The mechanism for radiotherapy to treat cancer is that tumor cell have worse ability to repair after radiation damage and normal tissue have better ability for recovering. High-energy X ray produced by linear accelerator could be said as the standard modality of radiotherapy. Disease which could be treated by current photon radiotherapy can also executed by proton therapy. Because of this property, X-ray is widely used to exam different part of human body like chest, teeth or bone. (2019, 07) Multifaceted Mechanisms of Areca Nuts in Oral Carcinogenesis: the Molecular Pathology from Precancerous Condition to Malignant Transformation. International Medical Center: +886-3-3184301 (12)Research Center of Bacterial Pathogenesis, Chang Gung University, Taoyuan 33302, Taiwan. Patient came for proton therapy consultation should prepare following information including: J Digit Imaging (2020). However, radiotherapy could also be used for primary treatment to avoid operation and preserve organ function. It also reduced the pain while swallowing. Founded in 1978, CGMH has been listed among one of Taiwan's largest, most prestigious, medical and educational centers, containing nearly 4,000 beds and a total of 29 specialty centers. Cancers 2020, 12, 607. Linkou Chang Gung Memorial Hospital (CGMH) is a JCI accredited, multi-specialty hospital situated amidst the flourishing district of Linkou, Taiwan. ©Chang Gung Memorial Hospital. Patient who is inoperable. Chi-Cheng Yang, Shinn-Yn Lin* & Chen-Kan Tseng. Additionally, it can also reduce the burden of immobilization but ensure the patient in an accurate position simultaneously. You GR, Cheng AJ, Lee LY, Huang YC, Liu H, Chen YJ, Chang JT*. It was well known by doctors that X-ray could penetrate our body since 1890s. From the * Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan; and † Department of Surgery, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.. Prices start at 75€ per night. https://doi.org/10.1186/s12909-020-1927-x, Lin, Y., Lin, C., Lu, H. et al. Li YC, Cheng AJ, Lee LY, Huang YC, Chang JT*. San Chung Bus operates a bus from Linkou High School to Chang Gung Memorial Hospital hourly, and the journey takes 9 min. Edge is the state-of-art linear accelerator presented by Varian. Rome2rio makes travelling from Linkou to Chang Gung Memorial Hospital easy. Pharmacoepidemiology and Drug Safety. (共同責任作者). Esophageal cancer, Nasopharyneal carcinoma, Head and neck cancers. Plastic & Reconstructive Surgery. A non-invasive marker box is placed on the patient’s body and the infrared system tracks the chest wall’s movement during the CT imaging. Combining RT with immunotherapy. This kind of treatment could kill cancer or suppress benign tumor growing. Fewer treatment-related complication and improving the life quality, Lower risk of subsequent tumor caused by the radiation, Higher cure rate by increasing the dose to tumor, Indication: (1) Resected tumor with positive margin    (2) Inoperable tumor with indication of radiosurgery, such as larger arteriovenous malformation, acoustic neuroma, pituitary adenoma and etc…, Indication: (1) Internal or lower chest wall tumor    (2) Higher radiation dose of heart in conventional radiotherapy    (3) Bilateral reconstructed breast with permanent implantation    (4) Internal mammary lymph node metastasis    (5) Poor cardiopulmonary function    (6) Young age patient with intention to reduce lung and contralateral breast radiation dose. Read me. (2019, 05) Prognostic Value of Tumor Heterogeneity and SUVmax of Pretreatment 18F-FDG PET/CT for Salivary Gland Carcinoma With High-Risk Histology. Validity of cancer diagnosis in the National Health Insurance database compared with the linked National Cancer Registry in Taiwan. BMC Med Educ 20, 13 (2020). Kao W-H, Kuo C-F, Chiou M-J, et al. Cancer Med 6(9): 2087-2097. "Predictive value of nodal maximum standardized uptake value of pretreatment [18F]fluorodeoxyglucose positron emission tomography imaging in patients with esophageal cancer." Brachytherapy. Linkou to Chang Gung Memorial Hospital bus services, operated by San Chung Bus, arrive at Chang Gung Memorial Hospital station. Hsin‐Chih Huang. 