Novel Therapies and Diagnostic Methods (National Cancer Institute)

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Diagnostics

Radiology
Type	Name	Availability	Uses per year
Machine	CT scanners	yes
Machine	MRI (specify the strength and field of the techniques)	yes
Machine	Mammography (please specify analogic mammography or digital)	yes	digital / 9580 (2022)
Machine	Ultrasound	yes
Machine	Gamma Camera	yes
Technique	MRI-guided biopsy	yes
Technique	Ultrasound guided biopsy	yes
Technique	Endoscopic retrograde cholangiopancreatography (ERCP)	yes
Technique	EBUS-TBNA	yes
Technique	E/S Fine-needle biopsy	yes
Technique	Angiography	yes
Nuclear Medicine
Type	Name	Availability	Uses per year
Machine	Pet Scan	yes
Machine	PET CT	yes
Machine	PET/MRI	yes
Facility	Radionuclide treatment facilities	yes
Machine	SPECT	yes
Machine	SPECT CT	yes
Technique	Bone scintigraphy	yes	5158 (2022)
Pathology
Type	Name	Availability	Uses per year
Facility	Cytology laboratory	yes	8715 tests (2022)
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	PDL1	yes
Technique	PI3KCA	yes	18 (2022)
Technique	KRAS	yes
Technique	BRAF	yes	106 (2022)
Technique	EGFR	yes	71 (2022)
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
Technique	Colposcopy	yes
Technique	Colonoscopy	yes	>1000 (yearly)
Technique	Hysteroscopy	yes

Treatment

Surgical Oncology
Type	Name	Availability	Uses per year
Specialist	Breast surgery	yes	678 (2022)
Specialist	Urological surgery	yes	428 (2022)
Specialist	Thoracic surgery	yes
Specialist	Digestive surgery	yes	585 (2022)
Specialist	Gynaecological surgery	yes	362 (2022)
Specialist	Head and neck surgery	yes	99 (2022)
Specialist	Soft tissue surgery	yes
Specialist	Oncoplastic surgery	yes
Specialist	Sarcoma surgery	yes
Technique	Video-assisted thoracoscopy	yes
Radiotherapy
Type	Name	Availability	Uses per year
Facility	Total MegaVoltage units	4	+51000 (yearly)
Machine	Linear accelerators	yes
Machine	Linear accelerators with IMRT/VMAT	yes	31125 (2022)
Machine	Linear accelerators with IGRT	yes
Machine	Linear accelerators with SBRT/SRS	yes
Machine	Cobalt Units	yes
Machine	Brachytherapy unit	yes	720
Technique	Intraperitoneal chemo-hyperthermia (HIPEC)	yes
Technique	Stereotactic radiotherapy	yes
Technique	Locoregional chemotherapy	yes
Technique	Chemoembolization	yes
Technique	Thermal ablation (with radiofrequency or microwave)	yes	both
Technique	Total Body Irradiation (TBI)	yes
Technique	3D conformal radiotherapy	yes
Technique	Radiosurgery	yes
Technique	CT planning	yes
Technique	IMRT radiotherapy planning system	yes	1910 (2022)
Technique	Magnetic resonance for radiotherapy treatment planning	yes
Technique	PET CT treatment planning	yes
Hemato-Oncology / Bone Marrow Transplants
Type	Name	Availability	Uses per year
Facility	Transfusion Unit	yes
Facility	Cellular therapy unit with GMP (Good Manufacturing Practice)	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	yes
Specialist	Nurse with a specialisation/certification in palliative care	yes
Specialist	Physician specialised in pain treatment	yes
Specialist	Lung physician	yes
Specialist	Radiotherapist	16
Specialist	Psychologist or Psychotherapist	3
Specialist	Psychiatrist	1
Specialist	Social worker	1
Specialist	Physiotherapist	yes
Specialist	Dietitian	1
Others
Type	Name	Availability	Uses per year
Facility	24-hour Oncological Emergency Department	yes	1519 receptions and emergency services (2022)
Technique	Interventional Endoscopy	yes
Technique	Rigid Bronchoscopy	yes
Technique	Nephrostomy	yes
Facility	Clinical Trial Center	yes
Facility	Phase 1 Clinical Trial Unit	yes
Technique	Intraperitoneal Chemotherapy with Pressurized Air Flow (PIPAC)	yes

Prevention

Screening and Others
Type	Name	Availibility	Uses per year
Facility	Lung cancer screening program	yes
Facility	Breast cancer screening program	yes
Facility	Cervical cancer screening program	yes
Facility	Colorectal cancer screening program	yes

Palliative Care

Palliative Care
Type	Name	Availibility	Uses per year
Facility	Home palliative care availability	Yes