Fellowship Hall Internet Deck Feb 7 2017 v2.pdf · Patient Home Locations to PCPTC for Treatment...

Tellico Village Computer Users Club


TVCUCFellowship Hall Internet

The Network Name has changed from TVCUC-Guest to:

SSID: Fellowship_Hall-guest_2GHzPassword: guest

This is a great time to renew your 2017 TVCUC membership.

See the Membership Team at the door.

TVCUC General Meeting

February 7, 2017


TVCUC



TVCUCWelcome to the February TVCUC meeting

A big WELCOME to all our guests and new members since the last meeting.

Please turn off the sound on your cell phones!

Does everyone have your door prize ticket?



TVCUCAgenda

Welcome and Opening Comments

Vote to Approve Changes to Bylaws

Committee Reports

Tonight’s Program:

o Provision Healthcare – Tom Welch, President

o ProNova Solutions – Joe Matteo, Co-Founder & President

New Member Welcome

Door Prizes



TVCUCTVCUC Bylaws Vote

The TVCUC Bylaws have been updated to reflect recent changes to Articles of Incorporation.

Clarified a number of items, including the following:

a. Membership privileges

b. The criteria for and officer status of the Past President position

c. The types and duties of committees

Added a new Article regarding Club policies

Made numerous editorial and clerical changes

Approved?



TVCUCMembership Update

We in the middle of Membership renewal for 2017. The renewal form is on ourwebsite TVCUC.org under Member Services tab. Dues are $15 per household andcover membership through Dec. 2017.

Renewal options:1. Complete the form on your computer then print and submit it with your

check at a monthly meeting2. Print the form, complete and submit it with your check at the meeting3. Print the form, complete and submit it with your check by mailing it to the

TVCUC address found at the bottom of the Membership form.

Your dues make you eligible for all the TVCUC benefits: First Level Support,Educational Classes, Computer Related Tours, Monthly Meetings, Support for TAP,and Special Interest Groups



TVCUC2017 Programs

Month Program

January No meeting

February Proton TherapyProNova Manufacturing

March Smart Phone/Tablet 102

April TBD

May Cyber Terrorism (tentative)

June Annual Picnic

September TBD

October Cutting the Cord (ii) (tentative

November Annual Meeting

December Cloud Computing (tentative)



TVCUC2017 Tour Schedule Oak Ridge National Labso Feb 28: High Flux Reactoro March 28: Supercomputero April 25 Neutron Spallationo May 3: National Transportation Research Center

Manufacturing Demonstration Facility

MasterCraft Boats o April 18 (Limit 12)

TVA River Forecast Center (TBD)

Provision Proton Center (TBD)

ProNova Factory Tour (TBD)

Volkswagen (Hopefully!!)

Other new venues being investigated.

You may register for these tours on our website.

www.TVCUC.org/Tours

http://www.tvcuc.org/Tours



TVCUC 700+ Member Assists in 2016

101 Member Assists in January 2017

Started monthly “Meet with First Level Support” with great success.

─ 4th Tuesday @3:15, Chota Rec Center D

Top Issues─ Ransomware, Fake Virus & what to do

o DO NOT give anyone control of your computer (and your bank account) that you don’t know.

─ Real virus infections and not using the security programs we recommend for Windows 10.

o Defender, MalwareBytes, SuperAntiSpyware, Ccleaner

─ Lost or forgotten passwords: o We can't fix it if you don't know your passwords

─ Making Windows 10 user friendly (not the same, just friendly)

─ Slow computers and boot-up problems

─ Router and connectivity Issueso I just lost my internet connectiono Printer problems

CALL US BEFORE YOU GET SO FRUSTRATED THAT YOU WANT TO DO THIS!

To get First Level Support, go to our website www.tvcuc.org

FLS available for Windows, Apple OS, Smart phones/Tablets -- IoS & Android

First Level Support



TVCUCT.A.P. Systems Given to Families YEAR SYSTEMS CHILDREN

2007 43 98

2008 144 247

2009 184 297

2010 431 620

2011 599 979

2012 565 1032

2013 704 1340

2014 683 879

2015 746 1065

2016 611 841

2017 114 67

TOTALS 4,820 7,465

11

Company Overview

February 2017

12

The PET Benefit

ProtonGuys

Provision CARES Proton Therapy Center

15

Proton Therapy Precisely Targets Tumors

More Precise – Fewer Side Effects

Proton Therapy is an advanced form of radiation therapy for cancer. It precisely targets

tumors, reducing the amount of radiation exposure a patient’s body receives during

treatment. As a result, there is less damage to healthy tissue and patients experience

fewer short-term and long-term side effects.