4Department of Colorectal Surgery, Chang Gung Memorial Hospital, No 259 Wen-Hwa 1st Road, Kwei-Shan, Linkou, Taoyuan City, 33302, Taiwan, ROC. There are 953+ hotels available in Chang Gung Memorial Hospital. Digital Imaging Positioning System: To ensure the positional accuracy of proton therapy, every treatment room is equipped with a digital imaging guiding system, which acquires images through three different methods: digital radiography, fluoroscopy and computed tomography. Oncotarget 8(49): 85203-85213. Siew Tzuh Tang, School of Nursing, Chang Gung University, 259 Wen‐Hwa 1st Road, Kwei‐Shan, Tao‐Yuan, Taiwan, 333. Specialty: Thereby, the quality of life is less affected after treatment. It is the most advanced and accurate couch among radiotherapy equipment today. 5477 Search for more papers by this author. Hung, T. M., C. R. Lin, Y. C. Chi, C. Y. Lin, E. Y. Chen, C. J. Kang, S. F. Huang, Y. Y. Juang, C. Y. Huang and J. T. Chang (2017). However, liver cancer is notorious for its nature of multi-focal recurrence. Please prepare the complete medical records, which would help radiation oncologist to evaluate your disease correctly and design a proper treatment plan. Our lymphedema treatment team is currently the best in Asia. "Diffusion radiomics analysis of intratumoral heterogeneity in a murine prostate cancer model following radiotherapy: Pixelwise correlation with histology." There are 36 proton centers and more than 90,000 cases in the world till late 2012, and the facility and patient number are still booming. This device uses an all- digital method to combine radiotherapy and image-guided positioning to provide the best quality of radiotherapy to patients with the simplest operations. For the latest Coronavirus (COVID-19) travel status within Taiwan, please check government recommendations. Linkou Chang Gung Memorial Hospital, which is part of the Chang Gung Medical Foundation, is located in Guishan District, Taoyuan City, has nearly 4000 beds and is one of the largest hospitals in terms of hospital beds. National Taiwan University (NTU; ; colloquially, 台大; Táidà) is a national university in Taipei City, Taiwan which consists of 11 colleges, 54 departments, 107 graduate institutes and four research centers. 2. Looking for things to do in Guishan District? The time need for a plan is about 2 to 3 weeks and patient would start treatment after the plan finished. Chang Gung Memorial Hospital, Taiwan Chang Gung Memorial Hospital (CGMH), located in the district of Linkou, Taiwan, was founded in 1978. Eur Radiol 30, 1297–1305 (2020). Photo Credit : Matteo Paganelli. On the other hand, it is used to treat residual cancer cells after operation in order to prevent disease recurrence. It is named after the Tamsui River; the name means "fresh water". It used to have the fastest elevator in the world, traveling at 60.6 km/h and transporting passengers from the 5th to 89th floor in 37 seconds. Currently, we are unable to provide domestic travel restriction information for travelling within Taiwan. 3. The figure clearly shows that the orange block, which represents normal tissue, receives a much smaller dose. Proton therapy is not the only treatment for liver cancer, and we also provide multi-modality treatment in cooperation with other specialists to offer the optimal treatment outcome. However, when we try to concentrate the radiation dose to the tumor, the price is that normal tissue prior to the tumor cell would receive radiation dose higher than tumor cell itself. (11)Department of Pediatrics, Linkou Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan. (2) Chronic / late complication: Usually occur months or years after radiotherapy. Search for more papers by this author. Department of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan. Indication: (1) Patient that is inoperable or unwilling to receive surgical resection    (2) Tumor less than 5 cm: Tumor control rate is around 90~95%    (3) Tumor  from 5~10cm: Tumor control rate is around 85%    (4) Tumor larger than 10 cm: Tumor control rate is around 45%    (5) Tumor recurrence after previous surgical resection or failed to treat the tumor with radiofrequency ablation and trans-arterial chemo-embolization (6) Unable to control the lesion with surgical or other intervention    (7) Residual solitary tumor after small other small lesion being controlled. The benefits of using proton beam therapy in pancreatic cancer result in the reduction of complication such as nausea, vomiting, poor appetite or body weight loss. The Varian TrueBEAM Radiotherapy Linear Accelerator provides not only 6MV and 10MV high-energy photon beams at a traditional dose rate (600 MU/min), but also special high intensity modes in 6MV and 10 MV-FFF (Flattening Filter Free). Health Qual Life Outcomes 15(1): 165. The high penetrating ability of high-energy X-ray would even penetrate through the human body. The deep inspiration breath-hold technique (DIBH) can be applied to patients with breast or lung cancer as one of the respiratory gating techniques. During the treatment, the radiation beam is gated to when the target falls within the treatment field while avoiding critical organs. Radiation oncologist would define treatment field (including tumor location and organ having to be spare) according to different kinds of image and the medical physicists would make a treatment plan base these terms. Other major categories include head and neck cancers, brain cancers, breast cancers, and lung cancers. 4Department of Otorhinolaryngology, Head and Neck Surgery, Chang-Gung Memorial Hospital at Linkou; Chang Gung University College of Medicine, 5Department of Medical Oncology, Chang-Gung Memorial Hospital at Linkou; Chang Gung University College of Medicine, Address correspondence to: Dr Joseph Tung-Chieh Chang E-mail: gmhnog@cgmail. Patients with liver tumors accounted for nearly one-fourth of the total number of patients (Figure 1). Yap WK, Chang YC, Hsieh CH, et al. The Taipei 101 / TAIPEI 101, formerly known as the Taipei World Financial Center – is a landmark supertall skyscraper in Xinyi District, Taipei, Taiwan. This way, the dose distribution can be done as shown in the figure below. How small is TOO small? The treatment would take 1 to 8 weeks, five days a week from Monday to Friday based on disease complexity. This advanced technology is currently in the Proton Therapy Optimization Plan and is essentially the direction of the future of proton therapy. "Body image in head and neck cancer patients treated with radiotherapy: the impact of surgical procedures." Meanwhile, the X-ray keep on going after passing through the tumor area, and therefore causing dose accumulation in normal tissue behind the tumor. "MiR-520b as a novel molecular target for suppressing stemness phenotype of head-neck cancer by inhibiting CD44." Edge "GDF15 contributes to radioresistance and cancer stemness of head and neck cancer by regulating cellular reactive oxygen species via a SMAD-associated signaling pathway." So radiation oncologist need evaluate the patient comprehensively before radiotherapy. Clin Nucl Med 42(9): 655-662. Vision RT is one of the most rapidly growing technology that detects the body surface of the patient in 3D to ascertain the setup and patient movement certainty. Take pediatric brain tumor for example, the benefit of proton beam therapy is that normal tissues behind the tumor have no radiation dose at all. Kao, W. H., Shen, Y. L., Hong, J. H. What are the Potential Benefits of Using Proton Therapy in Taiwanese Cancer Patients? (6)Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City, Taiwan. In 2016, the title for the fastest elevator was given to the Shanghai Tower in Shanghai, China. Complications mostly occur as acute inflammation and mucosa damage. Intracranial tumors or vascular lesion, which is from 3~10 centimeter and the number of tumor/lesion is less than three. One of the centers is the Proton and Radiation Therapy Center (PRTC), which was the first proton center in Taiwan. Aside from improving life quality during and after radiotherapy, using the proton beam therapy could also lower the risk of secondary cancer occurring in the previously normal tissues caused by radiotherapy. For patient who is with disseminated disease or have multiple metastasis, the effects on overall survival is little even proton therapy could reach good local disease control, and thus these kind of patients would not be suggested to receive proton therapy. The principle of Pencil Beam