Clinician Experience with
TomoMobileTM #1
Doug Kelly, MD
Artesian Cancer Center @ Muskogee
Norman Kahler MS, Van Woo MD, Matt West PhD, Samuel Rhoades PhD, Darren Crabtree RT
Going Mobile
History
Physician owned Muskogee
Community Hospital. MCH
ribbon cutting Feb. 25, 2009.
Wanted to rapidly and
economically start a cancer
program
Partnership with Artesian
Moved trailer onto pad on
Sept. 28
Treated first patient Oct. 29
Permanent facility is planned
Derek Prentice
“We saw an immediate need for high quality
radiation therapy services in Muskogee, but knew
we would have to delay offering TomoTherapy
for almost a year until our new cancer center was
built,” said Derek Prentice, president and CEO of
DMP Imaging, developer of Artesian Cancer
Center of Muskogee. “TomoMobile allows us to
accelerate the process significantly. In addition, it
will allow us to confirm viability of these
services in the market and speed our ability to
generate revenue, perhaps to the point where we
can utilize cash flow from the mobile unit to fund
the purchase of our permanent TomoTherapy
system.”
Uses for a Mobile Linear
Accelerator
A bridge during the development of a
permanent facility
Serve patient population earlier
Build market share
Test a market before committing resources
? An indefinite alternative to building a
permanent facility.
Expansion of an existing center
Use while upgrading / replacing a permanent
unit.
The Facility
Located behind
hospital
Tomotherapy trailer
Portable clinic
Stairs, ramp,
walkways, roof
External shielding
and fencing
Inside the TomoTherapy Trailer
Inside the Clinic Module
Challenges with a Mobile Unit
Technical capability is not a challenge
Same machine
Same planning software
Same reliability
Weather
Neither snow nor
rain nor sleet nor
hail…
Space
1 exam room
1 office
1 reception/nursing
area
Limited changing
area
Shielding and Distance
Uptime = 98%
100
90
80
70
60
50
40
30
20
10
0
Uptime
Nov
Dec
Jan
Feb
March
Down 0.6 days in Jan, and 1.6 days in March.
Oct
Nov
Nov
Nov
Nov
Dec
Dec
Dec
Dec
Dec
Jan
Jan
Jan
Jan
Feb
Feb
Feb
Feb
Mar
Mar
Mar
Mar
Mar
# Patients under Treatment
25
20
15
# pts
10
5
0
Tumor Sites of Treated Patients
over first 3 months
30%
25%
20%
15%
Sites
10%
5%
0%
Prostate
Breast
Lung
H&N
Bone
N= 40pts first 3 months
Skin
Brain
Other
Patient Opinion Survey
Appreciate having a second radiation
oncology center in Muskogee?
100% Yes
Appreciate having TomoTherapy
technology available in Muskogee?
100% Yes
Does “mobile” concern you?
90% No
Attractiveness of interior
9.4 / 10
Attractiveness of exterior
7.2 / 10
Anonymous questionnaire given to 10 patients undergoing therapy
Thank you for bringing first quality treatment
Location is extremely accessible
Thank God for it!
Great place
It’s the best center that Muskogee
could ever have
Conclusions
Well accepted by patients, community,
and referring doctors
Quickly and economically provide stateof-the-art therapy
TomoMobile has the same quality,
capabilities, and uptime as with a
permanent structure