16

Proton Therapy Reduces Risk of Secondary Cancers

Information Courtesy of MD Anderson Cancer Center

Proton Therapy for Breast Cancer

Proton Treatment Plan for Post Mastectomy Breast Cancer Patient on Left; IMRT Plan for same patient on right

A Comparison of Radiation Dose for a Patient with Breast Cancer

STRUCTURE MEASUREMENT IMRT PROTONS INCREASE IN RADIATION DOSE

Left Lung Volume Receiving 5 Gy 44.75% 13.78% 3.25x the radiation with IMRT

Volume Receiving 20 Gy 31.01% 3.19% 9.72x the radiation with IMRT

Volume Receiving 30 Gy 24.69% 0.71% 34.77x the radiation with IMRT

Mean Dose to Left Lung 14.41 Gy 2.3 Gy 6.27x the radiation with IMRT

Heart Volume Receiving 2 Gy 46.73% 0%

Volume Receiving 5 Gy 18.18% 0%



Mean Dose to Heart 5.17 Gy 0.01 Gy 517x the radiation with IMRT

17

Excess Radiation

with X-Rays

HeartLungs

Breast

Heart Lungs

Breast

Proton IMRT

18

New Treatment Indications Using PBS:

(80% of All Radiation Treatments)Larger Non-contiguous Targets

• Lung

• Liver

• Breast

• Esophagus

• Pelvic tumors

• Large sarcomas

• High risk prostate

• Mediastinal tumors

• Pancreatic tumors

• Bone

• Genital organs

• Rectal

• Other cancers

• Re-irradiation of recurrent tumors

Pencil Beam (PBS) Proton Therapy is better in 80% of cancers treated by X-rays.

Pre-PBS Indications:

(20% of Radiation Treatments)Smaller Contiguous Targets

• Base of skull tumors

• Eye (uveal) melanomas

• Brain tumors

• Pediatric tumors

• Spinal / Para spinal tumors

• Prostate cancers

• Lung

Proton Therapy Can Treatment Most Solid Tumors

Patient Home Locations to PCPTC for Treatment

Alaska

Hawaii

Arizona

Colorado

Texas Louisiana

Arkansas

Mississippi

Missouri

Tennessee

IndianaOhio

Kentucky

AlabamaGeorgia

South Carolina

North Carolina

Virginia

WestVirginia

Illinois

Wisconsin

Michigan New York

Maine

MarylandWashington D.C.

Florida

Patients have come from 27 states and 6 countries for treatment. International patients have come from China, United Kingdom, Brazil, Russia, The Netherlands, and

Mexico.

Proton Capacity Continues to Expand in US

Provision Healthcare Division Synergy

Provision

Solutions

Provision

Medical

Group

ProNova

Solutions

Provision

Proton

Centers

Provision

Healthcare,

LLC

Provision

CARES

Cancer

Center

2323

One Call. One Focus. CANCER.

Provision CARES Cancer Center Campus

24

Campus

A world-class comprehensive cancer center

committed to the development of new, innovative,

comprehensive healthcare product and service

solutions that will make major improvements in

patient care, outcomes and value.

Services Offered:

• Proton Therapy• Radiation Therapy• Chemotherapy• Comprehensive Breast Care• Comprehensive Prostate Care• Diagnostic Imaging• Health & Wellness • Physical Therapy• Primary Care

Physicians on Campus:• Medical Oncologists

• Radiation Oncologists

• Breast Radiologists and Surgeons

• Radiologists

• Endocrinologists

• Gastroenterologists

• Primary Care

• Orthopedics

25

Provision Radiation Therapy

Alternative Offering for Patients with

Insurance Coverage Issues

Delivery Offering: 3D Conformal Therapy (3-D)

Intensity-Modulated Radiation Therapy (IMRT)

Stereotactic Body Radiotherapy (SBRT)