Scanning involves sending a narrow proton beam through a magnetic field of the X- and Y-axes and distributing it directly in the field by scanning. Proton therapy is currently the most expensive and advanced medical facility in the world. After the Digital Imaging Positioning System determines the correct patient position on the couch, this information is immediately sent to the robotic couch for a 6-dimensional shift. Proton beam therapy would result in lower scattering radiation dose to small intestine, colon and ovary, which lower the complication of diarrhea. Breast cancer, esophageal cancer, brain tumor, chest tumor, Specialty: Patients who receive proton beam therapy would have lower rate of liver dysfunction, ascites and death. Kao, W. H., J. H. Hong, L. C. See, H. P. Yu, J. T. Hsu, I. J. Chou, W. C. Chou, M. J. Chiou, C. C. Wang and C. F. Kuo (2017). Due to the high dose rate, the radiation shielding plan has to be carefully re-evaluated for the operation venue in order to ensure protection from radiation for both staff and patients. The customized cast is needed to make sure your position is just like the simulation day. Reducing the irradiation dose to the heart, normal lung and esophagus could minimize the impact on cardiopulmonary function and lung fibrosis. Chang-Gung Memorial Hospital. Dis Esophagus 30(8): 1-10. 43(12):869-879. Sci Rep 7(1): 2042. 5477 (office hours: weekdays 08:30~17:30) FAX: +886-3-3286735 Taipei, Taiwan ROC. You would spend 30-60 minutes a day. The incidences of chemotherapy-related side effects, like leukopenia and neutropenia, were also significantly lower, possibly because of better nutritional status. At the same time, the high- precision mechanical apparatus and high-accuracy digital control system require a more comprehensive verification procedure to ensure the high quality of the equipment. VALUE. Through more precise targeting of the beam to tumors, doses to the tumors can be increased and the non-target volumes can be reduced. Department of Neurosurgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan. As shown in the figure, the radiation dose was represented by different colors. The proton therapy is painless and feeless, and would not cause radiation residue after treatment. Treatment time will be increased as radioactive sources decay. Proton stereotactic radiosurgery is suit for patients with following conditions: A fully cured patient may have severe complication or have little complication. [News] Chang Gung international certification by JCI...more; New Technology. Lin CY, Fan KH, Lee LY, Hsueh C, Yang LY, Ng SH, Wang HM, Hsieh CH, Lin CH, Tsao CK, Kang CJ, Fang TJ, Lee LA, Huang SF, Chang KP, Yen TC, Tay ZY, Wen YW, Lee SR, Liao CT. (2020, 04) Precision Adjuvant Therapy Based on Detailed Pathological Risk Factors for Resected Oral Cavity Squamous Cell Carcinoma: Long Term Outcome Comparison of CGMH and NCCN Guidelines. Furthermore, it minimizes the deviation of internal organ motion or patient setup uncertainties, as well as decreases the irradiation to normal organs. The National Palace Museum, located in Taipei and Taibao, Taiwan, has a permanent collection of nearly 700,000 pieces of ancient Chinese imperial artifacts and artworks, making it one of the largest of its type in the world. The building was officially classified as the world's tallest in 2004, and remained such until the completion of the Burj Khalifa in Dubai in 2010. Hsieh CE, Venkatesulu BP, Lee CH, et al. J Magn Reson Imaging 46(2): 483-489. Though modest in size (population 162,441), it has a large role in Taiwanese culture. Traditionally, physicians need to increase the safety margin around the tumor for conventional radiation therapy to ensure that the radiation remains within the tumor area; thus, we cannot effectively spare normal tissue organ. Pretreatment (18)F-FDG PET/CT texture parameters provide complementary information to Epstein-Barr virus DNA titers in patients with metastatic nasopharyngeal carcinoma. Before operation, radiotherapy could reduce the tumor size and make operation easier. Related Posts. Clinical Outcomes of Patients With Unresectable Cholangiocarcinoma Treated With Proton Beam Therapy. Hung SP, Huang BS, Hsieh CE, et