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Knowledge Transfer | Accelerating Innovation CERN Technologies and Medical Applications Rita Ferreira Medical Applications Officer Knowledge Transfer Group IPT-KT-MA

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Page 1: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

CERN Technologies and

Medical Applications

Rita Ferreira

Medical Applications Officer

Knowledge Transfer Group

IPT-KT-MA

Page 2: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

• Chemical and Biochemical Engineer

• From Lisbon, Portugal

Rita Ferreira

PhD/Researcher (before) and CERN (now)

What (and where)?

Who?

• Medical Applications

• Accelerators for Hadron Therapy

• Magnets

• Outreach

• …

Page 3: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Welcome to CERN!

Conseil Européen pour la Recherche Nucléaire

European Organization for Nuclear Research

Page 4: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

LHC – Large Hadron Collider

Photos: CERN

• World’s largest and most powerful

particle accelerator

• 27 kilometer ring

• 10 September 2008

4 Particle Detectors

Page 5: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Today13.7 billion years

1028 cm

Page 6: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

History

1954

Edoardo AmaldiLouis de BroglieIsidor Rabi

12 founding Member States

29 September 1954

Page 7: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Rita Ferreira, 30 March 2017

CERN’s mission

Research

Education

Technology

Innovation

Collaboration

Page 8: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

23 Member States

• 7 Associate Member states

• 38 Non-member states with

co-operation agreements

• 19 Countries with scientific

contacts

Page 9: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation Rita Ferreira, 30 March 2017

Knowledge Transfer

Everyday, everywhere!Photo: CERN

Page 10: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Maximize the dissemination and impact of CERN

technology and know-how in society, in particular

through industry in the member states.

Knowledge Transfer Mission

Photo: CERN

Page 11: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Knowledge Transfer

Tim Berners-Lee

Bent StumpePhotos: CERN

Page 12: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Page 13: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Page 14: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Page 15: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation Rita Ferreira, 30 March 2017

The three pillars

Accelerators

Detectors Computing

Page 16: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation Rita Ferreira, 30 March 2017

HEP technologies in Medical Application

Accelerators

Detectors Computing

Cancer

treatment

Medical

imaging

Medical data

management

and analysis

Page 17: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Detectors for Medical Imaging

Detectors

Medical

imaging

Page 18: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

X-rays

Courtesy of Roentgen museum

• 8 November 1895:

X-rays discovery

• 22 December 1895:

First radiography

Wilhelm RöntgenNobel Prize in PHYSICS 1901

Page 19: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation Rita Ferreira, 30 March 2017

More and more details

Images courtesy of Dr. F. Fellner

Page 20: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Medical imaging and particle physics:

The same challenge?

Page 21: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Antimatter – science fiction?

Positrons are used daily in oncology

PET - Positron Emission Tomography

Page 22: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

PET – Positron Emission Tomography

Positrons are used daily in

oncology

Source: http://cognitiveconsonance.info/tag/pet-scan/

Page 23: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Scintillating Crystals

From LHC experiments to PET

Photo: CERN

Photo: CERN

Page 24: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

ClearPEM

Dedicated PET for breast imagingPhoto: HealthHub

Page 25: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

ClearPEM

• PET detector dedicated to breast

cancer screening

– extremely sensitive to small

tumour masses

• Spatial resolution1-2 mmLYSO:Ce

scintillating crystals

• High counting sensitivity

• Short PET exam

• Coupled to ultrasound

Detection of 3 mm breast lesions

in less than 7 minutes exams

Page 26: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

ClearPEM Sonic

Photo: Crystal Clear Cololaboration PET for mammography

Page 27: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

• Fast fully digital device sensitive to X-rays instead of visible light

• Good conversion efficiency of low energy X-rays

• Can create the first true colour images with X-rays

Medipix

Page 28: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Accelerators for Cancer Treatment

Accelerators

Cancer

treatment

Page 29: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Accelerators for cancer treatment

Conventional treatment

Surgery

Chemotherapy Radiotherapy

2015: 3 million in Europe and 15 million globally

2035: 25 million globally

Source: CERN Courier (Feb 15, 2017)

Cancer is growing...

