Novel Therapies and Diagnostic Methods (Ospedale San Raffaele)

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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	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	Medical oncologist	18
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	Lung cancer screening program	yes
Facility	Breast cancer screening program	yes
Facility	Cervical cancer screening program	yes
Facility	Colorectal cancer screening program	yes
Facility	Smoking detoxification center	yes

Quality of Life

Quality of Life
Type	Name	Availibility	Uses per year
Facility	Survivorship program	yes
Facility	Acupunture unit	yes

Palliative Care

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