al. The development of this Research Centre is firmly embedded in the values and traditions of the organization......M 2014 Professor Fu-Chan Wei features in Discovery Channel's "Taiwan Revealed: Body Reconstructed". The Lymphedema Treatment Center at Chang Gung Memorial Hospital offers a comprehensive and multidisciplinary approach to patient care. Favorable versus unfavorable prognostic groups by post-chemoradiation FDG-PET imaging in node-positive esophageal squamous cell carcinoma patients treated with definitive chemoradiotherapy. For the latest travel status, we recommend checking the official page for Taiwan. Most late complications occur as chronic inflammation, fibrosis and vascular disorder, and mostly they would not resolve. To avoid severe acute toxicities and late complications, we use fractionated treatment clinically, which could achieve tumor control and make normal tissue damage as low as possible. Chang Gung Memorial Hospital. Previous radiation therapy and medical treatment record A scoping review of medical education research for residents in radiation oncology. There is no universal condition of complication severity. There are also risks to take radiotherapy. "Pretreatment Primary Tumor SUVmax on 18F-FDG PET/CT Images Predicts Outcomes in Patients With Salivary Gland Carcinoma Treated With Definitive Intensity-Modulated Radiation Therapy." The one-year overall survival rate is 76.2%. These limitations were mainly due to patient setup uncertainties and internal organ motion. The robotic couch has a total of six drive motors, which enable it to move along six axes and rotate with an accuracy of 0.01 mm. Comparing to the X-ray, the proton passes through tissues with lower entrance dose, but releases large amounts of energy when it reaches the desired depth of treatment (the Bragg peak), and deposits no dose to the normal tissues behind tumor. If you don't already have an account, click the button below to create one. May 12, 2020. Children are more sensitive to the effects of radiation because they are still in the process of body growing and development. The resting specific complication varies according to the tumor location, including nausea, vomiting, oral pain, taste change, dysphagia, voice change, body weight loss, diarrhea, hair loss, skin scaling… etc. Anal Bioanal Chem 409(12): 3271-3277. In this circumstances, risks of secondary tumor and mental and development disorder are lowered. 7. Linkou to Chang Gung Memorial Hospital bus services, operated by San Chung Bus, depart from Linkou High School station. Chou, Y. C., C. Y. Lin, P. C. Pai, C. K. Tseng, C. E. Hsieh, K. P. Chang, C. L. Hsu, C. T. Liao, C. C. Wang, S. C. Chin, T. C. Yen, T. Y. Ho, J. H. Hong, K. F. Lei, J. T. Chang and N. M. Tsang (2017). A. Swallowing difficulty after radiotherapy to oropharyngeal cancer) occur. Radiat Oncol 12(1): 184. By using proton beam therapy, radiation dose to liver, kidney and gastro-intestinal tract could be lowered, and therefore the influences on organ function are reduced. josephchen0314@gmail.com. The higher chemotherapy and radiotherapy completion rate may also have the potential to be translated into long-term survival benefits. PLoS ONE 15(1): e0228360. Gynecologic tumors, Prostate cancer, Genitourinary tumors, Gastrointestinal tumors, Specialty: Chang Gung Memorial Hospital Proton and Radiation Therapy Center is the largest proton therapy center of Southeast Asia and is also the first proton therapy center in Taiwan. Medical Company Chang Gung Memorial Hospital Proton and Radiation Therapy Center is the largest proton therapy center of Southeast Asia and is also the first proton therapy center in Taiwan. Department of Nursing, Chang Gung Memorial Hospital at Kaohsiung, Taiwan. (2019, 08) A retrospective analysis of the treatment results for advanced synchronous head and neck and esophageal cancer. For quality verification, according to the standard operating procedure for testing received by medical physicists, the verification includes the complete testing of the following: mechanical movement accuracy of each component, energy of the output beam, validity of dose distribution, and effectiveness of each operative function. With proton therapy, for