IOMP, Medical Physics, Bangladesh, Germany, Switzerland, Slavik Tabakov, United Kingdom, Bangladesh Medical Physics Association, AAPM, proposal, preliminary proposal, Stelios Christofides, Radiotherapy, medical radiation physics, Bangladesh University of Engineering and Technology, International Organization, BUET, procedural errors, International Scientific Exchange Program, Education and Training Committee, Administrative Council, Medical Physics Education, Central and Eastern Europe, EMERALD Consortium, proposals, AC, ICSU Secretariat, Consortium of Universities, training schemes, Slovak Republic, EMERALD Training Scheme, EMERALD Network, Medical Equipment Evaluation, International, Congress Coordinating Committee, virtual meeting, German Biomedical Engineering Society, Professor Nooruddin Ahmed, Biomedical Engineering, European Union, M. Saiful Huq, The Union, ICSU, ICSU Liaison Committee, Evidence Based Health Technology, European Consortium, Korea, endorsement, ICSU family, IUPESM Congress Coordinating Committee, International Scientific Exchange Programs, final proposal, S. Tabakov, AAPM International Scientific Exchange Programs, Organizing Committee, Radiation Oncology Grant Medical Center Columbus, OH, Marilyn Stovall, Fax, IOMP Libraries Program, IOMP Finance Committee, United Nations, IRPS, Publication Committee, Ph.D., Equipment Exchange Program, International Labour Organization, Radiation Oncology, PRC, Pan American Health Organization, World Health Organization, IOMP Professional Relations Committee, IOMP Libraries Marilyn Stovall, Associate Editor Radiation Oncology Department Providence Cancer Institute, Task Group, Department of Radiation Medicine, medical physicists, Czech Technical University in Prague, International Seminar, European Medical Radiation Learning Development, engineering science, IOMP Education and Training Committee, EMERALD Professional training, special project, Czech Republic, Training scheme, corporate members, computer-based learning, cancer death rate, Radiation Oncologists, official publications, independent web, dose distribution, Financial Committee, Radiation Therapy Centres and Schools of Radiography IRPS, death rate, Delta Medical Centre Ltd
Volume 17, Number 1
MEDICAL PHYSICS WORLD
Bulletin of the International Organization for Medical Physics IOMP Home Page Address: http://www.iomp.org
71 Adhering National Organizations 2000 Algeria · Argentina · Australia · Austria · Bangladesh · Belgium · Brazil · Bulgaria · Canada · Chile · Colombia · Cuba · Cyprus · Denmark · Ecuador · Egypt · Estonia · Finland · France · Georgia · Germany · Ghana · Greece · Hong Kong · Hungary · India · Indonesia · Iran · Ireland · Israel · Italy · Japan · Jordan · Korea · Lithuania · Malaysia · Mexico · Moldova · Morocco · Nepal · Netherlands · New Zealand · Nigeria · Norway · Pakistan · Panama · People's Republic of China · Philippines · Poland · Portugal · Republic of China · Romania · Russia · Singapore ·Slovenia · South Africa
· Spain · Sri Lanka · Sudan · Sweden · Switzerland · Tanzania · Thailand · Trinidad & Tobago · Turkey · Ukraine · United Kingdom · United States of America · Venezuela · Zambia · Zimbabwe
As you may know, at the WC 2000 in Chicago the International Union for Physical and Engineering Sciences in Medicine (IUPESM) General Assembly voted on site selection for WC 2006 in favor of Lausanne for the Azam Niroomand-Rad, Ph.D. European consortium (Swiss+UK+Germany). However, this decision was appealed by Korea on the basis of procedural errors, namely the IUPESM Congress Coordinating Committee
(CCC) violated its own procedures during the solicitation of bids and during the selection process. Therefore, the IUPESM Administrative Council (AC) was obligated to act on the appeal. After an extensive debate and an examination of facts, in the July 28 meeting, the AC voted that the Korean appeal had sufficient merit to warrant a re-vote. The AC decision was later challenged by Dr. Robert Neilson, General Secretary of the Institute of Physics and Engineering in Medicine questioning the validity of the AC proceedings during the July 28 meeting of AC in Chicago. Due to the sensitivity of the issue and the ambiguity of the statutes, at the end of March 31, the AC made two important decisions as outlined below: · The first decision was to rescind ALL motions and votes taken during the AC meeting on July 28 and re-deliberate all issues in a virtual meeting of the AC. · The second decision was that, in the event the AC was to recommend a re-vote of the 2006 World Congress site selection, there would first be a request to the General Assembly to approve the Council's recommendation before a re-vote is taken. The approval of the appeal by Korea in the virtual meeting of the AC was based on a number of factors. Following is taken from a report submitted by Dov Jeron, Chair of IUPESM CCC: The most important included procedural errors caused by: · repeated changes to deadlines that were made by the Congress Coordinating Committee (CCC); · the failure to consult the Administrative Council for approval of these changes; · errors in handling conflicting proposals; · the acceptance by the CCC on May 31 of a preliminary proposal from Switzerland which lacked endorsement from one of the 3 countries listed in the proposal;
· the receipt of the final complete proposal from Switzerland -- having official endorsement from all 3 consortium members -- very late in the process; and · the lack of critical review of this proposal. A summary of the sequence of events, highlighting the errors and the irregularities in the procedure of the Congress Coordinating Committee follows. · January 1, 2000, letters of intent from prospective hosts due. (This deadline was later extended by the CCC to February 7). Letters of intent were received by the extended deadline from Germany, Hong Kong, Israel, Korea, Switzerland and the United Kingdom. All letters proposed to host the 2006 World Congress as single countries. · February 11, 2000, Switzerland requested approval to submit a proposal which would include neighboring countries. No mention was made at that time as to which neighboring countries were to be included. A new extension of the deadline was made to accommodate this proposal. · March, 2000, based on the letters of intent which were received in February, the CCC invited Germany, Hong Kong, Israel, Korea, Switzerland and the United Kingdom to submit preliminary proposals by May 31, 2000 for review by the CCC (precise date of invitation unclear due to CCC chairman's hard disk crash). The purpose of reviewing preliminary proposals by the CCC is to request an explanation of any unclear issues and ask for revisions of unacceptable details in the proposal. · May 31, 2000, preliminary proposals received from Germany, Hong Kong, Korea and Switzerland. - The preliminary proposal from Germany was to host the 2006 in Nuremberg as a single country under the auspices of the German Biomedical Engineering and Medical Physics societies. - The preliminary proposal from Switzerland listed Switzerland, Germany and the UK as host organizations. This bid was submitted on the same date that Germany submitted a preliminary proposal to host the Congress as a single country. However, on the day of its submission, the Swiss proposal did not have approval from the German societies to be included in the joint proposal. - The preliminary proposal from Switzerland was to have the World Congress held in LausanneTABLE OF CONTENTS
Vice-President's Report ................................................... 1 Intl. Medical Physics for the 21st Century ...................... 2 Officers & Council Of IOMP 2000 ................................. 6 Treasurer's Report ........................................................... 6 Report of the IOMP Professional Relations Com. ........... 6 Status AAPM/IOMP LibrariesApril2, 2001 .................. 8 Donation of Used EquipmentPRC Report for January-June 2001 .................................................... 8 International Scientific Exchange Programs Saudi Arabia ............................................................. 8 International Scientific Exchange ProgramsZambia ..... 8 Education & Training Com. Report ................................ 8 Intl. Seminar and Workshops on Medical Physics Training with EMERALD ...................................... 10 Medical Physics Seminar/Workshop in Dhaka Report .. 10 Intl. Conference on Radiation and its Role in Diagnosis and Treatment ........................................ 14 Publication Committee Report ...................................... 14 Interactive Radiotherapy Planning for Students ............ 14 Annual Report for 2000 of the International Union of Physical and Engineering Sciences in Medicine ..... 14 Some Radiation is Necessary For Good Health ............ 16 Intl. Organization for Medical Physics Corporate Affiliates ................................................ 16 Report of AAPM / IOMP: International Scientific Exchange Program ................................................. 18 Calendar Of Events ....................................................... 19 but had no clear role for the other European partners. In addition, the proposal body included the following statement: "... Pre- and post-meetings planned in United Kingdom and Germany." - The preliminary proposal from Switzerland was, in addition, accompanied by the following note: "... as an attachment you find the document of the joint bid of Switzerland, United Kingdom, and Germany. On June 13, there will be a meeting in Frankfurt, organized by EFOMP (Prof. Nuesslin) to find hopefully a solution for a single bid from Europe..." - The CCC did not request additional information or receive clarification regarding the conflict between the proposal from Germany and the Swiss proposal. The German proposal was never officially withdrawn from consideration. · June 1, 2000, Preliminary proposal received from Hong Kong · June 7, 2000, Preliminary proposal received from Israel (Delay approved by the CCC) · June 13, 2000, the first meeting of the European consortium committee was held to negotiate an agreement between the consortium mem- (Continued on page 18)
MPW Vol. 17 (1), June, 2001
International Medical Physics for the 21st Century
Gary D. Fullerton, PhD, Secretary General IOMP
Abstract Medical physics as a recognizable specialty has existed since the middle of the 20th century. At that time several of the national medical physics societies in North America and Europe evolved from the medical specialties that had originally sought their assistance. Soon after this there was an effort to draw together medical physics specialists from across the world to more effectively and efficiently initiate the process of integrating radiation therapy and diagnostic imaging devices from physics into medicine. The initial meeting involved representatives from only a handful of countries primarily from Europe and North America. Those few formed the International Organization of Medical Physics in 1963 with the intent of extending the benefits of medical physics to others countries as rapidly as possible. At the beginning of the 21st century the IOMP now has more than 70 member nations, corporate members, allied international organizations
and membership in the International Council for Science to assist in achieving the original goals of incorporation. The newest among the regional chapters are the chapters from Asia and South East Asia
. This talk will discuss the programs of IOMP in the areas of science, professional relations, education and training with the intent of making these programs and international assistance more available in the region.
