1. Valcea Radiotherapy Center
The First Modern Radiotherapy Center in Romania with European Standards
Râmnicu Vâlcea
CRV © 2012

2. What is this project about?
‣ We are building the first modern private
radiotherapy center of Vâlcea and other 5 districts
‣ We will deliver the most up to date radiotherapy
to the patients in the region
‣ We will build a center that will be considered a
landmark for radiotherapy in România
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

3. Background of Oncology in Romania
‣ According to the database of the National Society for
Medical Oncology, in 2012 we have in Romania
≈ 300 oncology doctors. Also according to the Health
Ministry of Romania in Jan 2012 we had more than
600.000 cancer patients. This means we have a ration
of 1 doctor to 2000 patients
‣ According to the official medical records in the district
of Valcea there are more than 3900 cancer patients.
In the Valcea district there are only 5 doctors for
medical oncology and no specialist for radiotherapy
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

4. Background of Oncology in Romania
‣ Currently we have 3 PET/CT centers
3
but only 2 are operational daily
‣ We have 30 radiotherapy stations
witch use 59 radiotherapy machines.
Out of 30 stations ≈ 11 are
operational for daily clinical use
8
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

5. Background of Oncology in Romania
‣ In the district of Vâlcea there is no
3 radiotherapy center
‣ Out of the daily radiation delivered,
more than 80% is delivered with
cobalt machines, 18,4% with old linac’s
and only 1,6% with modern linac’s
(only 1 machine)
8
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

6. What is our motivation? What is the need?
‣ According to the recommendation of the European Union 1 modern
radiotherapy station is needed to 300.000 inhabitants, this means that we
need 70 modern radiotherapy centers in Romania
‣ According also to European Union standards 60-70% cancer patients
require radiotherapy for treatment
‣ Statistically 1 out of 3 Romanians (≈ 7 mil) will get a malign tumor in the
upcoming 10 years (European Cancer Observatory)
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

7. What is our motivation? What is the need?
‣ Romania has today more cancer patients than Germany witch has a
population 4 times larger than Romania
‣ The vision of the European Society for Radiotherapy & Oncology for 2020 is:
“Every cancer patient in Europe will have access to state of the art
radiation therapy, as part of a multidisciplinary approach where treatment
is individualized for the specific patient’s cancer, taking account of the
patient’s personal circumstances”.
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

8. The Vision and the Objectives of this Project
‣ to establish the most modern ‣ Special focus on radiation
radiotherapy center, treatments following long term
aspects like:
‣ a Romanian health care Campus
- Sustainability in health sector
for Oncology - Transparency for total center
management (Following western
‣ to facilitate access of Romanian
guidelines and rules)
patients to high quality medical
- Very low side effects for patients
services
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

9. Description of the Project
‣ The first radiotherapy private center in Romania with a mixed team of
doctors. The treatments that will be applied here will be based on the
experience of the doctors, from Germany
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

10. Modern Radiotherapy
(IMRT, IGRT, VMAT)
‣ Modern radiotherapy can
increase the survival rate of more
than 5 years from 30% up to
85% based on the condition of
the patient and the type of
irradiation. Also compared to the
conventional 2D irradiation the
side effects of modern
radiotherapy are
considerable lower.
‣ We want to deliver radiotherapy in accordance
to the very best techniques available world wide
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

11. Modern Radiotherapy
(IMRT, IGRT, VMAT)
‣ Modern radiotherapy consists in
techniques such as 3D Irradiation,
IMRT, IGRT and VMAT
‣ In Romania 80% of the daily
irradiations are done with
inferior and outdated
techniques such as 2D irradiation,
and only 20% are 3D irradiation.
IMRT, IGRT and VMAT are not yet
available in Romania
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

12. Why Ramnicu Valcea?
‣ R. Valcea is 1.5 hours away from
Bucharest, capital city of Romania
‣ Ramnicu Valcea is the capital city
of Valcea district with 415.000
inh. + 788.000 inh. surrounding
on a 100km radius, total:
1.200.000 inh.
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

13. ‣ Plot Description:
- Surface: 1500 m2
- Owner: Romanian State
(Valcea District Council)
- Partnership period: 49 years
‣ Plot Location:
- The plot is located in the
backyard of the Obstetrics and
Gynecology Hospital
- C1 is the building where is
located the only chemotherapy
station in the Valcea district.
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

14. Building Description
‣ Total building surface: 1000 m2
Total usable surface: ≈ 800 m2
Bunkers surface: ≈ 110 m2
Building height: G + 1
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

15. Ground Floor
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

16. First Floor
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

17. Building Section
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

18. Building Functions - Ground Floor
‣ 2 x Modern Radiotherapy Bunker ‣ Technical Room
(6 MeV)
‣ IT Manager Room
‣ Command Room for Radiotherapy
‣ Mammography Room + Command
‣ CT Room + Command Room Room
‣ 3 x Doctors Room ‣ Waiting Room for Mammography
‣ 4 x Changing Cabins for ‣ Administrative Space
Radiotherapy
‣ 4 Toilets (2 for Patients - 2 for
‣ Open Space Waiting Room Employees)
‣ Reception
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

19. Building Functions - First Floor
‣ Managers Room + Secretary Room ‣ Kitchen + Dinning Area
‣ Physicians Room ‣ Conference Room
‣ Server Room ‣ 2 Toilets for Employees
‣ Locker Rooms
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012

20. Thank you very much for your attention.
Râmnicu Vâlcea
Valcea Radiotherapy Center CRV © 2012