example, the cure rate of skull base tumor, liver cancer, and early lung cancer are higher and the complication rate of pediatric tumor and head and neck cancer are lower. Another method that can reduce unnecessary normal tissue dose involves using layer stacking and a multileaf collimator (MLC) that can adjust the field size. 199 Tun Hwa North Rd. Epub 2019 Sep 6. Recent researches have shown that left breast cancer patients treated by conventional radiotherapy have higher risk of myocardial infarction as long-term complication. Most of the collection are high quality pieces collected by China's emperors. Therefore, proton therapy not only attacks tumor precisely but lowers the dose of normal tissue and rate of complication. San Chung Bus operates a bus from Linkou High School to Chang Gung Memorial Hospital hourly, and the journey takes 9 min. This technique controls the weighted dose of each point in the field to achieve "Intensity Modulated Proton Therapy (IMPT)". https://doi.org/10.1259/bjro.20190015. Official Coronavirus (COVID-19) Information for Taiwan, The beginner’s guide to the 2018 World Nomad Games, Fullon Hotel Taoyuan Airport Access MRT A8. The big bore CT simulator with four-dimensional CT capability provides the correlation of respiratory phase and tumor location with a dynamic time frame. (2018, 04) A phase II randomized trial comparing neoadjuvant chemotherapy followed by concurrent chemoradiotherapy versus concurrent chemoradiotherapy alone in advanced squamous cell carcinoma of the pharynx or larynx. Radiotherapy for adult CNS tumor, esophageal cancer, sarcoma, and the pediatric cancers, radiosurgery. Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan. (1) Acute complication: Usually occur during radiotherapy. 6. Respiratory Gating Radiotherapy Eur J Nucl Med Mol Imaging 2018;45:689-98. Lei, K. F., C. H. Kao and N. M. Tsang (2017). Find all the transport options for your trip from Linkou to Chang Gung Memorial Hospital right here. If you want to know whether proton therapy is suitable to treat your disease, you may contact us for a professional evaluation. School of Nursing, Chang Gung University, Tao‐Yuan, Taiwan. The quality and quantity of complication vary according to the radiation dose, body part and personal body nature. 190 likes. It would therefore lower the complication rate of surgical treatment after concurrent chemotherapy and radiotherapy. Anyone with info on hotel within close proximity to the above address, pls advice. We have received no reports of travel restrictions in Taiwan. BJR|Open. The oldest establishment of the Chang Gung Hospital network, Taipei Chang Gung Memorial Hospital was established nearly 40 years ago in 1976. This advanced technology is being used by our Proton Therapy Center. ... Linkou Chang Gung Memorial Hospital. New liver constraint is needed- Proton therapy of hepatocellular carcinoma patients with small normal liver. True Beam Department of Orthopedics, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan City 33305, Taiwan. Funding/Support: This study was supported in part by grant NMRPD1H0621 from the Chang Gung Medical Foundation, grant CLRPG3D0046 from the Maintenance Project of the Center for Big Data Analytics and Statistics of Chang Gung Memorial Hospital, and grant MOST107-2314-B-182-050 from the Ministry of Science and Technology, Taiwan. Email: wecare@chang-gung.com, isc@cgmh.org.tw, Reduce radiation dose exposure to normal tissue in order to reduce  treatment-related toxicities. Maintenance of multidomain neurocognitive functions in pediatric patients after proton beam therapy: A prospective case-series study, Applied Neuropsychology: Child. - to help you get the most out of your next trip. The better quality of life helps those patients more tolerable to the concurrent chemotherapy, which is almost the standard treatment in most patients. Linkou Chang Gung Memorial Hospital, Taiwan has been on the forefront of efforts to manage and mitigate the Coronavirus Disease 2019 (COVID-19) pandemic since 20th January 2020. Contraindication: infiltrative tumor, multiple distant metastases (more than 3 sites). If you do not have Taiwan's National Health Insurance, and you are already in Taiwan, please