Clinician Experience with TomoMobileTM #1Doug Kelly, MDArtesian Cancer Center @ Muskogee

Norman Kahler MS, Van Woo MD, Matt West PhD, Samuel Rhoades PhD, Darren Crabtree RT

Going Mobile

HistoryPhysician owned Muskogee Community Hospital. MCH ribbon cutting Feb. 25, 2009.Wanted to rapidly and economically start a cancer programPartnership with ArtesianMoved trailer onto pad on Sept. 28Treated first patient Oct. 29Permanent facility is planned

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. Derek Prentice

Uses for a Mobile Linear AcceleratorA bridge during the development of a permanent facilityServe patient population earlierBuild market shareTest a market before committing resources? An indefinite alternative to building a permanent facility. Expansion of an existing centerUse while upgrading / replacing a permanent unit.

The FacilityLocated behind hospitalTomotherapy trailerPortable clinicStairs, ramp, walkways, roofExternal shielding and fencing

Inside the TomoTherapy Trailer

Inside the Clinic Module

Challenges with a Mobile Unit

Technical capability is not a challengeSame machineSame planning softwareSame reliability

Weather

Neither snow nor rain nor sleet nor hail

Space1 exam room1 office1 reception/nursing areaLimited changing area

Shielding and Distance

Uptime = 98%Down 0.6 days in Jan, and 1.6 days in March.

# Patients under Treatment

Tumor Sites of Treated Patientsover first 3 monthsN= 40pts first 3 months

Patient Opinion SurveyAnonymous questionnaire given to 10 patients undergoing therapy

Thank you for bringing first quality treatmentLocation is extremely accessibleGreat placeIts the best center that Muskogee could ever haveThank God for it!

ConclusionsWell accepted by patients, community, and referring doctorsQuickly and economically provide state-of-the-art therapyTomoMobile has the same quality, capabilities, and uptime as with a permanent structure