Novel Therapies and Diagnostic Methods (Institut de Cancérologie de lOuest (ICO) - Integrated Center for Oncology)

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Diagnostics

Radiology
Type	Name	Availibility	Uses per year
Machine	CT scanners	yes
Machine	MRI (specify the strength and field of the techniques)	2	7,631 (2022)
Machine	Mammography (please specify analogic mammography or digital)	4
Machine	Digitalised imaging (PACS)	yes
Machine	Digitalised imaging (RIS)	yes
Machine	Ultrasound	yes
Machine	Gamma Camera	3
Technique	Ultrasound-Guided Transcutaneous Tru-Cut Biopsy (USGTCB)	yes
Technique	Ultrasound guided biopsy	yes
Technique	CT guided biopsis	yes
Technique	E/S Fine-needle biopsy	yes
Technique	Angiography	yes
Nuclear Medicine
Type	Name	Availibility	Uses per year
Machine	Pet Scan	4	8,870 (2022)
Machine	PET CT	2
Machine	PET/MRI	yes
Facility	Radionuclide treatment facilities	yes
Machine	SPECT	3
Machine	SPECT CT	yes
Technique	Sentinel node scintigraphy	yes
Technique	Bone scintigraphy	yes
Pathology
Type	Name	Availibility	Uses per year
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	Availibility	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	Availibility	Uses per year
Technique	Bronchoscopy	yes
Technique	Colposcopy	yes
Technique	Colonoscopy	yes
Technique	Vulvoscopy	yes
Technique	Hysteroscopy	yes

Treatment

Surgical Oncology
Type	Name	Availibility	Uses per year
Specialist	Breast surgery	yes
Specialist	Urological surgery	yes
Specialist	Thoracic surgery	yes
Specialist	Digestive surgery	yes
Specialist	Neurosurgery	yes
Specialist	Gynaecological surgery	yes
Specialist	Head and neck surgery	yes
Specialist	Soft tissue surgery	yes
Specialist	Orthopaedic surgery	yes
Specialist	Oncoplastic surgery	yes
Specialist	Paediatric surgery	yes
Specialist	ENT surgery	yes
Specialist	Sarcoma surgery	yes
Technique	Robotic surgery	1
Radiotherapy
Type	Name	Availibility	Uses per year
Machine	Linear accelerators	11
Machine	Linear accelerators with IMRT/VMAT	yes
Machine	Linear accelerators with IGRT	yes
Machine	Linear accelerators with SBRT/SRS	2
Facility	Proton/carbon facilities	yes
Machine	Dedicated SRS units	yes
Machine	Brachytherapy unit	2
Machine	Intrabeam	yes
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	radiofrequency
Technique	Intraoperative Radiotherapy (IORT)	yes
Technique	3D conformal radiotherapy	yes
Technique	Radiosurgery	2
Technique	Proton therapy	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	TomoTherapy Machines	3
Hemato-Oncology / Bone Marrow Transplants
Type	Name	Availibility	Uses per year
Technique	Autologous stem cell transplants	yes
Specialists
Type	Name	Availibility	Uses per year
Specialist	Physician with a specialisation in palliative care	yes
Specialist	Medical oncologist	yes
Specialist	Nurse with a specialization/certification in oncology	yes
Specialist	Physician specialised in pain treatment	yes
Specialist	Neurologist	yes
Specialist	Lung physician	Yes
Specialist	Radiotherapist	yes
Specialist	Psychologist or Psychotherapist	yes
Specialist	Psychiatrist	yes
Specialist	Pharmacist	yes
Specialist	Social worker	yes
Specialist	Physiotherapist	yes
Specialist	Dietitian	yes
Others
Type	Name	Availibility	Uses per year
Technique	Interventional Endoscopy	yes
Facility	Clinical Trial Center	yes
Facility	Phase 1 Clinical Trial Unit	yes	107 (2022)
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

Quality of Life

Quality of Life
Type	Name	Availibility	Uses per year
Facility	Supportive care unit	yes
Facility	Phone/mail contact service	yes
Facility	Acupunture unit	yes

Palliative Care

Palliative Care
Type	Name	Availibility	Uses per year
Facility	Hospice unit (in the hospital structure or affiliated)	yes
Facility	Home palliative care availability	yes