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== Novel Therapies and Diagnostic Methods ==
== Novel Therapies and Diagnostic Methods ==
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=== Diagnostics ===
{| class="wikitable"
! Radiology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || CT scanners || 4 (3 in adult area + 1 in pediatric area) || 27,504 (2021)
|-
| Machine || MRI (specify the strength and field of the techniques) || yes (1.5 and 3T; Neurological, Cardiac, Musculoskeletal, Abdominal Imaging and MR angiography) || 13,417 (2021)
|-
| Machine || Mammography (please specify analogic mammography or digital) || 1 (digital) ||
|-
| Machine || Digitalised imaging (PACS) || yes  ||
|-
| Machine || Ultrasound || yes || 9,000
|-
| Machine || Gamma Camera || 1 ||
|-
| Technique || Interventional Radiology || yes ||
|-
| Technique || Stereostatic biopsy || yes ||
|-
| Technique || Ultrasound guided biopsy || yes ||
|-
| Technique || Endoscopic retrograde cholangiopancreatography (ERCP) || yes ||
|-
| Technique || X-rays || more than 3 (3 in pediatric area + unknown number in adult area) || 189,783 (2021)
|-
| Technique || Vacuum-assisted breast biopsy (VABB) || yes  ||
|-
| Technique || Angiography || yes (MRI and CT) ||
|-
! Nuclear Medicine !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Pet Scan || yes ||
|-
| Machine || SPECT || yes ||
|-
| Machine || SPECT CT || 2 ||
|-
| 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 || 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 ||
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Bronchoscopy || yes ||
|-
| Technique || Colposcopy || yes ||
|-
| Technique || Video dermatoscopy || yes ||
|}
=== Treatment ===
{| class="wikitable"
! Surgical Oncology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Breast surgery || 10 ||
|-
| Specialist || Urological surgery || yes ||
|-
| Specialist || Thoracic surgery || yes || 448
|-
| Specialist || Digestive surgery || yes ||
|-
| Specialist || Neurosurgery || yes ||
|-
| Specialist || Gynaecological surgery || yes ||
|-
| Specialist || Head and neck surgery || 17 ||
|-
| Specialist || Soft tissue surgery || 6 ||
|-
| Specialist || Orthopaedic surgery || yes ||
|-
| Specialist || Oncoplastic surgery || 6 ||
|-
| Specialist || Paediatric surgery ||  || 2125 (2022)
|-
| Specialist || ENT surgery || yes ||
|-
| Specialist || Sarcoma surgery || 7 || 57
|-
| Technique || Video-assisted thoracoscopy || yes ||
|-
| Technique || Robotic surgery || yes ||
|-
| Technique || image guided surgery || yes ||
|-
| Technique || spinal decompression surgery for vertebral metastases || yes ||
|-
! Radiotherapy !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Linear accelerators with IMRT/VMAT || 3 ||
|-
| Machine || Linear accelerators with IGRT || yes ||
|-
| Machine || Linear accelerators with SBRT/SRS || yes ||
|-
| Machine || Brachytherapy unit || yes || 700 (2022)
|-
| Technique || Stereotactic radiotherapy || yes ||
|-
| Technique || Intraoperative Radiotherapy (IORT) || yes ||
|-
| Technique || Total Body Irradiation (TBI) || yes ||
|-
| Technique || 3D conformal radiotherapy || yes ||
|-
| Technique || Respiratory motion management || 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 ||
|-
! Hemato-Oncology / Bone Marrow Transplants !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Transfusion Unit || yes ||
|-
| Facility || Bone marrow / stem cell bank || yes ||
|-
| Technique || Autologous bone marrow transplants || yes || 25 pediatric (2022)
|-
! Specialists !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Physician with a specialisation in palliative care || yes ||
|-
| Specialist || Nurse with a specialisation/certification in palliative care || yes ||
|-
| Specialist || Physician specialised in pain treatment || yes ||
|-
| Specialist || Psychologist or Psychotherapist || yes ||
|-
| Specialist || Social worker || yes ||
|-
| Specialist || Spiritual care || yes ||
|-
| Specialist || Physiotherapist || yes ||
|-
| Specialist || Dietitian || yes ||
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Rigid Bronchoscopy || yes ||
|-
| Technique || Venous Accesses || yes
|}
=== Prevention ===
{| class="wikitable"
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Lung cancer screening program || yes ||
|-
| Facility || Smoking detoxification center || yes
|}
=== Quality of Life ===
{| class="wikitable"
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Supportive care unit || yes ||
|-
| Facility || Phone/mail contact service || yes ||
|-
| Facility || Survivorship program || yes
|}
=== Palliative Care ===
{| class="wikitable"
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Hospice unit (in the hospital structure or affiliated) || yes
|}
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Revision as of 07:38, 28 July 2023

Trials

Experts

Learning Resources

Course: MD, Ph.D. program

Content type: Prepare students with practical experience and scientific work.

