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Time and precision are often the most precious resources in the fight against cancer, and a new type of cutting-edge equipment helps bring real-time information to the fight against cancer.
At the Sidney Kimmel Cancer Center (Philadelphia) designated by Jefferson’s NCI, the team relies on the latest clinical trial research and technology to care for patients. The new hybrid MRI-Linac combines high-resolution MRI imaging with a linear accelerator (Linac), while traditional radiotherapy requires multiple visits to the patient to locate the tumor using imaging equipment, and then use the linear accelerator (Linac) for treatment. This is not only more convenient for patients, but the improved accuracy also reduces damage to healthy tissue near the tumor site.
However, the challenge is that the dense urban environment cannot accommodate the new 5-ton equipment and its specially designed vault. The only viable option is to place the MRI-Linac next to the four existing linear accelerator vaults, two floors below street level.
The project area was originally built as a parking lot and later transformed into a hospital space, but faced many unique challenges, including limited floor heights and important structural foundations that had to be modified. Prudent strategies, such as using precast lead concrete units instead of pouring concrete to build vaults to reduce space constraints, and reducing equipment and structural materials through existing skylights above the waiting room, so that the four adjacent linear accelerators are maintained throughout the construction process run.
Item category: Retrofit/refurbishment
General Manager: Daniel Clancy, Senior Clinical Manager, Radiation Oncology, Thomas Jefferson University Hospital
the company: Stantec Construction and Engineering Co., Ltd., www.stantec.com
design team: Stantec Architecture and Engineering LLC (planning, architecture, interior design, MEP/FP engineering); O’Donnell & Naccarato Inc. (structural engineering)
Total construction area (square feet): 1,500
Construction cost/square foot: 1,000 USD
Total construction cost (excluding land): 1.5 million USD
fully: January 2021
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