Volumetric-Modulated Arc Therapy (VMAT)

SymmetryTM Respiratory Motion Management

25

Tennessee Cancer Specialists

6 Medical Oncologists

5 Nurse Practitioners

36 Infusion Stations

Pharmacy

Lab Services

Clinical Research

26

Knoxville Comprehensive Breast Center

4 Breast Radiologists

1 Breast Surgeon

2 Breast MRI’s

6 Digital Mammogram

10 Ultrasound Units

Mobile Mammography

One of the Largest

Breast Health Centers in

the Southeastern US

27

Mobile Mammography

28

Diagnostic Imaging Center

3 Tesla MRI

1.5 Tesla MRI

Nuclear Medicine Gamma Camera

PET/CT

64 Slice CT Scanner

Ultrasound

X-Ray

Provision Imaging, LLC

28

Gastrointestinal Associates, P.C.

17 Gastroenterologist

8 Advanced Practitioners

Largest GI group in the region

Farragut ENT

4 Physicians

1 Nurse Practitioner

Head & Neck Cancer Specialists

96 years of combined MD experience

1st in East TN to perform • Endoscopy sinus surgery• In office balloon sinuplasty• Utilize naviation

1 of 12 Sinus Centers of Excellence in the US

Our Research Partners.

Clinical Trials Management and Therapeutic Drug Evaluation

• 29 Active Clinical Trials

• Range from Phase II – Phase IV trials

• Lengthy history of managing ground-breaking clinical trials

• Herceptin

• Avastin

• Imbruvica

• Immunotherapies

Provision Multi-Disciplinary Tumor Conferences

Specialists from every cancer care provider in Knoxville gather at

Provision to collaborate and review current patient cases with the goal

of determining the best care plan for each patient

• 5 conferences per month

• Up to 50 patient cases reviewed

each month

• Patients are presented from

multiple cancer centers and are

often referred across institutions in

the best interest of the patient

• Collaboration continues to grow as

more doctors express interest in

joining Provision tumor

conferences

Care Coordination at Provision Cancer Center

Provision prioritizes the patient experience

• Dedicated Patient Experience Team

• Hospitality services for out of town patients

• Patient satisfaction is core objective for all

teams – monthly tracking

• 700 former patients have become

Ambassadors for Provision and proton therapy

Provision provides personal guides

One call to a Provision Care Coordinator

equips patients with a clear path forward

for treatment

Our goal is to manage the details so

patients can focus on what’s most

important to them

Provision CARES Foundation

• A not-for-profit 501(c)(3) public cancer-care charity that

provides cancer awareness, education, wellness,

research and assistance for patients, their families, and

the public in East Tennessee.

• Provided services to more than 1,400 people in 2016

• Helped cancer patients receiving treatment at 9 different

healthcare providers

• Served 10,986 meals to cancer patients & their families

from 40 different East Tennessee cities in 2016

Thank you

Joe Matteo, President ProNova Solutions

ProNova: A Closer Look

Unique Complementary Capability in Proton Therapy and

Cancer Care

• Comprehensive Cancer

Center

• Proton Center

• Radiation Treatment

• Comprehensive Wellness

• Training Center

• Total Solutions

• Co-ownership

• Funding

• Strategic Planning

• Management Services

• Real Estate

• Partnership Development

• Cutting Edge Technology

• Reduced Costs

• Reduced Complexity

• Reduced Time-to-Market

• Efficient Workflow

• Commercial Production

Compact ProNova SC360 System

Up to one-half the size

Up to one-tenth the weight

Up to one-half the construction costs

Conventional

360° Gantry

ProNova Mission

Serve Patients by Improving Access to Proton Therapy

To deliver a lower-cost, smaller, lighter, more energy efficient solution for

Proton Therapy without sacrificing performance and improving upon

existing capabilities, making proton more affordable and more accessible

to the cancer community

Gantry Comparisons

360 Gantry Partial Gantry

• Superconducting magnets have multiple benefits

- Dramatically smaller size, weight, and power

- 2.5X higher magnetic field, 0.4X bend radius

• ProNova leverages superconducting magnet technology

- Ample room for full ring imaging at iso-center

- Simplified shipping and installation reducing cost and time to market

System Overview

PET at Isocenter

ProNova Unit 1 Install & Provision Center for Proton Therapy

ProNova Development Vaults Provision Clinical Vaults

38% - 62%

SC360 Treatment Room

Open square room provides improved patient access

Projection screens provide easy review of therapy

information

Open room provides clear access for lasers, projectors, Optical imaging, & intercom

43

Gantry with Partial Covers during TUV testing

Superconducting Achromat

• Fully assembled 60-degree achromat achieves full field!!!