Target audience: Medical graduates.

Access: Information [1].

Trainning: Internships

Content type: Provides trainning in the fields of surgery, neurology, rehabilitation and psychiatry.

Target audience: Beginning neurosurgeons and postgraduate students.

Access: Information [2].

Novel Therapies and Diagnostic Methods

Diagnostics

Radiology
Type Name Availibility Uses per year
Machine CT scanners 4 (3 in adult area + 1 in pediatric area) 27,504 (2021)
Machine MRI (specify the strength and field of the techniques) yes (1.5 and 3T; Neurological, Cardiac, Musculoskeletal, Abdominal Imaging and MR angiography) 13,417 (2021)
Machine Mammography (please specify analogic mammography or digital) 1 (digital)
Machine Digitalised imaging (PACS) yes
Machine Ultrasound yes 9,000
Machine Gamma Camera 1
Technique Interventional Radiology yes
Technique Stereostatic biopsy yes
Technique Ultrasound guided biopsy yes
Technique Endoscopic retrograde cholangiopancreatography (ERCP) yes
Technique X-rays more than 3 (3 in pediatric area + unknown number in adult area) 189,783 (2021)
Technique Vacuum-assisted breast biopsy (VABB) yes
Technique Angiography yes (MRI and CT)
Nuclear Medicine
Type Name Availibility Uses per year
Machine Pet Scan yes
Machine SPECT yes
Machine SPECT CT 2
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 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
Others
Type Name Availibility Uses per year
Technique Bronchoscopy yes
Technique Colposcopy yes
Technique Video dermatoscopy yes

Treatment

Surgical Oncology
Type Name Availibility Uses per year
Specialist Breast surgery 10
Specialist Urological surgery yes
Specialist Thoracic surgery yes 448
Specialist Digestive surgery yes
Specialist Neurosurgery yes
Specialist Gynaecological surgery yes
Specialist Head and neck surgery 17
Specialist Soft tissue surgery 6
Specialist Orthopaedic surgery yes
Specialist Oncoplastic surgery 6
Specialist Paediatric surgery 2125 (2022)
Specialist ENT surgery yes
Specialist Sarcoma surgery 7 57
Technique Video-assisted thoracoscopy yes
Technique Robotic surgery yes
Technique image guided surgery yes
Technique spinal decompression surgery for vertebral metastases yes
Radiotherapy
Type Name Availibility Uses per year
Machine Linear accelerators with IMRT/VMAT 3
Machine Linear accelerators with IGRT yes
Machine Linear accelerators with SBRT/SRS yes
Machine Brachytherapy unit yes 700 (2022)
Technique Stereotactic radiotherapy yes
Technique Intraoperative Radiotherapy (IORT) yes
Technique Total Body Irradiation (TBI) yes
Technique 3D conformal radiotherapy yes
Technique Respiratory motion management 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
Hemato-Oncology / Bone Marrow Transplants
Type Name Availibility Uses per year
Facility Transfusion Unit yes
Facility Bone marrow / stem cell bank yes
Technique Autologous bone marrow transplants yes 25 pediatric (2022)
Specialists
Type Name Availibility Uses per year
Specialist Physician with a specialisation in palliative care yes
Specialist Nurse with a specialisation/certification in palliative care yes
Specialist Physician specialised in pain treatment yes
Specialist Psychologist or Psychotherapist yes
Specialist Social worker yes
Specialist Spiritual care yes
Specialist Physiotherapist yes
Specialist Dietitian yes
Others
Type Name Availibility Uses per year
Technique Rigid Bronchoscopy yes
Technique Venous Accesses yes

Prevention

Others
Type Name Availibility Uses per year
Facility Lung cancer screening program yes
Facility Smoking detoxification center yes

Quality of Life

Others
Type Name Availibility Uses per year
Facility Supportive care unit yes
Facility Phone/mail contact service yes
Facility Survivorship program yes

Palliative Care

Others
Type Name Availibility Uses per year
Facility Hospice unit (in the hospital structure or affiliated) yes

Cancer-related Patient Associations and Resources