Introduction The history of medical physics is quite short relative to that of most recog- nized academic and professional specialties. The rapid growth of the specialty in the USA and other parts of the world in the latter half of the 20th century was explosive. The American Association of Physicists in Medicine (AAPM) was formed in 1958 with less than 100 members and now has more than 4600. This is one of the fastest growing components of the American Institute of Physics. The International Organization of Medical Physics (IOMP) formed in the late 50s and early 60s through the cooperation of medical physicists from the UK, Sweden, Canada and the USA that resulted in the official organization of IOMP starting on January 1, 1963. In the last half of the 20th century more than 66 additional national members joined the original 4 nations to give greater than 70 national members. The IOMP now represents 16,000 medical physicists on all continents of the globe with the exception of Antarctica. The purpose of this talk is to review this rapid growth to identify the factors that have caused it, identify the role of international cooperation in continuing development and identify those programs that can more rapidly lead to improved applications of physics in medicine. Foundations of Medical
The study of medicine and physics
were intertwined through much of the
past 500 years but it was only with the
discovery of radiation that this relation-
ship became irreversibly linked to sup-
port the profession of medical physics.
The most important physics discovery
in support of medical physics occurred
in November 1895 in Wurzburg, Ger-
many. As shown in Figure 1 this dis-
covery occurred in a very typical uni-
versity physics laboratory where
Wilhelm Roentgen was studying
Crookes rays and inadvertently
stumbled on an unknown radiation or
X-rays. He quickly noted that X-rays
Figure 1. In November 1895 Professor Wilhelm Roentgen was conducting experiments in this laboratory with a Crooke's tube supplied by the Siemens Company when he observed scintillations of a phosphor at some distance from the tube. He correctly attributed these scintillations to an as yet unidentified radiation, which he referred to as unknown or x-radiation.
had potential for application to medicine by producing images such as the one shown in Figure 2. Physicists around the world were soon involved in patient examination for both fun and
patient benefit (eventually). The spe-
cialty of medical physics was born
though it would be many decades be-
fore such specialists organized them-
selves to represent their new field.
The discovery of natural radioactiv-
ity by Marie and Pierre Curie in 1896
provided the second pillar of support
for medical physics but this was only
the beginning. A continuing series of
discoveries and devices transferred ra-
diation from the physics laboratory to
the hospital to create specialties such
as radiology, nuclear medicine and ra-
diation oncology. A device of contem-
porary interest is the cyclotron particle
accelerator shown in Figure 3 that is
Figure 2. The famous radiograph from Roentgen's laboratory in 1895 made it's way quickly around the world and by 1896 many physicists were working with medical colleagues to diagnosis the character of broken bones as is shown here in the physics laboratory at Dartmouth College in the USA. The profession of medical physics was born though it would be nearly a half-century before such specialists identified themselves and formed medical physics societies to enhance and enable their work in medicine.
just now entering hospitals as an onsite source of positron emitters for PET imaging. These are examples of the many radiation physics inventions and discoveries that are transforming the (Continued on page 4)
MPW Vol. 17 (1), June, 2001
International Medical Physics (Continued from page 2) practice of medicine. Physicists accompanied these devices and procedures to provide expert consultation on the physical properties and behavior of the instruments in clinical practice
. The most well known of recent applications are nuclear magnetic resonance (NMR), magnetic resonance imaging (MRI), position emission tomography (PET), ultrasound imaging (US), linear accelerators (LINACs) for radiation oncology and ultrasound lithotripsy (USL) among many others. Safe and effective use requires well-educated physics specialists with medical education to develop and maintain the system use in clinical practice. The point of this brief review is to note that the physics to medicine transfer rate is increasing. Simultaneously clinical medicine is becoming more elevated and homoge-
Figure 3. In this photograph from the laboratory of E. O. Lawrence in 1933 we see the first cyclotron that is the direct progenitor of all medical cyclotrons now in hospitals to produce positron emitters for positron emission tomography (PET) imaging.
neous around the world. There is need for international cooperation to assure medical physics support is sufficient to assure successful implementation in all countries. This is the goal of the International Organization of Medical Physics.
The International Organization of Medical Physics (IOMP) The goal of the IOMP is spelled out in the opening section of the Statutes: 1. The objectives of the International Organization for Medical Physics are:
(a) To organize international cooperation in medical physics and to promote communication between the various branches of medical physics and allied subjects.
(b) To contribute to the advancement of medical physics in all its aspects. (c) To advise on the formation of national organizations of medical physics in those countries which lack such organizations, and also the possible formation of national committees in those countries where there is more than one medical physics organization.
To achieve these goals the IOMP uses a wide variety of tools and organizations. The most important of these are the triennial World Congress on Medical Physics and Biomedical Engineering and the publications Medical Physics World and Electronic Medical Physics World. More recently IOMP has added an Awards Committee, Publications Committee, Science Committee, Education and Training Committee and a Professional Relations Committee. Each of these Committees has a budget to support and sponsor regional conferences and meeting such as the meeting in Kuala Lumpur.
The IOMP also initiated a program at Chicago2000 to promote regional collaboration on medical
physics meetings and projects. IOMP is promoting this cooperation by forming the International
Advisory Council with representatives from all regional chapters of the association as well as repre-
sentatives of international organizations with similar interests such as the International Atomic En-
ergy Agency, World Health Organization
, Pan American Health Organization and United Nations.
The purpose of this council is to promote improved distribution of educational resources and im-
proved scheduling of events.
(Continued on page 17)
Officers and Council of IOMP 2000 President Oskar Chomicki, M.Sc. ul. Lowicka 21a m.2 02-502 Warszawa, Poland Tel/Fax: 4822-8452048 e-mail: [email protected]
Vice-President Azam Niroomand-Rad, Ph.D. Department of Radiation Medicine, L. L. Bles Building 3800 Reservoir Road, N.W. Washington D.C.