- #1 technical risk to ProNova largely mitigated

- Achromat ready for install on TR4 gantry in early 2015

- 150-degree achromat ready June 2015

Superconducting Magnet use in Proton Therapy

60° Superconducting Magnet

150° Superconducting Magnet

Integrated CBCT - Precision patient positioning for particle therapy

ImagingRing has not been cleared by the US FDA for commercial distribution

in the US and is not available for commercial distribution at this time.

• Fast flat panel: 30 Hz framerate

• Single source dual energy X-ray: 40 – 120 kV

• Large clearance: 78 cm ring, 102 cm tube

• Large FOV: >63 cm diameter, >32 cm long

• Fast rotations: up to 5 rpm, non-isocentric acquisitions

• Collimator: 4 jaws, primary modulation, filter wheel

• Light field

• Planar / fluroscopic / volumetric kV imaging

• 2D/3D and 3D/3D functionality

Large FOV – Non-Isocentric Imaging

ProNova Accelerator Evolution

Ironless variable energy

SC synchrocyclotron

(no degrader necessary)

MIT – ProNova Collaboration

F2800

Resistive Cyclotron SC Cyclotron Ironless SC Synchroyclotron

Size F4.4m F2.8m F2.8m

Weight 220 ton 50 ton 5 ton

Power 340 kW 190 kW 50 kW

Extracted Beam 230 MeV 230 MeV 70-230 MeV

Deep Tissue Beam Current 300 nA 600 nA 100nA

Shallow Tissue Beam Current 6 nA 12 nA 100nA

ProNova DevelopmentSumitomo - ProNova Collaboration

ProNova Compact SC360 One-Room Solution

“The Best of Both Worlds”

•Truly Compact 360°- 45% smaller footprint

- Lower build out cost

- More efficient workflow

•No Compromises- Advanced Imaging

a)CBCT at any bed position with no gantry motion

b)PET for range verification

- Advanced workflow

PRONOVAVARIAN

8,607 ft2

17,700 ft2

ProNova / Typical 2G + 1F Comparison

• 51% Smaller footprint

• $10,484,589 Saved in vault construction

- Vault construction cost estimated based on cubic yards of concrete, mechanical, and foundation costs.

a) ProNova -$1,315.09 per square foot

b) Varian - $1,231.84 per square foot

10-year Total Cost of Ownership

• Total Cost of Ownership Reduced by $25 Million

ProNova Solutions – Maryville, Tennessee

• 55,000 ft2 R&D and Manufacturing facility

• LEED certified energy efficient facility

• Opened January 2015

• Phase I capacity of 10 two-room systems per year

• Phase III capacity of 50 two-room systems per year

SC360 1st Article Build

Medical Device Clearance 2016

• FDA CLEARANCE!!!

- 4 years from first employee to final data (March 2012 – April 2016)

- 2 gantry iterations, 2 buildings, full integration of both

- State-of-the-art superconducting achromat developed and

commercialized

- ISO13485 cert, TUV, usability, scanned volume, 3D imaging, PBS

CLEARED12/8/2016

Leading Innovation

Compact 360 degree open access to isocenter

Integrated couch based ImagingCBCT - Dual energy, Fan beam (adaptive), multi-slice, spiral

In-beam PET (2018)

Fast volumetric deliveryMultimode fast scan magnet

Raster scanning (2018)

High beam current

Room and layer switching

PRONOVA is the treatment room of the future

Exclusives

Workflow centric toolset



TVCUCThanks for coming! Welcome new members tonight Jim Autry

Door Prize Drawing Kathy Economy

Date post:	04-Apr-2020
Category:	Documents
Upload:	others
View:	0 times
Download:	0 times

Fellowship Hall Internet Deck Feb 7 2017 v2.pdf · Patient Home Locations to PCPTC for Treatment...

Documents