contact the nearest Chang Gung branch: Linkou Chang Gung Memorial Hospital (including Linkou, Taipei, Taoyuan branches) TEL: +886-3-3184301, +886-3-3281200 ext. (共同通訊作者). PloS one. The respiratory gating radiotherapy technique is especially useful for tumors that move, such as those in lung and liver cancer. Photon radiotherapy is generally used for cancer treatment and proton therapy is a new treatment having ability to reduce side effects even increase probability of tumor control. Oncotarget 8(1): 1508-1528. Photo Credit : Joshua Earle. However, those injured cells could be repaired and grow again under sufficient time, energy and nutrient. As of January 2019, there were 94 patients who received a complete course of proton therapy. CGMH introduces the Real-time Position Management TM (RPM) respiratory gating system, which gates the beam delivery during treatment to account for organ motion. All the patients would receive comprehensive evaluation of their disease. Ching-Hsin Lee , Sheng-Ping Hung, Ji-Hong Hong, Joseph Tung-Chieh Chang, Ngan-Ming Tsang, Kun-Ming Chan,  Jeng-Hwei Tseng, Shih-Chiang Huang, Shi-Ming Lin, Jau-Min Lien, Nai-Jen Liu, Chen-Chun Lin, Wei-Ting Chen, Wan-Yu Chen, Po-Jui Chen, Bing-Shen Huang. Adverse birth outcomes in adolescent and young adult female cancer survivors: a nationwide population-based study. In this case, we can treat patients with high accuracy while minimizing treatment errors, and the patient can breathe normally and remain comfortable and with high compliance during the treatment. Find all the transport options for your trip from Linkou to Chang Gung Memorial Hospital right here. Currently, we are unable to provide international travel restriction information for Taiwan relating to Coronavirus (COVID-19). 2019; 8(4): 389-395. Discover how to get to attractions and hotels near Linkou. This is especially important in cancers with very poor prognosis such as pancreatic cancer. In the prospective observation of the treatment outcome, the one-year and two-year local control rate is 94.3% and 90.4%, respectively. Intensity Modulated Radiotherapy Biomed J. "Dose-escalated radiation therapy is associated with better overall survival in patients with bone metastases from solid tumors: a propensity score-matched study." Lowering the radiation dose to normal brain tissues could further minimize the damage to brain tissue. Proton beam therapy could achieve high radiation dose in liver tumor, and therefore reach a good local control. BMC Cancer. Read our range of informative guides on popular transport routes and companies - including The beginner’s guide to the 2018 World Nomad Games, Getting to Rome from the airport and Flying into Beijing? The main team members include radiation oncologists, medical physicists, medical radiotherapists, nurses, maintenance engineers and system operators, nutritionists, social workers and so on. Clin Nucl Med. josephchen0314@gmail.com. According to a retrospective analysis from our institute, even comparing to the advanced X-ray radiotherapy technique, proton therapy still significantly reduced the radiotherapy-related side effects, e.g., oral mucositis, nasogastric tube placement, and body weight loss. Endocrine function decline would also be less affected. Pharmacoepidemiol Drug Saf. Department of Health Care Management, College of Management, Chang Gung University, Taoyuan City 33302, Taiwan. The principle of Wobbling involves sending a narrow proton beam through a magnetic field of the X- and Y-axes and deflectors while it expands with a rotation of a specific radius into a broader beam with a wider range. Since the start of the proton center on 2015/11/04, a total of 2,438 patients have completed proton therapy. Taipei Chang Gung, along with Linkou Chang Gung and Taoyuan Branch, is the largest medical center in Taiwan, with the capacity of handling … The right one shows the MRI image that was taken four months after the end of treatment. Associate Professor, Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan. The Chang Gung Memorial Hospital organization looking for a research director for its recently established Research Centre in Medical Education. 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