,20007, USA Tel: (202) 784-3320 Fax: (202) 784-3323 Email: [email protected]
Secretary General Gary D. Fullerton, Ph.D. UT Health Science Center Radiology Department 7703 Floyd Curl Dr. San Antonio, Texas 78229-3900, U.S.A. Tel: 210-567-5550 Fax: 210-567-5549 Email: [email protected]
Treasurer Nisakorn Manatrakul, M.Sc. Div. of Radiation and medical devices
Dept. of Medical Sciences, Ministry of Public Health Nonthaburi 11000, Thailand Tel: (662)951 1027 Fax: (662) 951 1028 Email: [email protected]
Curator of IOMP Libraries Marilyn Stovall, Ph.D. UT M. D. Anderson Cancer Center Radiation Physics Department, Box 544 1515 Holcombe Boulevard. Houston, TX 77030-4095, U.S.A. Tel: (713) 792-3240, Fax: (713) 794-1371 e-mail: [email protected]
Professional Relations Committee Chair Stelios Christofides, Ph.D. Dept. of Medical Physics Nicosia General Hospital 1450 NicosiaCyprus Tel: 357-2-801771 Fax: 357-2-801773 e-mail: [email protected]
Education and Training Committee, Chair Slavik Tabakov, Ph.D. Dept. Medical Engineering and Physics King's College London - GKTSM London SE5 9RS, UK Tel.& Fax +44 (0)207 346 3536 Email: [email protected]
Editorial Board E. Ishmael Parsai, Ph.D., Editor Department of Radiation Oncology Medical College of Ohio 3000 Arlington Avenue Toledo, Ohio 43614-2598, U.S.A. Tel: (419) 383-4541 Fax: (419) 383-3040 Email: [email protected]
Vrinda Narayana, Ph.D., Associate Editor Radiation Oncology Department Providence Cancer Institute 22301 Foster Winter Drive, 1st Floor Southfield, MI 48075, U.S.A. Tel: (248) 483-8622 Fax: (248) 483-8448 Email: [email protected]
Carter B. Schroy, Ph.D., Calendar of Events Associate Editor Department of Radiation Oncology Grant Medical Center Columbus, OH 43215-1898, U.S.A. Tel: (614) 566-9508 Fax: (614) 566-8224 e-mail: [email protected]
IOMP corespondance should be addressed to Oskar Chomicki and Gary Fullerton. Advertizing requests should be addressed to Drs. Ishmael Parsai and Narayana. Event information should be addressed to Dr. Carter Schroy. MPW Vol. 17 (1), June, 2001
Report of the IOMP Professional Relations Committee (Term 2000-2003)
INTRODUCTION The charge of the IOMP Professional Relations Committee (PRC) is to improve medical physics worldwide by providing systematized knowledge concerning clinical training, standards of practice, personnel resources and physical resources necessary to provide quality services in areas of clinical medical physics. The committee promotes research and documentation to determine the nature and principles of professional conduct necessary to assure quality patient care and put such information in a useful form for all countries, especially developing countries
. PRC MEMBERS The membership of PRC consists primarily of regional representatives as follows : Dr. Stelios Christofides, Chairperson of PRC (Middle East), Ms Mariana de Cabrejas (South& Central America), Dr. Kwan-Hoong Ng (South East Asia & Far East), Dr. Abdus S. Mollah (Indian Subcontinent & Surrounding countries), Dr. Marta Radwanska (Eastern Europe), Dr Habib Zaidi (Northern Africa), Dr. Wynand Strydom (Central & Southern Africa), Dr. John Coles (Australasia), Dr. Raymond Wu (North America), Dr. David Thwaites (European Union
Countries), Mr. Mohammed Zaidi (Communications and Equipment Exchange Program), Dr. Marilyn Stovall (IOMP Libraries Program). Currently, the post of Vice Chairperson/Secretary and the Post of the Twinning Program are vacant. current activities
The following briefly describe the current activities of the PRC : 1. Communications and Equipment Exchange Program. This is the most active of the PRC's programs thanks to the efforts of Mr Mohammed Zaidi. An account of the activities of this program is given separately in this issue. 2. IOMP Libraries Program. Dr. Marilyn Stovall has also been very active pursuing this important program. An account of the status of this program is reported separately in this issue. 3. Twinning Program. The purpose of the establishment of this program was to bring in touch medical physicists from developing countries with their colleagues from developed countries in order to assist them with the day-to-day problems, give advice on certain issues, etc. The program has not made any progress so far due to the vacancy of this Position. There is a definite need for this type of collaboration and special efforts are made to identify people who will be willing to get the program started again. 4. Medical Physicist Classification Task Group. The issue to persuade the International Labour Organization
to include the profession of the Medical Physicist in its classification of job descriptions is a long-standing issue of the IOMP. For this reason it was felt necessary to establish under the PRC a special Task Group to continue these efforts. The Task Group consists of Dr. Peter Inia (Chairperson), Dr. Colin Orton, Dr. Pedro Andreo, Dr. Cari Borras, Dr. Carlos de Almeida, Dr. Kwan-Hoong Ng, Dr. Wynand Strydom, Gary Fullerton and Dr. Stelios Christofides. 5. Task Group on Patient Safety. After a publication in an AAPM newsletter which mentioned that more than 50.000 patients die in the USA every year due to mistakes by Medical and paramedical professionals, the President of IOMP has requested that a task group be formed under the PRC to investigate the problem and to recommend ways to minimize these errors from the Medical Physicist point of view. The Task Group consists of Dr. Stelios Christofides, Ms Mariana de Cabrejas and Dr. Louis Wagner. 6. Other Activities. At the last meeting of the PRC, which was held in Chicago in July 2000, the problem faced by affiliated associations from developing countries in setting up their own Accreditation Body was identified. The PRC is currently investigating ways, which may assists in solving this problem. A physician from Pakistan was sponsored to attend an International Union Against Cancer (UICC) training in the USA for three months. The training
includes research techniques, advance expertise in clinical management as well as diagnostic and therapeutic skills. Furthermore, the PRC was asked recently by the IOMP Executive Board to review the Bylaws that govern the waiving of IOMP fees, where applicable, for affiliated associations from developing countries CONCLUSIONS The progress of the PRC activities is slow due to the distance and time difference that separates its members. Communication and information exchange between the PRC members, although done exclusively through email, is rather slow. A slow, but positive progress is made in all of the above-mentioned activities. By the next issue of the MPW, I will be in a position to give a more detail report on the above activities. Stelios Christofides, Ph.D., IOMP PRC Chairperson Head, Medical Physics Department Nicosia General Hospital, 1450 Nicosia - Cyprus Treasurer's Report The request for Annual Subscriptions went out to 72 National members in December 2000. As of 23 March 2001, 16 of 72 countries have renewed their subscriptions which amounts to US$ 16653.50. We hope to receive additional subscriptions from other national members soon. The solicitation letters were also sent out to 97 Corporate members (or potential members) in January 2001 and to date, we have received only 3 company renewals. Thanks for BICRON, CAPINTEC, INC. and LANDAUER, INC.'s support. Since there are so few responses, we will have to make a substantial effort to raise funding for IOMP. The IOMP Finance Committee has been assigned the duty of rebuilding the character of our relationship to Corporate Members. The IOMP Finance Committee is planning to create a program that would be more productive for Corporate Members in the future. A brief description of Corporate Membership Benefits Include: Present: 1. First the Corporate Members are listed on the IOMP web-site http:// www.iomp.org . Please look at the Corporate Members page. This listing provides a link to an IOMP maintained list as well as a direct link to each company's web-site. 2. There is a discount on ads published in MPW and Corporate members are listed in MPW. 3. Both mechanisms give access to the approximately 16,000 medical physics members of IOMP. 4. The IOMP provides the Corporate Members and delegates with regular email updates on IOMP sponsored and endorsed events to make it possible to determine the best international meetings at which to show materials or arrange for the participation of a foreign representative. (See list of events on the web page.) Future: 1. We are presently negotiating permission to provide the 6000 names and addresses for the World Congress on mailing labels to IOMP Corporate members. 2. IOMP is working on increasing the significance of regional meetings in Asia, Latin America
and Europe using co-sponsorship of the IOMP Regional Chapters. 3. IOMP is planning to form a Corporate Council to work on the problems of assuring that the latest and best medical physics equipment is available to all our members in more than 70 countries. The support system for Corporate Members needs more work and the Finance Committee is doing the planning as we speak. Let us know if you have any suggestion for improving the program and making it more responsive to Corporate member needs. Nisakorn Manatrkul, M.Sc. Treasurer IOMP
MPW Vol. 17 (1), June, 2001
Status AAPM/IOMP Libraries April 2, 2001
We currently have 86 active libraries in 51 countries. Since last quarter, one donation has been completed and 2 are in progress. Another donation has been matched to the appropriate library and we are awaiting confirmation of shipment.
Our contact at IOPP is Julia Tancock, who coordinates donations of books to new and existing libraries; all new libraries receive at least five books from IOPP. Kathy Burroughs at AAPM coordinates the donations of Medical Physics journal subscriptions. We sent her current addresses for the 31 libraries to whom AAPM members donated their 2001 subscriptions to Medical Physics. The Society for Radiological Protection has mailed the first quarterly publication for 2001, The Journal of Radiological Protection, to all active libraries.
We are enhancing the libraries' access to information by means of the Internet and CD-ROMs. In December, we sent seasons greetings accompanied by 3 CDs to all active libraries. Two CDs contained information from the ASTRO 2000 meeting in Boston, MA. Another CD contained the complete text of Medical Physics since 1996, in addition to abstracts for the years 1975-96. The CDs were donated by the American Society for Therapeutic Radiology & Oncology and The American Association of Physicists in Medicine.
Twenty-two libraries have returned the update questionnaire sent in October 2000. A follow-up to the non-responding libraries will be sent soon.
Anyone wishing to donate materials or establish a library is asked to con-
tact the curator.
Marilyn Stovall, Ph.D.
M.D. Anderson Cancer Center; Houston, TX 77030 USA
Email: [email protected]
International Scientific Exchange Programs The Physics of Radiation Therapy King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
December 29, 2001 January 03, 2002
Sponsoring Organizations American Association of Physicists in Medicine International Organization of Medical Physics Corporate Sponsors ($1,000 and up) Supporters ($500 - $999) Contributors ($100 - $499) Donors (< $100) Contributions should be made payable to AAPM International Scientific Exchange Programs and be send to: Mr. Sal Trofi, Executive Director AAPM Headquarters Office; One Physics Ellipse College Park, MD 20740-3846 USA Corporate Sponsors, Supporters, Contributors and Donors will be acknowledged in publications of AAPM and IOMP.
