The document summarizes statistics on radiotherapy treatment for cancer patients from various sources. It finds that nearly 2/3 of cancer patients receive radiation therapy, with at least 75% intended to cure the cancer. There are around 2.5 million new cancer cases diagnosed in Europe each year. Treatment practices vary significantly between countries, with the US treating 66% of new patients with radiotherapy compared to 48% in France and less than 20% in Romania. Many countries also have an inadequate number of linear accelerators for cancer treatment compared to estimated needs based on cancer incidence rates. In particular, over 75% of linear accelerators in France and over 90% in Romania are over 5 years old in need of renewal.

1. 7 out of 10 cancer patients will receive
RT
Treatment route for cancer patients
Radiotherapy
Surgery
6 patients /10
Chemotherapy
Source: www.astro.org
7 patients /10
5 patients /10

2. 7 out of 10 cancer patients will receive
RT, ot of which 75% with a curative
intend
Data from ASTRO
“… Fast Facts About Radiation Therapy
•Nearly two-thirds of all cancer patients will receive radiation therapy
during their illness.
•For most cancer types treated with radiation therapy, at least 75% of the
patients are treated with the intent to cure the cancer, rather than control
the growth or relieve symptoms like pain….”
Source: www.astro.org

3. In Europe 27, there are about 2,5million of
new cancer cases diagnosed per year
Prevalence* and incidence** of
cancers***
‘000 patients
3,000
2,500
3,081
2,444
2,000
1,355
1,500
1,017
1,000
333
500
480
0
Europe
324
146
70156
36100
France Germany Poland Romania Austria
* 5-year prevalence for adult population only.
** Incidence data for all ages.
*** All cancers excl. non-melanoma skin cancer
Source: GLOBOCAN 2008
31 72
22 58
Bulgaria
Croa a

4. Practices in cancer care vary …
Proportion of new cancer patients treated with
radiotherapie
100%
66%
48%
less than 20%
0%
US
Source: ASTRO, ESTRO data
France
Romania

5. There are a lot of discrepancies in medical
equipment available across Europe
Number of accelerators per 1,000,000
inhabitants
LINAC required
based on incidence
and appropriate rate
for each cancer type
8
7
6
5
4
3
2
1
0
France
LINAC
Installed
Source: DIRAC IAEA website
434
Germany
529
Europe 27 average
99
Poland
17
Romania

6. France and Romania need to renew their
medical equipment for Radiotherapy. Over
75%, resp. over 90% of the linear
accelerators are older than 5y
Installation date of LINACs
Total France
< 5y
25%
5-10y
30%
Total Romania
< 5y
3%
> 15y
38%
10-15y
17%
Source: DIRAC IAEA website; Institut National du Cancer; Livre Blanc de la Radiotherapie 2013
> 15y
38%
5-10y
47%
10-15y
13%

7. In France, the penetration of IMRT
technique is very limited (6%). VMAT is
yet anecdotic
Split of RT sessions by radiation technique
Total France
Source: Institut National du Cancer; Livre Blanc de la Radiotherapie 2013