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1 of 8
7 out of 10 cancer patients will receive
RT
Treatment route for cancer patients- US figures

Radiotherapy

Surgery

6 patients /10

Chemotherapy

Source: www.astro.org

7 patients /10

5 patients /10
7 out of 10 cancer patients will receive
RT, out 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
The radiotherapy opportunity
Radiotherapy intend in more and more
curative
Share of curative vs palliative RT- USA data

Source: JPMorgan /Elekta- report January 2012; ESTRO report 2004; Institut National du Cancer; American Cancer Society Reaserch; www.rtanswers.org
Practices in cancer care vary …
Proportion of new cancer patients treated with
radiotherapy
100%

70%
less than 50%
less than 20%
0%

US

Source: ASTRO, ESTRO data

Western Europe

Eastern Europe
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
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

LINAC
Installed

Source: DIRAC IAEA website

France

434

Germany

Europe 27 average

Poland

Romania

529

NA

99

17
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%
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

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Amethyst Radiotherapy Key Facts and Figures

  • 1. 7 out of 10 cancer patients will receive RT Treatment route for cancer patients- US figures 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, out 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. The radiotherapy opportunity Radiotherapy intend in more and more curative Share of curative vs palliative RT- USA data Source: JPMorgan /Elekta- report January 2012; ESTRO report 2004; Institut National du Cancer; American Cancer Society Reaserch; www.rtanswers.org
  • 4. Practices in cancer care vary … Proportion of new cancer patients treated with radiotherapy 100% 70% less than 50% less than 20% 0% US Source: ASTRO, ESTRO data Western Europe Eastern Europe
  • 5. 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
  • 6. 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 LINAC Installed Source: DIRAC IAEA website France 434 Germany Europe 27 average Poland Romania 529 NA 99 17
  • 7. 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%
  • 8. 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