For more information contact: Azam Niroomand-Rad, Ph.D. Georgetown Univ. Medical Center Department of Radiation Medicine L.L. Bles Building 3800 Reservoir Road, N.W. Washington D.C. 20007 USA Tel: 202 - 784 - 3320 Fax: 202 - 784 - 3323 Email: [email protected]
Muthana Al-Ghazi, Ph.D. Department of Radiation Oncology University of California, Irvine 101 The City Drive South Orange, CA 92868 USA Tel: 714 456 - 8074 Fax: 714 456 - 7170 Email: [email protected]
International Scientific Exchange Programs A Course in The Physics of Radiation Therapy
The Ministry of Health and National Institute for Science and Research of Zambia and The Radiological Society of Zambia · March 11-15, 2002
For more information contact:
American Association of Physicists in Medicine Internat0ional Organization of Medical Physics Corporate Sponsors ($1,000 and up) Supporters ($500 - $999) Contributors ($100 - $499) Donors (< $100) Contributions should be made payable to AAPM International Scientific Exchange Programs and be send to: Mr. Sal Trofi, Executive Director AAPM Headquarters Office One Physics Ellipse College Park, MD 20740-3846 USA Corporate Sponsors, Supporters, Contributors and Donors will be acknowledged in publications of AAPM and IOMP.
Azam Niroomand-Rad, Ph.D. Georgetown Univ. Medical Center Department of Radiation Medicine L.L. Bles Building 3800 Reservoir Road, N.W. Washington, D.C.
20007 USA Tel: 202-784-3320 Fax: 202-784-3323 Email: [email protected]
E. Ishmael Parsai, Ph.D. Department of Radiation Oncology Medical College of Ohio; 3000 Arlington Avenue Toledo, Ohio 43615 USA Tel: 419-383-4541 Fax: 419-383-3040 Email: [email protected]
Donation of Used Equipment PRC Report for January-June 2001 A Siemen's Mevatron is being shipped in May-June time frame to Jawahar Lal Nehru Cancer Hospital and Research Center, Bhopal, India. The no objection certificate has been obtained and the local Siemens' has agreed to install and service the machine. Theratronic Theraplan 300 Treatment planning system very kindly donated by Radiological Associates of Sacramento (Mercy San Juan Radiation Oncology Center, Carmichael, California) reached Jawahar Lal Nehru Cancer Hospital and Research Center, Bhopal, India. A used block cutter donated by Huestis Corporation has reached Pakistan. It is being donated to University of Peshawar, Institute of Radiotherapy and Nuclear Medicine (IRNUM), University Campus, Peshawar, Pakistan. Plans are being developed to ship a Co-60 machine to Syria or Egypt. Two Victoreen r-meters 70 and 570, donated by Kenneth J. Kopecky, MS, DABR from Edison, NJ were given to Idaho State University for their health physics laboratory. Equipment available: Two Mevatron, Co-60 machine (2 Theratronic and a Picker C-9), Victoreen r-meters (3). Equipment needed: Block cutter, Film dosimeter, radiation field analyzer, rectal monitor, cav- ity chamber, TLD readers, ultrasound system with sectorial transducer, surgical aspiration system, gastroscope, cardiotocograph and micro-analyzer for blood, urine and biochemistry analysis. Joint-venture proposal from India: "We need support from IOMP to develop a Radiation oncology center in India, even if there is any institution or individual who would be interested to donate equipment we can tie up with such institution/ individual and give them their name eg Indo-US joint venture." They need a used cobalt 60, mammography unit and a gamma camera. For information contact Mohammed K. Zaid. The equipment available is in good working condition. The recipient has to pay for shipping and handling only. If you want to donate used equipment to IOMP or want some equipment donated to your organization, please contact me at 208-526-2132, Fax 208-526-2548 or e.mail [email protected]
Report from the Education and Training Committee (ETC) There were several important events supported by the Education and Training Committee between the period September 2000 - March 2001. The first activity - an International Seminar and Workshops on Medical Physics Training in Prague, Czech Rep. is discussed in more detail elsewhere in this MPW issue. Further, three other activities were approved for IOMP co-sponsoring. These are: Seminar on Medical Physics Training and Education, satellite to the 1st Euro-Asian Congress "Medical Physics 2001" in Moscow, Russia; Medical Physics Workshop "Continuous Quality Improvement in Medical Imaging and Radiation Therapy" in Kuala Lumpur, Malaysia; European Short Course "Quality Assurance in Contemporary Imaging and Radiotherapy" satellite to the European Congress on Medical Physics and Engineering, Belfast, Ireland, UK. Three other activities were approved by ETC as IOMP endorsed activities - in Tehran and Sofia (reported in the previous MPW) and in Lisbon, Portugal, November 2000. The last activity - a Conference on Medical Radiation Physics and Engineering, developed as an important meeting for the region, covering both education/training and scientific issues. ETC has also agreed on its future plans for work and development, including an extension of the ETC Web space. Further to the list of new members of ETC (published in the previous MPW), Amparo Marles, PhD was approved as Secretary of the Committee. Last but not least, ETC would like to encourage all colleagues running Medical Physics courses to submit these for the enclosure to Global Directory of Graduate Education Programs. Slavik Tabakov, PhD Chairman ETC MPW Vol. 17 (1), June, 2001
International Seminar and Workshops on Medical Physics Training with EMERALD
Professional training in Medical Physics is of extreme importance for contemporary healthcare. Normally the training begins immediately after the graduation (MSc) and extends from 6 to 24 months (depending on the country and subject). However just a few training schemes exist and their development and introduction is of variable quality. Aiming to harmonize these initiatives, a special project has been developed by a Consortium of Universities and Hospitals from the UK, Sweden, Italy and Portugal. The name of the project (supported by the EC Leonardo program) is EMERALD - an acronym of European Medical Radiation learning development
. From 1996 to 1998 the project has developed three structured Training Modules in medical radiation physics (X-ray Diagnostic Radiology, Nuclear Medicine, Radiotherapy). The EMERALD modules have been now acquired by trainers and academics in more than 35 countries. In an attempt to further disseminate these training results in Central and Eastern Europe
, the EMERALD Consortium organized a special Seminar in Prague (Czech Republic
) from 2 to 5 September 2000. This activity was co-sponsored by the IOMP (through the Education and Training Committee). The event was attended by invited specialists and senior representatives from Bulgaria, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Russian Federation, Slovak Republic, Ukraine. Host of the Seminar was the Czech Technical University in Prague, and the Organizing Committee included F. Milano (Florence Univ.), L. Musilek (Czech Technical Univ.), S. Tabakov (King's College London). The first part of the Seminar was aimed towards the assessment of the status and needs of Medical Physics Education and Training in Central and Eastern Europe. Each country presented a report on the subject, followed by discussions. The President of the European Federation of Organizations for Medical Physics (EFOMP) Dr Inger-Lena Lamm and the Chairman of the Education and Training Committee of IOMP Dr Slavik Tabakov presented to the delegates the requirements and standards for Medical Physics training. Prof. Colin Roberts presented the UK experience with the IPEM Training scheme. All these reports will soon be available as electronic publications. The second part of the Seminar focused on the EMERALD training scheme and its use. Each EMERALD Training Module encompasses the physics
(and elements of engineering) of the topic and consists of a Workbook with tasks, leading to certain competencies (correlated with the IPEM Training scheme) and a CD-ROM image database (IDB). There are various types of tasks in the Workbooks. These include understanding the basic characteristics and parameters of equipment; using existing regulations, protocols and software; using various types of measuring equipment; dosimetry in medical radiation physics; performing measurements, collecting results and calculating parameters; assessment (QC) of various types of equipment, etc. The three volumes of training materials and the Course Guide (for the training supervisor) runs to 700 pages. The IDB includes some 1400 images of radiological equipment and its components; block diagrams and performance parameters, graphs, waveforms; QA procedures and measuring equipment: test objects and image quality examples as well as typical images and artifacts, etc. The EMERALD Training Scheme is aimed at young graduates entering the field and each module is structured to cover 4 months with the expectation that this core training will be supplemented at each location in which it is used to suit local needs. The last part of the EMERALD Seminar included 3 parallel Workshops (each repeated 3 times). The aim of the workshop was to discuss in detail each of the three Training Modules (X-ray Diagnostic Radiology, Nuclear Medicine, Radiotherapy). A full set of Training materials were prepared for each delegate, in order to help further dissemination and development of the Medical Physics training in Central and Eastern Europe. The Seminar concluded with a discussion, which revealed the importance and necessity of the event. Special gratitude was expressed to the EMERALD Consortium and IOMP Education and Training Committee. The delegates signed a Declaration of Intend and formed a large hub in the EMERALD Network. A full list of this Network is available at the EMERALD Web-site, www.emerald2.net . The site also includes an Open Discussion Forum, which together with the Network, will help the development of Medical Physics Education and Training. Slavik Tabakov, Ladislav Musilek, Franco Milano
A Report on Medical Physics Seminar/Workshop in Dhaka, 5-10 December 1999
