The proton treatment center at Loma Linda University Medical Center: Rationale for and description of its development

Author(s):  
James M. Slater ◽  
John O. Archambeau ◽  
Daniel W. Miller ◽  
Michael I. Notarus ◽  
William Preston ◽  
...  
2007 ◽  
Vol 6 (4_suppl) ◽  
pp. 67-72 ◽  
Author(s):  
Jerry D. Slater

The Proton Treatment Center at Loma Linda University Medical Center, the world's first hospital-based proton facility, opened in 1990 after two decades of development. Its early years were marked by a deliberately cautious approach in clinical utilization of protons, with intent to establish hospital-based proton therapy on a scientific basis. The facility was designed to be upgradeable, and development since 1990 has proceeded in three distinct phases of upgrades, both in technology and clinical applications. Upgrades continue, all of them based on an underlying program of basic and clinical research; future new applications of proton radiation therapy are expected to follow.


2019 ◽  
Vol 104 (4) ◽  
pp. 756-764 ◽  
Author(s):  
Jill S. Remick ◽  
Søren M. Bentzen ◽  
Charles B. Simone ◽  
Elizabeth Nichols ◽  
Mohan Suntharalingam ◽  
...  

2007 ◽  
Vol 6 (4_suppl) ◽  
pp. 1-7
Author(s):  
James M. Slater

From October 18 to 20, 2006, a symposium, Developing and Understanding a Hospital-based Proton Facility: Bringing Physics Into Medicine, was held at the Renaissance Esmeralda Resort and Spa, Indian Wells, California. The event was offered by the Department of Radiation Medicine at Loma Linda University (LLU), supported by the Telemedicine and Advanced Technology Research Center (TATRC) and the United States Army Medical Research and Materiel Command (USAMRMC). The meeting was intended to discuss factors involved in planning, developing, and operating a hospital-based proton treatment center. It brought together some of the most distinguished physicists, radiation biologists, and radiation oncologists in the world, and more than 100 individuals participated in the three-day educational offering. This overview reports on the event and introduces several papers written by many of the speakers from their presentations, for publication in this issue of Technology in Cancer Research and Treatment. Both the symposium and the papers are appropriate for this journal: exploitation of technology was one of the underlying themes of the symposium.


2009 ◽  
Vol 02 (01) ◽  
pp. 35-62 ◽  
Author(s):  
James M. Slater ◽  
Jerry D. Slater ◽  
Andrew J. Wroe

The world's first hospital-based proton treatment center opened at Loma Linda University Medical Center in 1990, following two decades of development. Patients' needs were the driving force behind its conception, development, and execution; the primary needs were delivery of effective conformal doses of ionizing radiation and avoidance of normal tissue to the maximum extent possible. The facility includes a proton synchrotron and delivery system developed in collaboration with physicists and engineers at Fermi National Accelerator Laboratory and from other high-energy-physics laboratories worldwide. The system, operated and maintained by Loma Linda personnel, was designed to be safe, reliable, flexible in utilization, efficient in use, and upgradeable to meet demands of changing patient needs and advances in technology. Since the facility opened, nearly 14,000 adults and children have been treated for a wide range of cancers and other diseases. Ongoing research is expanding the applications of proton therapy, while reducing costs.


2006 ◽  
Vol 5 (2) ◽  
pp. 81-89 ◽  
Author(s):  
Jerry D. Slater

Proton radiation therapy has been used at Loma Linda University Medical Center for 15 years, sometimes in combination with photon irradiation, surgery, and chemotherapy, but often as the sole modality. Our initial experience was based on established studies showing the utility of protons for certain management problems, but since then we have engaged in a planned program to exploit the capabilities of proton radiation and expand its applications in accordance with progressively accumulating clinical data. Our cumulative experience has confirmed that protons are a superb tool for delivering conformal radiation treatments, enabling delivery of effective doses of radiation and sparing normal tissues from radiation exposure.


2015 ◽  
Vol 9 ◽  
pp. 43-63
Author(s):  
Mohd Farhan Md Ariffin ◽  
Khadher Ahmad ◽  
Muhammad Ikhlas Rosele ◽  
Mohamad Zaim Isamail

