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Table 2 The current and expected number of radiotherapy machines and staff based on various criteria

From: PErspective and current status of Radiotherapy Service in IRan (PERSIR)-1 study: assessment of current external beam radiotherapy facilities, staff and techniques compared to the international guidelines

Resources

WHO

ESTRO-QUARTS

IAEA

Radiation oncologist (criteria)

4 per 1 million population

1 per 250 patients per year

1 per 250-300 patients per year

Current situation (2022)

344

344

344

Expected

340

228

190 - 228

Current / expected

>100%

>100%

> 100%

Medical physicist (criteria)

4 per 1 million population

1 per 450-500 patients per year

1 per 300-400 per patients per year

Current situation

252

252

252

Expected

340

114 - 126

142 - 190

Current / expected

74%

> 100%

> 100%

Radiotherapy technologist (criteria)

8 per 1 million population

---

1 per 100-150 patients per year

Current situation (2022)

419

---

419

Expected

680

---

380 - 570

Current / expected

61%

---

73 – 100%

Radiotherapy machine (criteria)

4 per 1 million population

1 per 450 patients per year

1 per 200-500 patients per year

Current situation (2022)

123

123

123

Expected

340

126

114 - 285

Current / expected

36%

97%

43 – 100%

Population (*106) in 2022 a

85

85

85

Radiotherapy cases estimated in 2020 b

57000

57000

57000

Radiotherapy cases received RT in 2022c

58000

58000

58000

  1. WHO World Health Organization, ESTRO European Society for Radiotherapy and Oncology, QUARTS Quantification of Radiation Therapy Infrastructure and Staffing needs, IAEA International Atomic Energy Agency
  2. aBased on the official statistics center of Iran
  3. bbased on WHO Global Cancer Observatory Data 2020 (https://gco.iarc.fr/today) and Estimation of number of cases requiring radiotherapy (based on Radiotherapy Utilization Rate 2015 by Atun et al.) excluding palliative and re-irradiation
  4. cactual RT courses including palliative and re-irradiation