The task group of DGMP "Medical Physics in Developing Countries" has held a one-week Seminar/Workshop in Dhaka on Medical Physics together with the physics department of the Bangladesh University of Engineering and Technology (BUET) in the years 1996, 1997 and 1998. As a result of these seminars and of the exchange of experiences with the German colleagues, and especially because of the efforts of the Bangladeshi colleagues the Bangladesh Medical Physics Association (BMPA) could be founded in July 1998 (President: Prof. Gias-uddin Ahmad). BMPA with its 40 foundation members (now about 60) has now become a member of the IOMP. The BMPA will be the basis of the further development of Medical Physics in Bangladesh and will make further international co-operation easier being an official partner. The Bangladeshi organizers have for the first time organized independently a Seminar/ Workshop in Dhaka titled Medical Physics in Radiotherapy and Nuclear Medicine from 05.12. to 10.12.1999. Supported by UNESCO, the seminar had an international character. This year, apart from me, also Dr. K.-H. Hoever and Prof. U. Quast of Germany had come repeatedly. For the first time Dr. Gfirtner and Mr J. Drewes joined the seminar. Participants from the USA were Ms Prof. A. Niroomand-Rad and Dr. S. Huq. From India Dr. M. M. Rehani was present. The organizers in residence were among others Dr. Ahmad, Dr. J. Poddar and Dr. S. R. Husain . The seminar was opened on December 5th at 9:30 a.m. in the conference room of BUET by Prof. Ahmad. The guest of honour, Prof. Nooruddin Ahmed,
the chancellor of BUET, stressed the necessity of international co-operation during his speech and gave his thanks to the foreign scientists. At noon the workshop started as planned. About 60 persons from all over Bangladesh had registered for the one-week workshop. Noticeable was the large number of young physicists and radiation-oncologists. One third of the participants were women. During the seminar days in Dhaka a broad spectra of medical physics knowledge was transmitted. Topics ranged from x-ray diagnosis, nuclear medicine, radiotherapy and radiation protection to special topics like vascular brachytherapy. Like last year we used the rooms for radiotherapy of the Delta Medical Centre Ltd on the work free day of the week (10.12.) for practical lessons. So we had a cobalt-therapy-machine at our service. The dosimetrical devices were used that we had brought from Germany two years ago. We practised the method of small working groups. This enabled us to practice an intensive and individual teaching of all participants. On 10th December 1999 the Seminar/Workshop was concluded with a final function. This report shows ways of co-operation between a developed and a developing country. It is not possible for DGMP or any other scientific organisation to find a solution for every problem of a developing country. But our activities in Bangladesh show that it is vital to support the intensive internal efforts of these countries by specific detailed external help for self-help. Golam Abu Zakaria, Ph.D. Gummersbach/Germany, October 2000
MPW Vol. 17 (1), June, 2001
MEDICAL PHYSICS WORLD Bulletin of the International Organization for Medical Physics 71 Adhering National Organizations 2000 Algeria · Argentina · Australia · Austria · Bangladesh · Belgium · Brazil · Bulgaria · Canada · Chile · Colombia · Cuba · Cyprus · Denmark · Ecuador · Egypt · Estonia · Finland · France · Georgia · Germany · Ghana · Greece · Hong Kong · Hungary · India · Indonesia · Iran · Ireland · Israel · Italy · Japan · Jordan · Korea · Lithuania · Malaysia · Mexico · Moldova · Morocco · Nepal · Netherlands · New Zealand · Nigeria · Norway · Pakistan · Panama · People's Republic of China · Philippines · Poland · Portugal · Republic of China · Romania · Russia · Singapore ·Slovenia · South Africa · Spain · Sri Lanka · Sudan · Sweden · Switzerland · Tanzania · Thailand · Trinidad & Tobago · Turkey · Ukraine · United Kingdom · United States of America · Venezuela · Zambia · Zimbabwe Published for IOMP Editorial Coverage - Information exchange between medical physicist worldwide, including IOMP member nations. - Reviews of medical physics national organizations and activities. - Reports and announcements of International Conference
s and courses. - Comprehensive Calendar of Events in the International medical Physics community. - Reports from IOMP Officers, Committees, etc. - Technical reports and advertisements. Circulation - Distributed to all medical physicists in the 71 IOMP member nations plus over 14 other non-member countries. - Total circulation over 16,000 copies per issue. Advertising inquiries, calendar events should be directed to Associate Editors, Vrinda Narayana, Ph.D., and Carter B. Schroy, Ph.D. respectively. News items, articles, and other MPW correspondence should be directed to the Editor at the address below: E. Ishmael Parsai, Ph.D. Editor, MPW Department of Radiation Oncology Medical College of Ohio 3000 Arlington Avenue, Toledo, Ohio 43614-2598 USA Tel: 419-383-4541 · Fax: 419-383-3040 e-mail: [email protected]
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International Conference on Radiation and its Role in
Diagnosis and Treatment (FICR 2000)
Tehran, Iran October 18-20, 2000
Iran's Shahid Beheshti University of Medical Sciences recently hosted the International Con-
ference on Radiation and its role in Diagnosis and
Treatment (FICR 2000). Over 300 delegates from 10 nations, including the United States, the Neth-
erlands, Canada, India, Japan, Korea, and sev-
eral nations from the Middle East attended the conference. The host delegates consisted of Ira-
nian scientists, students, physicians, and staff.
A large number of technical papers were pre-
sented. The talks were well balanced between
the basic science of radiation biology and the ap-
plications of radiation in medicine. This confer-
ence gave delegates from developing nations an
opportunity to learn from their colleagues in de-
veloped countries. Speakers from different na-
tions gave presentations on a wide range of top-
ics on medical physics. Of particular interest was
Myron Pollycove's discussion of the effects of
low-dose radiation exposure on the immune sys-
tem. K.P. Mishra suggested that, rather than try-
ing to kill cancer cells with radiation, we should
instead try to deliver just enough dose to trigger
the cell's own apoptosis (programmed cell death).
Many of the papers were presented in Persian
language. On the first day, simultaneous transla-
tion was provided, which was extremely helpful.
On the last two days, this was not available. It
was difficult for non-persian speakers to follow,
although most slides were presented in English.
This was the only area of difficulty encountered
during an excellent meeting.
This conference brought together scientists and
physicians from nations that have not enjoyed much scientific contact in recent years. It may
be that this personal contact will be the longest-
lasting legacy of FICR 2000. It is our hope that the brief personal and scientific contacts made at
this meeting will continue for many years since
all parties involved stand to gain much from continued communication.
For Azam (an Iranian by birth), this meeting
was a homecoming. For Andrew, this was his
first trip to Iran. He approached the visit with
some degree of trepidation. Although he was
somewhat reassured by the conference organiz-
ers, he realized that he had many preconceptions
about Iran, common among Americans and Eu-
ropeans. All his fears were allayed, for the people
we met were friendly, helpful, and generous. We
both have very fond memories of this trip.
Following the meeting, we, with some of the
participants had a technical tour of Ramsar, a city with very high radiation background . We were
quite surprised by radiation levels in excess of
10 mR/hr (0.1 mGy/hr) at one place and some areas had dose rates in excess of 1 mR/hr (0.01
mGy/hr) even at a height of one meter above the
Andrew Karam, CHP Azam Niroomand-Rad, Ph.D.
University of Rochester
Vice President, IOMP
Publication Committee Report (PC-Report)
As stated in our previous report, the Publication Committee has been formed and the first session was convened on July 23, 2000 in Chicago. Since then there have been some changes in our membership. Dr. Cameron has decided to resign from the committee because of other commitments, but has graciously agreed to remain involved with the Committee's activities for special projects. We are also happy to report that we have an additional expert consultant , Dr. John Navas. The current members include:
· Gino Fallone, Ph.D. (Chairman)
· Larry DeWerd, Ph.D. , Secretary (GOMP Editor)
· Alun Beddoe, Ph.D. (PMB Editor)
· Oskar Chomicki, PhD, ex-officio
· Enrique Gaona, M.S. (ALFIM)
· Gary Fullerton, Ph.D., ex-officio (IOMP Home Page Editor)
· Kwan-Hoong Ng, Ph.D. (EMPW Editor) · Azam Niroomand-Rad, Ph.D., ex-officio (MPW Editor)
· Stuart Meldrum, Ph.D. (PM Editor)
· Colin Orton, PhD, (MP Editor)
· E. Ishmael Parsai, Ph.D. (MPW Editor)
· David Evans, PhD, web-consultant to the Committee
· John Navas, PhD consultant to the Committee
We had considerable discussions concerning the implementation of an official IOMP web site, as well as,
the creation of an independent web site supported by a private party, which would carry information of
interest for medical physicists worldwide. It has been agreed that Dr. Gary Fullerton shall continue to
remain the official web-editor of the official IOMP web site (www.iomp.org). This web-page will remain the
focus of all electronically based promotions controlled by the Publication Committee such as Global on-line
medical physics textbook, medical physics bibliography, and other services. The actual site location for the
independent web page for medical physics will hopefully be announced in our next report. The appoint-
ment of Dr. Colin Orton as Editor of the Medical Science Series of books for the Institute of Physics
Publishing has been extended for another three years. These are official publications of the IOMP. The
Publication Committee has requested the Financial Committee to consider the possibility of distributing, for
a fee, membership list to members, publisher members and corporate members of the IOMP. Various
options are being considered. The Publication Committee continues in its charge to improve medical phys-
ics worldwide by providing appropriate publication materials for programs generated by the Organization,
and is, at the moment, concentrating its efforts on electronic-related issues.