Page 30: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Linear Accelerators

Cheap: • The least expensive cancer

treatment method (around 5%

of total cost)

Cure: • Good cure rate

Conservative: • Generally non-invasive, fewer

side effects

Page 31: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Collateral Damage

X-rays

Source: Rinecker Proton Therapy Center

Page 32: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Accelerators for cancer treatment

Innovative practice

Hadron Therapy

"Hadron therapy is not a replacement for conventional radiotherapy or surgery, but is an

additional tool in the toolbox of the oncologists"

Robert Miller of the Mayo Clinic in the US

Page 33: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Protons vs X-rays

Protons

Courtesy of MedAustron

X-rays

Hadrontherapy

Page 34: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

PIMMS at CERN (1995-2000)

and protons

linacs for

carbon ions

pp

C CpRF cavity Resonance

sextupole

Betatron

core

Injection

septum

Electrostatic

septum

Extraction

septum

Sextupole horiz.

chromaticity

Sextupole vert.

chromaticity

Sextupole vert.

chromaticity

Sextupole horiz.

chromaticity

Circumference C = 76.84 m

Tune horizontal Qx = 1.67

Tune vertical Qz = 1.72

400 MeV/u synchrotron

CERN - TERA - MedAustron

Proton Ion Medical Machine Study

Report:

https://cds.cern.ch/record/385378

https://cds.cern.ch/record/449577

Page 35: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

CNAO

MedAustron

First Patient 2011

Collaboration agreement with CERN

First Patient 2016

Collaboration agreement with CERN

Exploitation of jointly developed know-

how

Page 36: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

European Centers

ENLIGHT: European network for Light ion hadron therapy

Page 37: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Gantries Technology

Supporting structures

Actuator & Power

transmission system

Magnets

Vacuum system

Beam diagnostics

Transport the protons from horizontal plane into a vertical rotation plane

Page 38: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Gantries Technology

Page 39: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

GaToroid

Page 40: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

AMIT – Advanced Molecular Imaging Technologies

A cyclotron small enough to fit

in a hospital lift

Photo: CIEMAT

• Compact cyclotron for single dose

production of radioisotopes for non-

standard PET demands

• First prototype in 2016 and possibility

of industrialization

• Collaboration agreement with CIEMAT

Page 41: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Accelerators for radio-isotopes

Radio-isotope production for

medical research

Page 42: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

1. Established isotopes 99mTc, 18F, 123,125,131I, 111In, 90Y

> Industrial suppliers

2. Emerging isotopes 68Ga, 82Rb, 89Zr, 177Lu, 188Re

> Small innovative

suppliers

© CERN

3. R&D isotopes 44,47Sc, 64,67Cu, 134Ce, 140Nd, 149, 152, 155, 161Tb, 166Ho, 195mPt, 211At, 212, 213Bi, 223Ra, 225Ac,…

> Research labs

Accelerators for radio-isotopesClassification of isotopes for Medicine

Page 43: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

1. Established isotopes 99mTc, 18F, 123,125,131I, 111In, 90Y

> Industrial suppliers

2. Emerging isotopes 68Ga, 82Rb, 89Zr, 177Lu, 188Re

> Small innovative

suppliers

© CERN

3. R&D isotopes 44,47Sc, 64,67Cu, 134Ce, 140Nd, 149, 152, 155, 161Tb, 166Ho, 195mPt, 211At, 212, 213Bi, 223Ra, 225Ac,…

> Research labs

Accelerators for radio-isotopesClassification of isotopes for Medicine

Page 44: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Computing in Medical Field

Computing

Medical data

management

and analysis

Page 45: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Big Data

• Longstanding tradition of participation and support for IT infrastructures for

health research since 2001

• Many requests for “help” with architectures, data storage and sharing, analysis,

computing technologies.

Challenge:

• Other communities reuse the

same infrastructure, tools and

methods as HEP

Photo credits: http://www.martingrandjean.ch

Court

esy A

lbert

o D

i M

eglio

Page 46: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

BioDynaMo – The Biology Dynamic Modeller

• Platform for high-performance simulations of

biological dynamics

• Involves detailed physical interactions in

biological tissue

• Highly optimized and parallelized code

• To be on hybrid (multi-core, manycore) cloud

environments

Page 47: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

CERN-Sanofi

“How can machine learning improve vaccine production?

Machine learning

Page 48: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Page 49: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

http://giantmonsters.wikia.com/wiki/File:Golden_Gate_Bridge.jpg

Page 50: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

The fourth pillar

Page 51: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Our Team

Thank you!!!

Page 52: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Creative Commons

Licence

This work is licensed

under a Creative

Commons Attribution-

NonCommercial-

ShareAlike 4.0

International License

http://creativecommons.o

rg/licenses/by-nc-sa/4.0/

Page 53: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

https://www.youtube.com/watch?v=wgwDJiTYDI0

Cern: Virtual particle therapy centre

Page 54: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

ENVISION

https://cds.cern.ch/record/1611725

Page 55: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

CERN Medical Applications structureStrategy and Framework Applicable to Knowledge Transfer by

CERN for the Benefit of Medical Applications

Page 56: CERN Technologies and Medical Applications · First radiography Wilhelm Röntgen Nobel Prize in PHYSICS 1901. Knowledge Transfer ... > Industrial suppliers 2. Emerging isotopes 68Ga,

Knowledge Transfer | Accelerating Innovation

Medical & Biomedical Technologies