In the current development, it is found that the growth of alternative treatment centers based on "Islamic treatment" is growing in line with the development of mainstream technology. The question is, what is the reality and significance of Islamic treatment institutions in Malaysia despite its rapid growth? Therefore, this article tries to reveal the reality and scenario of the development of Islamic treatment centers in Malaysia for the consideration of all parties. Islamic treatment centers in Malaysia do have the potential to be developed and even able to transcend national borders. This can be proven when the demand for treatment services based on "tibb nabawi" is getting more attention. However, after the growth of the Islamic treatment center, there were also heard complaints, ridicule and cynical tone towards the Islamic treatment center, either from patients or nurses of the same age. Many claim that certain treatment centers still practice the genie element in treatment. Not to be outdone, many patients and even Islamic medical practitioners themselves claim that there are still elements of the use of jinn in Islamic treatment. So, what is the view of the founders of Islamic medical institutions in Malaysia regarding the use of jinn in treatment? Through a study at seventy (70) Islamic treatment centers in Malaysia through a project under the University of Malaya research grant in December 2012 to June 2013 numbered UMRG 419-12 HNE Al-Quran & Al-Sunnah Alternative Treatment Center: A Malaysian study, researchers have conclude various useful inputs starting with the background of the nurse or founder as well as the background of the Islamic treatment institution in Malaysia itself. The views of the founders of the Islamic treatment center on the use of jinn are also included in order to be a medium of knowledge of members of the community as a whole to be used as a guide in assessing the credibility and integrity of Islamic treatment centers in Malaysia. Dalam perkembangan semasa kini, didapati pertumbuhan pusat rawatan alternatif berteraskan “rawatan Islam” semakin berkembang sejajar dengan perkembangan teknologi arus perdana. Persoalannya, apakah realiti dan signifikan institusi rawatan Islam di Malaysia di sebalik pertumbuhannya yang pesat? Justeru, artikel ini cuba mendedahkan tentang realiti dan senario perkembangan pusat rawatan Islam di Malaysia untuk renungan semua pihak. Pusat rawatan Islam di Malaysia sememangnya memiliki potensi untuk dikembangkan bahkan mampu melangkaui sempadan negara. Hal ini boleh dibuktikan apabila permintaan terhadap khidmat rawatan berasaskan “tibb nabawi” kian mendapat perhatian. Namun, setelah berkembangnya pusat rawatan Islam, terdengar pula di telinga rungutan, cemuhan dan nada sinis terhadap pusat rawatan Islam, sama ada dari pesakit atau perawat seangkatan. Banyak pihak yang mendakwa pusat rawatan tertentu masih mengamalkan unsur jin dalam rawatan. Tidak kalah juga ramai pesakit bahkan pengamal perubatan Islam sendiri yang mendakwa masih terdapat unsur-unsur penggunaan jin dalam rawatan Islam. Jadi, apakah pandangan para pengasas institusi rawatan Islam di Malaysia berkaitan penggunaan jin dalam rawatan? Melalui kajian di tujuh puluh (70) pusat rawatan Islam di Malaysia melalui projek di bawah geran penyelidikan Universiti Malaya pada Disember 2012 hingga Jun 2013 bernombor UMRG 419-12 HNE Pusat Rawatan Alternatif Berteraskan Al-Quran & Al-Sunnah: Kajian Malaysia, pengkaji telah menyimpulkan pelbagai input berguna bermula dengan latar belakang perawat atau pengasas serta latar belakang institusi rawatan Islam di Malaysia itu sendiri. Pandangan pengasas pusat rawatan Islam tentang penggunaan jin turut dimuatkan agar dapat menjadi medium ilmu pengetahuan anggota masyarakat seluruhnya untuk dijadikan panduan dalam menilai kredibiliti dan integriti pusat rawatan Islam di Malaysia.   Kata Kunci: Latar Belakang, Pengasas, Pusat Rawatan Islam, Pandangan, Jin.


2009 ◽  
Vol 36 (6Part28) ◽  
pp. 2813-2813
Author(s):  
R Schulte ◽  
V Bashkirov ◽  
F Hurley ◽  
S Penfold ◽  
A Rosenfeld ◽  
...  

2019 ◽  
Vol 36 (2) ◽  
pp. 348-351 ◽  
Author(s):  
Stephanie Larson ◽  
Sara Yang ◽  
Alexandra Chacko-Stacey ◽  
Danielle Mason ◽  
Elaine Hart

Introduction During the postpartum period, breast engorgement in preparation for lactation may trigger the onset of vulvar labial nodules that present with pain and discomfort. These labial nodules may originate from ectopic breast tissue and can rarely present in women during the postpartum period in the labia majora. Main Issue A 37-year-old African American female, gravida 1 para 1, presented to the Loma Linda University Medical Center with complaints of new onset labial swelling worsening 6 days following her full term spontaneous vaginal delivery. Additionally, our respondent complained of difficulty breastfeeding due to intermittent lack of milk production. She reported bilateral breast engorgement with tenderness, despite frequent attempts at breastfeeding. The respondent’s presentation did not meet the criteria for other common differentials due to the physical characteristics of the nodules. The location of the nodules along the milk line led physicians to believe that the respondent was presenting with engorged extra-mammary breast tissue in the labia majora. Management The participant was told to observe her course over the next few days as she began to have milk production and ejection. The respondent was seen in clinic for her 6-week postpartum visit, and was no longer complaining of difficulty with breastfeeding. The labial nodules had resolved spontaneously. Conclusion A literature search yielded no case reports that described a case of an extra-mammary vulvar mass that self-resolved with resolution of breast engorgement. The infrequent presentation of extra-mammary vulvar tissue makes it difficult to conclude a guideline for diagnosis and management.


2009 ◽  
Vol 36 (6Part13) ◽  
pp. 2593-2593
Author(s):  
A Wroe ◽  
S Rightnar ◽  
A Ghebremedhin ◽  
R Schulte ◽  
D Lesyna ◽  
...  

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