Chair, Publication Committee
Interactive Radiotherapy Planning for Students A self-guiding computer-based learning package suitable for all Radiation Therapy Centres and Schools of Radiography IRPS is a system for teaching the craft of external beam radiotherapy planning without users requiring access to expensive clinical planning systems, or any peripherals. Part 1 teaches the fundamental principles which underlie planning techniques, and includes interactive examples to test the students' understanding. Part 2 presents patient outlines and guides users towards producing a clinically acceptable dose distribution. An assessment algorithm is included which analyses the dose distribution and determine whether or not it is acceptable. A supervisor mode allows individuals to be registered to use IRPS, and to progress at their own pace, with the supervisor able to monitor their progress (remotely, if network facilities are available). Students' scores may be viewed, printed out or recorded electronically. IRPS is suitable for all staff groups who require an in-depth understanding of computer-based radiotherapy planning including Radiation Oncologists, MTOs/dosimetrists, Radiographers, and Medical Physicists. Use of IRPS may be tailored to suit new trainees, or experienced staff who wish to hone existing skills Hardware requirements are minimal: DOS and Windows versions are available. IRPS may be installed on a standalone PC, but is ideally suited to running across a network, allowing students to work, and their progress to be monitored from any network PC. More details, and a free downloadable demo version of the software are available from the IRPS website at http://www.shef.ac.uk/training/irps Annual Report for 2000 of the International Union of Physical and Engineering Sciences in Medicine J.P.Morucci, President IUPESM Introduction: The principal objectives of IUPESM are: (a) to contribute to the advancement of physical and engineering science in medicine for the benefit and well being of humanity, (b) to organize international cooperation and promote communication among those engaged in health-care science and technology (c) to coordinate activities of mutual interest to engineering and physical scientists within the health care
field, including international and regional scientific conferences, seminars, working groups, regional support programs and scientific and technical publications; (d) to represent the professional interests and views of engineers and physical scientists in the health-care community. Membership: The founding Constituent Organizations of the IUPESM are the International Federation for Medical (Continued on page 18) MPW Vol. 17 (1), June, 2001
Some Radiation Is Necessary For Good Health
Avoidance of cancer is one aspect of a healthy life. Avoidance of death from other causes is more important. A good immune system reduces death from cancer and other causes. This article provides evidence that a moderate increase of background radiation reduces death from all causes. I suggest that the mechanism is radiation stimulation of the immune system as proposed by Feinendegen et al (1998). Radiation protection policy in most of the world is based on the assumption that the risk of a radiation induced fatal cancer is linearly proportional to the dose. This is known as the linear- no-threshold (LNT) model of radiation risk. There are no human data to support this assumption for low doses and low dose rates. This article shows that while the large doses to pioneer radiologists increased cancer deaths, the more moderate doses to later radiologists improved their health. It reduced cancer deaths and deaths from other causes. The British radiologist study, (Smith and Doll 1981) grossly contradicts the LNT assumption. If a moderate dose rate is as healthy as this article suggests, billions of dollars can be saved annually by not cleaning up low-level radioactive waste sites worldwide. In the future it may be advisable to incorporate radioactive waste into building materials to increase the background radiation of the occupants to a healthier level. That is, increased background radiation may be essential to health, much as we now add vitamins and essential minerals to our daily diet. Data from the British radiologist study are summarized in Table 1. Radiologists in the study were divided into two groups-those who joined a radiological society before 1921 and those who joined such a society after 1920. The dividing date was chosen because the British x-ray safety committee became active about 1920. British radiologists who entered the field before 1921 had a cancer death rate 26% greater than all men in England and Wales. Those who entered the field after 1920 had a cancer death rate 37% lower than that of all men in England and Wales. The X-ray safety committee was up to the task and did its job well. Despite the large occupational exposures to early radiologists, their death rate from causes other than cancer decreased, canceling out their much greater cancer death rate. There was no statistical increase in death from all causes of the early radiologists compared to the three control groups. This suggests that radiation stimulation of their immune systems canceled the increased risk of radiation induced cancer deaths. Note the statistically significant decrease in death from all causes after 1920. The probability of this health improvement being accidental is generally less than 0.001. The decrease in cancer death rates after 1920 is consistent with the decreased cancer death rates in areas of high background compared to low background areas. Data from Jagger (1998) suggest that people in the U.S. Gulf States are suffering from radiation deficiency. The cancer death rate in three U.S. Gulf States (LO, MS & AL) is 25% higher than in three U.S. mountain states (ID, CO & NM)-which have a much higher background level. A recent article on longevity of A-bomb survivors (Cologne and Preston 2000) shows that survivors, 2.8-km from the hypocenter of the A-bombs, who received a low dose, had a greater longevity than survivors closer or further away. This is consistent with the hypothesis of Feinendegen et al (1998). Others somewhat closer than 2.8 km may also have greater longevity. Unfortunately, the authors combine over 40,000 survivors within one very large dose range of 50:1-from 0.005 to 0.249 Gy. This large group shows no significant statistical difference in longevity from the controls. If this group was broken down into 8 groups of 5,000 each, I suspect that survivors with lower doses might show greater longevity than
those with higher doses. Both authors have ignored my request for a breakdown of the data. Table 1 Mortality of British Radiologists 1900 to 1980 Deaths of British radiologists were compared to three groups: A-All men in England and Wales; B-All men in social class I; C-All male medical practitioners. A total of 1338 radiologists were divided into two groups: All British physicians who joined the British Institute of Radiology or the Royal College of Radiologists "Before 1920" and "After 1921".(From Smith PG, Doll R. 1981) O/E = OBSERVED/EXPECTED
Before 1921 Deaths O/E
257 0.95* 0.97 0.88*
STATISTICAL SIGNIFICANCE: * p<0.05 ** p< 0.01 *** p< 0.001
1. Cologne JB, Preston DL Longevity of atomic-bomb survivors Lancet 356; pp 303-
2. Feinendegen, L. E. Bond, V. P.. Sondhaus ,.C. A. Can Low Level Radiation Protect Against Cancer? Physics and Society 27:pp 4 - 6 (1998)
3. Jagger, J Natural Background Radiation and Cancer Death in Rocky Mountain
and Gulf Coast States Health Physics Oct. pp 428 (1998)
4. Smith PG, Doll R. Mortality from all causes among British Radiologists
Br. J Radiol 1981; 54: pp 187-194 (1981)John R.
Prof. Emeritus, Univ of Wisconsin-Madison
Email: [email protected]
International Organization for Medical Physics CORPORATE AFFILIATES, 2001 SAINT-GOBAIN CRYSTALS & DETECTORS (Formerly Bicron) RMP.6801 Cochran Rd. Solon, OH 44139 USA Contact: Richard P. Oxford Tel: 440-542-5940 Fax: 440-349-6581 e-mail: [email protected]
Web: www.detectors.saint-gobain.com OUTSIDE NORTH AMERICA: Manfred Majewski - General Manager Saint-Gobain Crystals & Detectors GmbH, Viktoriastrasse 5 42929 Wermelskirchen, Germany Tel: (49) (0) 2196 7228 0 Fax: (49) (0) 2196 7228 24 or 25
CAPINTEC, INC. 6 Arrow Road Ramsey, NJ 07446 USA Contact: Jessica Bede Tel: 201-825-9500 Fax: 201-825-1336 e-mail: [email protected]
Web: www.capintec.com LANDAUER, INC. 2 Science Road Glenwood, IL 60425 USA Contact: R. Craig oder, Ph.D. Tel: 708-755-7000 Fax: 708-755-7011 e-mail: [email protected]
Web: www.landauerinc.com MDS NORDIONTHERATRONICS INTERNATIONAL, LTD. 413 March Road, P.O. Box 13140 Kanata, Ontario K2K 2B7 CANADA Contact: Mr. Ronald E. Dunfield Tel: +1-613-591-2100, Fax: +1-613-592-3816 e-mail: [email protected]
MPW Vol. 17 (1), June, 2001
International Medical Physics (Continued from page 4) The past three years witnessed greatly improved international cooperation on IOMP projects due to the decision to focus on electronic distribution of information and documents using e-mail and the Internet. All information concerning the IOMP is now available at the home page http://www.iomp.org . In addition to receiving information concerning the organization there are now connections to all the web pages of the national members and chapter members of the organization. It is especially of note the large amount of medical physics information available at the AAPM home page http://www.aapm.org and the home page of the European Federation of Medical Physics (EFOMP) http://www.efomp.org. In any given year the IOMP will sponsor from 8 to 12 medical physics meeting around the world. These meetings as well as reports of past meetings are listed to give all medical physicists access to improved education as well as the ability to improve the practice of the medical physics profession in their region. IOMP Membership in IUPESM and ICSU In the middle of the 1970s the IOMP began to work with the International Federation for Medical and Biological Engineering (IFMBE) to promote improvements in medical physics and bioengineering as well as open the doors to broader recognition of our fields in the world science community. The IOMP and IFMBE formed a union called the International Union for Physical and Engineering Sciences in Medicine (IUPESM) to pursue these goals. The IUPESM initiated contact with the International Council for Science (ICSU) and applied for membership. ICSU first accepted IUPESM as an Associate Union Member and finally in 1999 as a full Union Member. Medical physicist membership in ICSU is an important step forward in the recognition of
the contributions of medical physicists to world scientific achievement. The IUPESM has now formed an IUPESM ICSU Liaison Committee to promote scientific and educational interchange with the 26 Union Members and 76 National Academy
members of ICSU. More details of these relationships are available at the web addresses http://www.iupesm.org and http://www.icsu.org. International Cooperation and the Future of Medical Physics Not too long ago the President of the Royal Academy of Physicians observed that medicine would likely change more in the next 20 years than it has changed in the previous 2000 years. This observation at first glance appears excessively optimistic and expressing more than a little hyperbole. But when one considers the recently deciphered human genome and mouse genome and related genetic engineering methods, we realize that medicine is embarking on procedures using these discoveries that will accelerate progress with great leaps and bounds. There is need for all types of scientists to rapidly integrate the advancing tsunami of discoveries into the structure and implementation of improved health care systems for all nations. How can medical physics adopt to these changes? Medical physics is a necessary part of the process. At present the availability of medical physics education is unevenly distributed in the world but this is changing. It is now possible for us to share ideas, discoveries and methods with only seconds of delay. The investment necessary to implement and prove clinical effectiveness for new devices and clinical protocols is expensive in both financial and ethical terms. We must share both the benefits and the cost of improved human care. The IOMP is dedicated to achieving these ends.
