | yes | |
| Technique | Cytogenetics | yes | |
| Pathology: Molecular Tests | |||
| Type | Name | Availability | Uses per year |
| Technique | PGR | yes | |
| Technique | KI-67 | yes | |
| Technique | PDL1 | yes | |
| Technique | PI3KCA | yes | |
| Technique | ER | yes | |
| Technique | KRAS | yes | |
| Technique | BRAF | yes | |
| Technique | NTRK | yes | |
| Technique | RET | yes | |
| Technique | MET | yes | |
| Technique | EGFR | yes | |
| Technique | ALK | yes | |
| Technique | ROS | yes | |
| Technique | HER2 status | yes | |
| Technique | COMPREHENSIVE MOLECULAR PANELS | yes | |
| Others | |||
| Type | Name | Availability | Uses per year |
| Technique | Bronchoscopy | yes | 1500 (yearly) |
| Technique | Colposcopy | yes | |
| Technique | Colonoscopy | yes | |
| Technique | Vulvoscopy | yes | |
| Technique | Hysteroscopy | yes | |
| Technique | Video dermatoscopy | yes |
Treatment
| Surgical Oncology | |||
|---|---|---|---|
| Type | Name | Availability | Uses per year |
| Specialist | Breast surgery | 7 | 450 (yearly) |
| Specialist | Urological surgery | 30 | |
| Specialist | Thoracic surgery | 8 | 650 (yearly) |
| Specialist | Digestive surgery | 8 | |
| Specialist | Neurosurgery | 13 | |
| Specialist | Gynaecological surgery | 25 | 2000 (yearly) |
| Specialist | Head and neck surgery | yes | |
| Specialist | Soft tissue surgery | yes | |
| Specialist | Orthopaedic surgery | 7 | |
| Specialist | Oncoplastic surgery | 1 | |
| Specialist | Paediatric surgery | 1 | |
| Specialist | ENT surgery | yes | |
| Specialist | Sarcoma surgery | yes | |
| Technique | Video-assisted thoracoscopy | yes | |
| Technique | Robotic surgery | yes | |
| Radiotherapy | |||
| Type | Name | Availability | Uses per year |
| Machine | Linear accelerators | yes | |
| Machine | Linear accelerators with IMRT/VMAT | yes | |
| Machine | Linear accelerators with IGRT | yes | |
| Machine | Dedicated SRS units | 1 | |
| Machine | Brachytherapy unit | yes | |
| Technique | Stereotactic radiotherapy | yes | |
| Technique | Locoregional chemotherapy | yes | |
| Technique | Chemoembolization | yes | |
| Technique | Thermal ablation (with radiofrequency or microwave) | yes | |
| Technique | Total Body Irradiation (TBI) | yes | |
| Technique | 3D conformal radiotherapy | yes | |
| Technique | Radiosurgery | yes | |
| Technique | Respiratory motion management | yes | |
| Technique | Adaptive radiotherapy | yes | |
| Technique | Conventional simulation | yes | |
| Technique | Virtual simulation for treatment planning | yes | |
| Technique | CT planning | yes | |
| Technique | IMRT radiotherapy planning system | yes | |
| Technique | Magnetic resonance for radiotherapy treatment planning | yes | |
| Technique | PET CT treatment planning | yes | |
| Machine | Gamma Knife | yes | 1000 (yearly) |
| Machine | CyberKnife | yes | |
| Machine | TomoTherapy Machines | yes | |
| Hemato-Oncology / Bone Marrow Transplants | |||
| Type | Name | Availability | Uses per year |
| Facility | Transfusion Unit | yes | |
| Facility | Bone marrow / stem cell bank | yes | |
| Facility | Cellular therapy unit with GMP (Good Manufacturing Practice) | yes | |
| Machine | Cytopheresis machine | yes | |
| Technique | Quality Vigilance System | yes | |
| Technique | Allogenic stem cell transplants | yes | |
| Technique | Autologous bone marrow transplants | yes | |
| Technique | Autologous stem cell transplants | yes | |
| Specialists | |||
| Type | Name | Availability | Uses per year |
| Specialist | Physician with a specialisation in palliative care | yes | |
| Specialist | Medical oncologist | 18 | |
| Specialist | Nurse with a specialisation/certification in palliative care | yes | |
| Specialist | Nurse with a specialization/certification in oncology | yes | |
| Specialist | Physician specialised in pain treatment | yes | |
| Specialist | Neurologist | 35 | |
| Specialist | Lung physician | 2 | |
| Specialist | Radiotherapist | 2 | |
| Specialist | Psychologist or Psychotherapist | 7 | |
| Specialist | Psychiatrist | 6 | |
| Specialist | Pharmacist | yes | |
| Specialist | Social worker | yes | |
| Specialist | Spiritual care | yes | |
| Specialist | Physiotherapist | 35 | 7000 (yearly) |
| Specialist | Dietitian | 1 | |
| Others | |||
| Type | Name | Availability | Uses per year |
| Machine | Endoprosthesis | yes | |
| Technique | Interventional Endoscopy | yes | |
| Technique | Rigid Bronchoscopy | yes | |
| Technique | Embolization with microparticles | yes | |
| Technique | Biliary drainage | yes | |
| Facility | Clinical Trial Center | yes | |
| Facility | Phase 1 Clinical Trial Unit | yes | |
| Technique | Peritoneal drainage | yes |
Prevention
| Screening and Others | |||
|---|---|---|---|
| Type | Name | Availibility | Uses per year |
| Facility | Smoking detoxification center | Yes |
Palliative Care
| Palliative Care | |||
|---|---|---|---|
| Type | Name | Availibility | Uses per year |
| Facility | Home palliative care availability | Yes |