NATIONAL MEDICAL RESEARCH RADIOLOGICAL CENTRE OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
In May 2014 the country's first scientific oncology cluster, National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation, was created. It included P. Hertsen Moscow Oncology Research Institute, A. Tsyb Medical Radiological Research Centre, N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology.
SYNERGY OF UNITY
Five years ago, fundamental changes began in Russian healthcare, one of which was the creation of large national medical research centers. At the suggestion of Minister Veronika Skvortsova three well-known and respected institutions united. In 2014 P. Hertsen Moscow Oncology Research Institute, N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology, A. Tsyb Medical Radiological Research Centre merged into National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation (NMRRC). Of course, at the beginning of the journey there was a lot of reflection on how to preserve the best in this new configuration and not to lose tradition. Today, when the problem of the fight against cancer around the world has come to the fore, and has become a national priority in our country, we understand how timely the decision to create the first such oncology cluster in Russia was. Today, our joint center employs more than three thousand people, we perform more than 16,000 operations per year, more than 3,000,000 studies, and we test a large number of new medicines and modern techniques. Our specialists perform unique operations: completely restore speech and normal functions of the tongue, pharynx, larynx from the biomaterial of the patient himself; we carry out radioembolization with the help of domestic microspheres developed by our centre, we do brachytherapy on the liver and pancreas using the domestic radioisotope iodine 125. Proper routing between the branches of the Center allows a patient who comes to us to receive a full range of combined and complex diagnostic and treatment procedures, including surgery, various options for chemotherapy and radiation therapy.
Targets and goals
In 2014, Russia's first scientific medical cluster in the field of oncology, radiology and urology was created: National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
The status of the National center has made it possible to apply all aspects of modern high-tech medical care existing in the world in practice.
The Center includes:
• P. Hertsen Moscow Oncology Research Institute
• A. Tsyb Medical Radiological Research Centre
• N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology
Doctors and Medical Staff
The multidisciplinary council of doctors and the best treatment methods, the caring and attentive team of National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation give hope for a complete recovery from cancer to thousands of people.
The advantage of the Center lies in its highly professional staff, who applies the greatest achievements of the world's oncology and radiology in practice and provides examination and treatment of patients using the latest methods and technologies.
The Center staff has 3,446 specialists. Among them there are 476 doctors, 520 PhDs and Doctors of Medical Sciences, 4 Academicians of the Russian Academy of Sciences and 46 Professors. The scientific staff of the Center are indispensable participants in international and national congresses and conferences.
A great responsibility in the care of serious patients and their recovery lies with the nursing staff. The Center employs 963 nurses and 237 junior medical staff.
Numbers and facts
The status of the National Center has significantly expanded the opportunities for patients to receive all aspects of modern high-tech medical care: from surgery using photodynamic therapy and intraoperative chemotherapy to radiation therapy and radiosurgery.
There is a wide range of palliative care options: conservative and surgical anesthesia, hyperthermia, HIFU therapy, PIPAC (Pressurized intraperitoneal aerosol chemotherapy), radioembolization and high-precision radiation therapy.
The Center has 926 beds at the 24-hour hospital
Over 140,000 patients seek outpatient care
Over 35,000 patients undergo treatment at the Center’s 24-hour hospital
Over 16,000 patients receive surgical treatment
Nearly 10,000 patients receive high-tech medicine treatment
More than 40 regions are in contact with the Centre
National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation has exceptional experience in organizing professional interaction of the oncological community through teleconferencing, which allows training and exchange of experience with regional oncology centers.
Twice a week, more than 35 regional oncology centers participate remotely in online conferences where doctors analyze exemplary clinical cases and receive expert opinion from the Federal Center on various issues of diagnosis and treatment.
In 2018, more than 1,100 patients from 64 regions were consulted through the Federal Telemedicine Information System of the Ministry of Health of Russia, of which more than 450 patients were consulted via videoconference between the attending physician and the consulting physician.
Teleconferencing allows specialists to quickly establish the diagnosis in special and unique clinical cases or to confirm the diagnosis, which directly affects the quality of medical care all over Russia.
The Center has a high scientific potential. It has brought up a galaxy of scientists who are engaged in fundamental developments and their application in practice, the creation of new anticancer drugs. The Center actively cooperates with the Russian Academy of Sciences (RAS) and other research institutes, corporations, research and production associations in the Russian Federation. One of the significant results of cooperation was the creation of the Russian proton complex Prometheus and Russian radioisotope pharmaceuticals.
By order of the Government of the Russian Federation dated October 25, 2017, a group of scientists from National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation, led by Director General, Academician of RAS Andrey Kaprin, was awarded the 2017 Prize of the Government of the Russian Federation in the field of science and technology “For the development, production and implementation of domestic radio sources (Iodine-125) for contact radiation therapy (brachytherapy) in oncology”.