MPW Vol. 17 (1), June, 2001
Annual Report 2000 (Continued from page 14) and Biological Engineering and the International Organization for Medical Physics. National Members are any countries having adherence with any of the Constituent Organizations. The number of National Members of IOMP is 70 and that of the IFMBE is 44. An overlap in membership between the Constituent Organization results in a total National Membership of 80. Vital Statistics: · 2 Constituent Organizations · 80 National Organizations · Consultative status at IAEA, PAHO and WHO · Greater than 40,300 Individual Members · Triennial World Congress on Medical Physics and Biomedical Engineering 16 regional scientific meetings and -15 educational courses organized in 2000 · 2 journals, 2 electronic newsletters and Internet web pages · 80 sponsored specialty libraries in Developing Countries Organizational Matters: Virtual meetings of the 11-member IUPESM Administrative Council are held on a quarterly basis using electronic communications to manage ongoing affairs. Minutes of these meeting are posted on the IUPESM home page http://www.iupesm.org/. The General Assembly is informed of Administrative Council actions by e-mail announcements to delegate mailing lists. The 200-member General Assembly meets presently on a triennial basis at each instance of the World Congress on Medical Physics and Biomedical Engineering. Dues and income from meetings are collected by the Secretaries General of the IUPESM, IOMP and IFMBE. At present the collective financial assets of the IUPESM and its two member organizations is in excess of $500,000. The financial assets of several of the member societies exceed these levels by one or more orders of magnitude. Projects of common interest with these national members allow the IUPESM to leverage projects significantly beyond the budgetary limits of the Union. The Secretariat of the IUPESM presently resides with the Secretariat of the IOMP in San Antonio, Texas (USA) while the Secretariat of IFMBE is in Sweden. Activities Undertaken during 2000: The main event of the year 2000 is the venue of our World Congress on Medical Physics and Biomedical Engineering, Chicago (USA) 23-28 July with more than 4600 attendants including about 900 students and 1100 exhibitors. National Conferences or Workshops with International Participation: Clinical Engineering Workshops in 2000; Helsinki (Finland) January; Santo Domingo (Dominican Republic) April; Riga (Latvia) May; Wurzburg (Germany) June; Chicago (USA) July; Vilnius (Lithuania); Panama City (Panama) October; 2nd European Symposium on Biomedical Engineering and Medical Physics, Patras (Greece): 6-8 October 2000; Workshop on Biomedical Engineering Education, Chicago (USA) 22-23 July 2000; 1st Slovenian-Croatian Meeting on Biomedical Engineering, Bled (Slovenia) 8-12 October; 1st Japanese-Korean Symposium on Medical and Biological Engineering. Osaka (Japan); 5th Portuguese Conference on Biomedical Engineering, Coimbra (Portugal) 26-27 May; 8th National Conference on Biomedical Physics and Engineering, Sofia (Bulgaria), 12-14 October; International Conference on Radiation and its role in Diagnostic and Treatment FICR 2000 Tehran (Iran) 18-20 October; Conference on Medical Radiation Physics and Engineering, Lisboa (Portugal), 20-22 November; National Medical Physics Workshop, Kuala Lumpur (Malaysia) 10-11 April. Graduate Education Programs in Medical Physics as an aid to both students and professionals are organized in 19 countries all over the world. The IOMP medical physics education programs during the year 2000 were in Algiers, Algeria (January, 2000), Bangkok, Thailand (May/June, 2000), Prague, Czech (October, 2000), Sofia, Bulgaria (October, 2000), Tehran, Iran (October. 2000), Lisbon, Portugal (November, 2000). IOMP special topic scientific meetings were held in Beijing, China on May 27-29, 2000, Latin American regional meeting "Nuevas Tйcnicas en Radioterapia", Chicago, Illinois July 17-22, 2000, and Bangalore, India, November, 2000. The Internet international listing of graduate education programs initiated in 1999 is now completed. Work continues on a Global On-line Medical Physics Textbook and an on line Encyclopedia of Biomedical Engineering. A special focus is given on building a global communications network for all the members of the Union. 18
Conclusion and future plans: The Union has established Key Programmes, which are complementary to and symbiotic with those of ICSU. They include Public and Governmental Understanding of Health Sciences; Education, Training and Continued professional development
for the 21st Century and Global Biomedical Information Networking for Developing Countries; evidence base
d Health Technology; and Medical Equipment Evaluation. IUPESM has created an ICSU Liaison Committee whose duties are to: · build on established excellent relations with the ICSU Secretariat · establish and maintain a good working knowledge of existing and proposed programmes within ICSU · determine principal and secondary interests of other Unions and bodies within ICSU and generate a spirit of collaboration · identify areas of potential future collaboration, especially global projects · stimulate and consider programme proposals within IUPESM ( IFMBE and IOMP) as candidates for grants either from ICSU itself or other international bodies, such as UNESCO, WHO, European Union, with the support (and stature) of ICSU · formulate grant proposals and recommend priorities to IUPESM Council · participate in ICSU Committees and activities · contribute "populist" articles to ICSU's journal `Science International' on various aspects of Medical Physics and Biomedical Engineering · prepare proposals and contributions to be made at the ICSU General Assemblies. IUPESM is establishing collaboration with other members of the ICSU family on these and related projects.
Vice-President's Report (Continued from page 1)
bers and to formulate a proposal for the 2006 World Congress.
This meeting was held just a little over a month before the 2000 World Congress in July. At this meeting, the 3 members of the European Consortium tentatively agreed to split the World Congress into 3 conferences to be held separately in Switzerland, Germany and the UK.
· July 5, 2000, set by the CCC as deadline for receipt of the final proposals to be
distributed to the General Assembly delegates.
· June 30, 2000, final proposal received from Korea.
· July 3, 2000, final proposal received from Hong Kong.
· July 4, 2000, final proposal (complete with all endorsements) received from the European consortium.
- The Consortium proposal now had endorsement from Germany as well. (Endorsement from German Medical Physics Society was received by the Swiss organizers on June 29, 2000 and endorsement from the German Biomedical
Engineering Society was received July 3, 2000 1 day before the final, com-
pleted proposal was submitted to the CCC.)
- Since the CCC requested no revisions to the preliminary German proposal, this proposal could have been considered as a final proposal.
- The CCC now had 2 different proposals that included the German societies: one as a single country and the other as participants in the Swiss proposal.
- While having met the revised deadline, the submission of the final Swiss pro-
posal on July 4, which for the first time had endorsement from all three participating countries, left very little time for preparation. More importantly, for all practical purposes this left no time for its review and comments by the CCC members prior to the 2000 WC.
· July 5, 2000, final proposal received from Israel
The conflict between the European consortium and the German proposals should have been resolved immediately by the CCC but unfortunately was not. Not having received endorsement from all 3 countries, the Swiss preliminary proposal should have been disallowed. Except for the Swiss proposal, all other preliminary proposals were submitted in complete form and included endorsement by all
I hope this brief write up will demonstrate the complexity of issues involved in
site selection for 2006.
