Indications and Treatment Results of Carbon Ion Radiotherapy

Number of Patients Treated with Carbon Ion Radiotherapy at QST(June 1994 to March 2023)

Number of Patients Treated with Carbon Ion Radiotherapy at QST(June(June1994
1994 to～March 2023):

Total of 15,024 patients(18) Scanning+Rotating Gantry
41 (0.2%)
AM: 0 S: 41(17) Heart1 (0.01%)
AM: 0 S: 0(19) Recurrence
after radiation
1,104 (7.3%)
AM: 453 S: 309(20) Comprehensive
research
1,356 (9.0%)
AM: 1,047 S: 323

(18)
(17)
(19)
(16)
(14) (15)
(13)
(12)
(11)
(10)(9)(8)(15) Breast
46 (0.3%)
AM: 0 S: 26(14) Lacrimal gland
44 (0.3%)
AM： 23 S: 22Total

600
500400(4) Lung
1,185 (7.9%)
AM: 601 S： 253

300(6)(2)(4)(10)
Gastrointestinal
tract 138 (0.9%)
AM: 27 S: 39(9) Eye
313 (2.1%)
AM： 208 S: 51

200(5) Pancreas
938 (6.2%)
AM： 661 S: 266(5)(12) Central
nervous106 (0.7%)
AM： 0 S: 0(11) Skull base
128 (0.9%)
AM： 99 S: 28700(3) Head & Neck
1,434 (9.5%)
AM: 1,100 S: 417

15,024
AM：11,119
S：5,711(7)(13)
Abdominal Lymphnode 118 (0.8%)
AM： 111 S: 27800(2) Bone & Soft tissue
1,469 (9.8%)
AM: 1,248 S: 411(1)

100(3)(8) Gynecologicalregion 351 (2.3%)
AM： 114 S: 68(7) Rectum(Po*)
751 (5.0%)
AM： 613 S: 220

Total of 15,024 patients
888

900

(1) Prostate
4,645 (30.9%)
AM: 4,222 S: 3,008(20)(16) Kidney
31 (0.2%)
AM: 13 S: 15Patients
1000

AM：Advanced medicine+ Free medical care+Insurance medical treatment
S:Scanning beam0(6) Liver825 (5.5%)
AM： 579 S: 187

Free medical care
Insurance medical treatment
Advanced medicine (A+B)
Clinical trial

Skull base

9496

9800

02

Eye ballLiver

Clinical trial
Advanced medicine

Esophagus
BreastLung

0608

101214161820Treatment Duration
National health insurance
Targets diseases radical surgery is difficult(except prostate cancer)
・Head and Neck
Nose, Paranasal sinus, Salivary gland… 4 weeks
Lacrimal gland… 3 weeks to 4 weeks
Eye ball ( Malignant melanoma )… 1 week… 2 days to 3 weeks
・Liver・Pancreas… 3 weeks・Rectum ( Postoperative recurrence ) … 4 weeks
・Prostate… 2 weeks or 3 weeks
・Uterine Cervical… 5 weeks・Bone and Soft tissue… 4 weeks

Advanced medicine

Rectum(Postoperative recurrence)

KidneyCervicalBone and Soft tissue692
684 691
648
642

Fiscal Year

Pancreas

Prostate04*Postopera�ve

Head and Neck
Lacrimal gland

794
745

Metastatic tumor(Metastatic lymphnodes, etc.)※Other sites such as stomach, duodenal and ovarian cancers are not covered.

919
24

53 727668
638 62628 242739549
90 85 506752
486 448 749509
437
458 681 674
442
396
495
618
476
494
333
411
276 56324481241
286
432
188201
168
234
159
210 182
189 233126
277183167
83138119154 136 127
113
123 120
21166110
40 70 55 77 69 35 27

Indications for Carbon Ion Radiotherapy
National healthinsurance

804

876
804 59・Esophagus ( Stage I )… 3 weeks
・Lung ( Non-small cell type )Locally advanced… 4 weeksStage I
… 1 day to 3 weeks
・Kidney… 3 weeks・Metastatic ( Lung, Liver )… 1 day to 3 weeks
・Metastatic lymph nodes… 3 weeks to 4 weeks
・Others specified by the unified policyof the medical society … 2 days to 5 weeks

Clinical trial・Breast… 1 day to 1 week22

Carbon Ion Radiotherapy Facilities throughout the World

Xuzhou Proton and Heavy Ion Center

Institute of Modern Physics ※Xuzhou (China)Lanzhou (China)Lanzhou Heavy Ion Hospital

Seoul National University

Lanzhou (China)

MedAustronBusan (Korea)

Shanghai PHIC

Wiener Neustadt (Austria)

Yonsei University

Shanghai (China)

Marburg Ion Beam Therapy Center

Seoul (Korea)

Marburg(Germany)

Lawrence Berkeley
National Laboratory ※GSI ※Darmstadt (Germany)

Berkeley (USA)

Heidelberg UniversityHeidelberg (Germany)

ARCHADE Project
Caen (France)

Mayo Clinic

Jacksonville (USA)See below
Taipei VGH

Taipei (Taiwan)

CNAO

Pavia (Italy)

Heyou Hospital
Foshan (China)

Wuwei Tumor Hospital
Wuwei (China)※Carbon Ion Radiotherapy Facility
Carbon Ion Radiotherapy Facility (in planning stage or under construction)
TerminatedJapan

Gunma University Heavy Ion Medical Center
East Japan Heavy Ion Center,
Yamagata University

Osaka Heavy Ion Therapy Center

Hyogo Ion Beam Medical Center
National Institutes for Quantum Scienceand Technology, QST Hospital

SAGA Heavy Ion Medical Accelerator in Tosu

Kanagawa Cancer CenterNational Institutes for Quantum Science and Technology
Quantum Life and Medical Science Directorate

2023.7