National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation, having more than 120 years of experience, is a part of the system of higher education (postgraduate studies, residency), as well as additional professional education (advanced training, professional training). More than 100 residents and postgraduates study in the Centre annually. There are various residency programs (oncology, radiology, radiotherapy, radiology, urology, pathological anatomy, anesthesiology, intensive care medicine, ultrasound diagnostics) and postgraduate programs (clinical medicine, radiobiology). In 2018, 49 dissertations were defended in the dissertation councils of the Center - of which 10 doctoral and 39 candidate's (PhD).
On the initiative of the Center, the All-Russian Association of Young Oncologists has been created. The goal of this organizaton is to unite young scientists and practitioners, to provide them with a platform for professional and personal growth. The Association has brought together more than 10,000 young specialists under the age of 35 from all over Russia.
National Center for Oncology of Reproductive Organs
To reduce mortality from breast cancer in Russia on the initiative of Academician A.D. Kaprin, the National Center for Oncology of Reproductive Organs (mammology, gynecology, andrology) was established in 2014.
The Center managed to increase the number of diagnostic examinations of women and the effectiveness of diagnostic and therapeutic procedures, which led to a comprehensive solution to the problem of cancer of the reproductive organs.
Over the past period, more than 100,000 women have been examined using modern digital mammography and high-tech ultrasound. 60-80 breast cancer patients are diagnosed each month. The patients undergo high-tech organ-saving operations in combination with chemotherapy and radiation therapy.
The key to the health and quality of life of patients is timely rehabilitation after surgical and combined treatment of breast cancer. The high efficiency of the applied methods allows patients to quickly return to their normal lifestyle and social activity.
Preservation and research
Oncobiobank stores and does research on biomaterial of cancer patients with various types of cancer. Oncobiobank operates in accordance with European standards, being a member of ISBER (International Society for Biological and Environmental Repositories). Low-temperature (-80℃) storage facilities of the oncobiobank allow storing up to 90,000 biological samples for research, as well as up to 40,000 samples at the temperatures of liquid nitrogen vapors. The centre has collections on colorectal, pancreatic, lung and stomach cancer and lymphomas. CRYOBANK
National cancer registry
The initiator of the creation of the national cancer registry in Russia was the outstanding Russian scientist, professor, surgeon Lev Lvovich Levshin, who was the first to begin experimental research in the field of carcinogenesis. In 1901, he sent out 15,000 registration cards to register cancer patients, which made him the founder of statistics in oncology. Today, the population cancer registry is an Information and Analytical System (IAS “Cancer Registry”) for collecting, storing and analyzing information about malignant neoplasms among the population of the Russian Federation.
Annually, IAS “Cancer Registry” issues two bulletins: on the state of morbidity and mortality in the Russian Federation and on the state of cancer care for the population of Russia.
The Cancer Atlas (Second Edition, American Cancer Society, 2014) ranks the National cancer registry of the Russian Federation as a high-quality regional registry.
3,630,567 patients are registered in oncology clinics of the Russian Federation.
In 2018, 615,177 new cases of cancer were detected.
The absolute number of deaths from cancer in 2018 amounted to 155,754.
NATIONAL RADIATION EPIDEMIOLOGICAL REGISTRY
• Data collection and analysis in the National Radiation Epidemiological Registry (NRER) has been carried out since 1986. 790,000 Russian citizens exposed to radiation as a result of the Chernobyl accident are registered in a unified federal database.
• NRER is a leading institution in Russia for studying the medical consequences of radiation accidents, developing measures for the prevention, diagnosis and treatment of diseases caused by exposure to ionizing radiation, assessing radiation risks and predicting long-term medical consequences.
• The Sector conducts studies of late health effects of ionizing radiation following the Chernobyl accident and other radiological events includ¬ing occupational exposure and exposure to radiation from medical diagnostic procedures.
• On the base of NRER, key epidemiological data on the health status of the population and liquidators of the Chernobyl accident have been collected and included in the recently published White Paper on Chernobyl by the UN Scientific Committee on the Effects of Atomic Radiation.
BLOOD TRANSFUSION SERVICE
The blood transfusion service of National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation is represented by two departments in its branches: P. Hertsen Moscow Oncology Research Institute and A. Tsyb Medical Radiological Research Centre. The departments are equipped with modern, high-tech equipment that allows them to carry out a full range of work in all areas of transfusiology: blood transfusion service, clinical and industrial transfusiology, transfusion immunology. The main task of the blood transfusion service is to provide the branches of the Center with transfusion media (preserved blood, red blood cells, suspension, plasma, platelet concentrates), including planned and emergency operations.
Every year, the blood service conducts more than 400 donations.
More than 600 people are registered in the donor bank of National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation. All blood donors are unpaid volunteers.
More than 2,000 liters of donated blood is collected annually.
Oncological patients undergo therapeutic and donor plasmapheresis using the HAEMONETICS device, which helps to clear the blood of toxins during chemotherapy sessions, which makes it easier to tolerate chemotherapy.