Azam Niroomand-Rad, PhD
MPW Vol. 17 (1), June, 2001
Report of AAPM / IOMP: International Scientific Exchange Program On Workshop in Bangladesh · January 29 February 2, 2001
The 11th AAPM / IOMP one-week Workshop in Radiation Therapy Physics was held successfully at Bangladesh University of Engineering and Technology (BUET) in Dhaka, Bangladesh, from January 29 February 2, 2001. The Workshop was sponsored by the AAPM International Scientific Exchange Programs (ISEP) and International Organization for Medical Physics (IOMP) Education and Training Committee. The workshop was co-sponsored by the Bangladesh Medical Physics Association (BMPA), Bangladesh University of Engineering and Technology and Delta Medical Centre Ltd. The program was organized by the Department of Physics, Bangladesh University of Engineering and Technology, Dhaka, Bangladesh. The objectives of this workshop were to discuss the fundamentals of the physics of radiation therapy, to present the current status of treatment of cancer patients
using state of the art treatment technology to the clinical physicists and radiation oncologists, to intercompare calibration of photon and electron beam
s using the IAEA and the AAPM TG-51 protocols and to exchange information concerning medical physics profession in Bangladesh. Dr. Gias uddin Ahmad, Professor of Physics, BUET and President of the Bangladesh Medical Physics Association, was the Host Director and Co-Director of this program. The AAPM faculty were: Drs. Faiz M. Khan, Bhudatt R. Paliwal, Nagalingam Suntharalingam, LeRoy J. Humphries, M. Saiful Huq and Theodore Thorson. In addition, 2 faculty member
s from Germany (Dr. K-H. Hoever) and The Netherlands (Dr. P.H. van der Giessen) attended the workshop. There were 72 participants: 71 from Bangladesh and one from Nepal. The participants included medical physicists, radiation oncologists, teachers, scientists and researchers. The program began with a welcoming address by Professor Abu Hashan Bhuiyan, Head of the Physics Department, BUET and was officially inaugurated by Professor Nooruddin Ahmed, Vice-Chancellor, BUET. A total of 39 copies of the book, The Physics of Radiation Therapy, written by Dr. F. M. Khan, with author's discount, were also donated for distribution among participants and institutions which officially sent participants to the workshop. Certificates of Appreciation and Certificates of Participation were presented to the faculty and the participants. The certificates were signed by Drs. Charles W. Coffey, AAPM President, Azam Niroomand-Rad, AAPM ISEP Chair, and Vice-President of IOMP, Oskar Chomicki, President of IOMP, and Gias uddin Ahmad, President of the Bangladesh Medical Physics Association. In the closing ceremony Drs. Gias uddin Ahmad and M. Saiful Huq
highlighted the main features of the workshop and discussed the future activities of medical physics profession in Bangladesh. Dr. Huq discussed the pos-
sibility of establishing a state-of-the art cancer treatment facility in Bangladesh
and asked the local radiation oncologists and medical physicists to assume leadership in the creation of such a facility. The closing speech was delivered by Professor Nooruddin Ahmed, Vice-Chancellor, BUET. After the conclud-
ing ceremony, the faculty and the participants were taken to a sight seeing
tour of the national memorial at Savar, Dhaka. The drive through rural
Bangladesh was quite enjoyable.
Evaluation forms were distributed to the participants and were collected
upon completion of the program. Various aspects of the program including
the quality and the quantity of the lectures presented by each faculty during the workshop were evaluated. The results of the evaluation (40 respondents)
were summarized. General comments were noted by some of the respondents
at the end of the evaluation form.
The local expenses of the faculty were supported by the Host Institution and
their travel expenses were financed by funds provided by the AAPM, Medical
Physics Foundation, and vendors. Various institutions and companies came for-
ward with generous contributions to help meet the expenses for local hospitality. BUET lead the way in this gesture by making generous contribution to meet the local expenses of the faculty. Besides it provided all the physical facilities
needed to hold the workshop including full-time transport for the faculty. Prof.
Nooruddin Ahmed, Vice-Chancellor, BUET, hosted a dinner on the evening of January 29, 2001 to meet the faculty and the participants. We are grateful to
these organizations and companies for their generous support.
We would like to place on record the total commitment and effort of Dr. Gias udddin Ahmad and the members of the organizing committee-specially
Dr. Abdus Sattar Mollah, Dr. S. R. Husain, Dr. Fatema Nasreen, Prof. M.A.
Zaman and Mr. Jahangir Alam, in organizing this workshop in such a short notice. The workshop provided an excellent opportunity for interaction among
the medical physicists and also among the physicists and oncologists and to
forge an unforgettable friendship among the faculty and the participants. We
also like to thank the AAPM faculty for volunteering their time and effort in this endeavor.
Azam Noomand-Rad, Ph.D. Georgetown University
Hospital Washington D.C.
M. Saiful Huq, Ph.D. Jefferson Medical College Philadelphia
Calendar Of Events For 2001 By: Carter Schroy, Associate Editor, Calendar of events These events are taken from the Medical Physics Calendar at http://medphys.org/calendar. Items may be submitted to the editor at [email protected]
or by other methods listed on the website.
26-30 August 2001 Physics for Clinical Radiotherapy (ESTRO Teaching Course) ; Leuven, Belgium www.estro.be/estro/Frames/events.html/estro/ Frames/events.html; [email protected]
29 Aug - 2 Sep 2001 Modern Brachytherapy Techniques (ESTRO Teaching Course with Russian translation); Bratislava, Slovakia www.estro.be/estro/Frames/events.html/estro/ Frames/events.html; [email protected]
3-5 September 2001 IASTED International Conference On Visualization, Imaging, and Image Processing (VIIP 2001); Marbella, Spain www.iasted.com; [email protected]
3-7 September 2001 Summer School and Scientific Workshop on Using mathematical model
ling and computer simulation
to Improve Cancer Therapy; Propriano (Corse), France calvino.polito.it/~biomat/school.html; [email protected]
10-14 September 2001 6th European Conference on Radiation and its Effects on Components; Grenoble, France www.radecs.org; [email protected]
12-15 September 2001 European Congress of Medical Physics and Clinical Engineering ; Belfast, N Ireland www.n-i.nhs.uk/Belfast2001/index.html 15-20 September 2001 6th Biennial ESTRO Meetings on Physics and Radiation Technology for Clinical Radiotherapy www.estro.be/estro/Frames/events.html/ estro/Frames/events.html; [email protected]
23-26 September 2001 6th International Conference on Dose, Time and Fractionation in Radiation Oncology ; Madison, WI, USA [email protected]
7-11 October 2001 Evidence-Based Radiation Oncology; Principles & Methods (ESTRO Teaching Course) ; Cairo, Egypt www.estro.be/estro/Frames/events.html/ estro/Frames/events.html; [email protected]
7-11 October 2001 Basic Clinical Radiobiology (ESTRO Teaching Course) ; Tenerife, Spain www.estro.be/estro/Frames/events.html/ estro/Frames/events.html; [email protected]
21-25 October 2001 ECCO 11 / ESTRO 20 ; Lisbon, Portugal [email protected]
; www.estro.be/estro/Frames/ events.html/estro/Frames/events.html 21-25 October 2001 6th Congress of the Asian Federation for Ultrasound in Medicine and Biology (AFSUMB '01) ; Kuala Lumpur, Malaysia [email protected]
25-28 October 2001 23rd Annual Int'l Conference of the IEEE Engineering in Medicine and Biology Society ; Istanbul, Turkey www.ewh.ieee.org/ soc/embs; [email protected]
4-10 November 2001 IEEE Nuclear Science Symposium And Medical Imaging Conference; San Diego USA www.nss-mic.org; [email protected]
18-21 November 2001 DOSGEL 2001: 2nd Int'l Workshop on Radiotherapy Gel Dosimetry ; Brisbane, Australia www.dosgel.qut.edu.au/; [email protected]
25-30 November 2001 The Radiological Society of North America Annual Meeting , Chicago, USA www.rsna.org
2-5 May 2002 Society for Computer Applications in Radiology Annual Symposium ; Cleveland, USA [email protected]
; www.scar.rad.washington.edu/ 9-11 May 2002 Annual Brachytherapy Meeting of GEC/ ESTRO ; Antalya, Turkey www.estro.be/estro/Frames/events.html; [email protected]
18-24 May 2002 International Society for Magnetic Resonance in Medicine Scientific Meeting and Exhibition ; Honolulu, USA [email protected]
; www.ismrm.org 26-28 June 2002 16th Int'l EURASIP Conference BIOSIGNAL 2002 ; Brno, Czech Republic www.fee.vutbr.cz/UBMI/bs2002.html; [email protected]
14-18 July 2002 American Association of Physicists in Medicine Annual Meeting, Montreal, Canada [email protected]
MPW Vol. 17 (1), June, 2001