| Some
milestones in proton radiation therapy at Loma Linda University
1946
Proton beam treatment for medical purposes was proposed by Robert
Rathbun Wilson, PhD. The late Dr. Wilson, who was later to become
the first director and largely the creator of Fermi National Accelerator
Laboratory (Fermilab), had unusual
breadth
and depth of vision. His insights into the medical use of
protons, while partly a legacy of his physics education at the
University of California, Berkeley, under Ernest O. Lawrence,
arose mainly from that vision. Dr. Wilson later became a strong
supporter of the Loma Linda proton facility.
1954
The first patient was treated with protons, at Berkeley. The Berkeley
investigators, notably Cornelius A. Tobias, PhD, were instrumental
in helping to spread the practice of proton treatment in research
laboratories such as Berkeley. Dr. Tobias advised and taught investigators
at the University of Uppsala, in Sweden, and at Harvard Cyclotron
Laboratory, USA. Uppsala (1957) and Harvard (1961) were the next
laboratories to offer proton radiation therapy for treating human
diseases. Dr. Tobias also was a strong supporter of the Loma Linda
proton facility.
1970
Loma Linda University Medical Center researchers began studies
of charged-particle treatment.
1971
Loma Linda investigators developed the world's first computer-assisted
treatment planning system, using ultrasound digital images. This
was done to overcome the deficiencies of focusing the invisible
beam on an invisible target within a patient. Computer-assisted
treatment planning allowed the physician to define the patient's
anatomy more precisely and to demonstrate the actual distribution
of radiation in the patient, both of which resulted in significant
improvements in treatment with all forms of radiation and facilitated
heavy-charged-particle radiation therapy.
1973
Loma Linda investigators improved their treatment planning system
by incorporating CT images, the first radiation therapy planning
system in the world to do so. CT scans provided tissue density
(electron density) information, in turn allowing accurate calculations
of radiation absorption, the "missing link" for accurate and precise
planning of radiation treatments in humans. The technology was
accepted immediately and spread throughout the world, being produced
by many manufacturers and employed by many users within the subsequent
decade.
1985
The Proton Therapy Co-operative Group was established to promote
international collaboration in hospital-based proton beam therapy,
as
it does today.
1987
Loma Linda University Medical Center announced its intention to
build the world's first hospital-based proton treatment facility.
1988
Ground was broken for the LLUMC proton facility.
1988
The US Congress appropriated $8.5 million for the LLUMC facility
and, in another session, granted an additional $11.1 million through
the Department of Energy.
1989
The LLUMC synchrotron was commissioned at Fermilab.
1990
Fermilab completed testing of the 250-million-electron-volt accelerator,
which then was shipped to LLUMC in summer and autumn.
1990
The first patient was treated at LLUMC.
1991
The second beam line was commissioned. Treatments began for patients
with brain tumors and tumors of the head and neck.
1991
The first gantry was commissioned at LLUMC. This marked the first
time in history that a gantry was used to deliver a proton beam.
1991
The first proton treatment was delivered at LLUMC for a patient
with prostate cancer. In subsequent years, prostate cancer patients
comprised more than 60% of the patients coming to Loma Linda for
proton radiation therapy.
1992
A ground-breaking ceremony was held to celebrate the $20.3 million
building that would become Chan Shun Pavilion and the offices
of Loma Linda University School of Medicine. Chan Shun Pavilion
would contain much laboratory space dedicated to cancer research
and treatment, and to the better understanding of the effects
and capabilities of particle radiation.
1992
US Congressman Jerry Lewis was acknowledged for his dedicated
work on behalf of proton radiation therapy at Loma Linda. A floor
at the treatment facility was named in his honor.
1994
The second and third gantries began clinical operation.
1994
NASA and LLUMC officials signed a Memorandum of Agreement to study
ways to protect astronauts from radiation in space. The ability
of the LLUMC proton accelerator to simulate space radiation, of
which protons are a major part, made such research possible. The
basic work on the effects of particle radiation in living tissues
also would benefit patient care.
1995
Dr. Robert Wilson attended a ceremony at which the first operational
gantry was named in his honor. Dr. Wilson died in 2000; his remains
were later interred at Fermilab.
1996
The 2,000th patient was treated during the year. At
a ceremony honoring Congressman Jerry Lewis, the new LLU cancer
research facility/School of Medicine building was dedicated.
1997
The 3,000th patient was treated. Radiobiology research,
for both medical and space-travel applications, began in the new
laboratory facilities.
1998
The department of radiation medicine reported treating 100< proton
therapy patients and 100 photon (x-ray) therapy patients per day.
2000
The 5,000th patient was treated during the year.
2001
The 6,000th patient was treated. The department of
radiation medicine was treating 140 patients daily with proton
beams.
2002
The 7,500th patient was treated by late summer. At
that time, the department of radiation medicine was treating 150
patients per day with proton beams.
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