{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul style=\"list-style-type:circle\">\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators blood coagulation<\/li>\n\t\t<li>tumor marker<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>planning &nbsp;of proton therapy<\/li>\n\t<li>a full course of proton therapy<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>control examinations<\/li>\n\t<li>consultation of related specialists<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\">Proton therapy is the outpatient procedure, you do not need to stay in the hospital all the time.<\/p>\n\n<p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, the physician will conduct a clinical examination, go through the available medical records and CT scans. If necessary, the physician will prescribe you additional examinations in order to clarify the diagnosis and determine the localization of the tumor more accurately.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preparation for proton therapy<\/strong> begins with manufacturing the special device &ndash; the individual immobilizer that will fix the position of your body during a proton therapy session. Immobility is essential for high irradiation accuracy.<\/p>\n\n<p style=\"text-align: justify;\">After the control computed tomography, during which you will stay in the immobilizer, the healthcare professionals will develop an individual treatment scheme. The treatment scheme determines the number of proton therapy sessions, the radiation dose, the angle of the rays and the depth of their penetration. In accordance with these, technical devices are manufactured that determine the depth and form of irradiation. These are the collimator (determines the shape of the proton beam) and the bolus (determines the depth of the proton beam penetration).<\/p>\n\n<p style=\"text-align: justify;\">After that, a trial irradiation session is carried out using the individual immobilizer, collimator and bolus. Doctors evaluate the radiation dose received by the tumor and its compliance with the treatment scheme.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Proton therapy<\/strong>. The procedures are carried out once a day, 5 days a week. Usually Saturday and Sunday are your free days when you do not need to visit the hospital.<\/p>\n\n<p style=\"text-align: justify;\">Before each procedure, specialists check the position of your body using X-ray in two projections. If necessary, the irradiation is synchronized with the respiratory movements. After that, the tumor is exposed to the proton beams for 1-3 minutes. The total duration of the session with all the checking procedures is 15-30 minutes.<\/p>\n\n<p style=\"text-align: justify;\">The procedure is painless and is performed in open-type devices (this is important for overweight people or people with claustrophobia). Proton therapy does not require bed rest or other restrictions of physical activity.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Monitoring the treatment effectiveness<\/strong>. After completing the treatment, you will be advised to come in for the long-term follow-up. You will visit your doctor regularly for a clinical examination and, if necessary, a CT scan.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul style=\"list-style-type:circle\">\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators blood coagulation<\/li>\n\t\t<li>tumor marker<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>planning &nbsp;of proton therapy<\/li>\n\t<li>a full course of proton therapy<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>control examinations<\/li>\n\t<li>consultation of related specialists<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\">Proton therapy is the outpatient procedure, you do not need to stay in the hospital all the time.<\/p>\n\n<p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, the physician will conduct a clinical examination, go through the available medical records and CT scans. If necessary, the physician will prescribe you additional examinations in order to clarify the diagnosis and determine the localization of the tumor more accurately.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preparation for proton therapy<\/strong> begins with manufacturing the special device &ndash; the individual immobilizer that will fix the position of your body during a proton therapy session. Immobility is essential for high irradiation accuracy.<\/p>\n\n<p style=\"text-align: justify;\">After the control computed tomography, during which you will stay in the immobilizer, the healthcare professionals will develop an individual treatment scheme. The treatment scheme determines the number of proton therapy sessions, the radiation dose, the angle of the rays and the depth of their penetration. In accordance with these, technical devices are manufactured that determine the depth and form of irradiation. These are the collimator (determines the shape of the proton beam) and the bolus (determines the depth of the proton beam penetration).<\/p>\n\n<p style=\"text-align: justify;\">After that, a trial irradiation session is carried out using the individual immobilizer, collimator and bolus. Doctors evaluate the radiation dose received by the tumor and its compliance with the treatment scheme.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Proton therapy<\/strong>. The procedures are carried out once a day, 5 days a week. Usually Saturday and Sunday are your free days when you do not need to visit the hospital.<\/p>\n\n<p style=\"text-align: justify;\">Before each procedure, specialists check the position of your body using X-ray in two projections. If necessary, the irradiation is synchronized with the respiratory movements. After that, the tumor is exposed to the proton beams for 1-3 minutes. The total duration of the session with all the checking procedures is 15-30 minutes.<\/p>\n\n<p style=\"text-align: justify;\">The procedure is painless and is performed in open-type devices (this is important for overweight people or people with claustrophobia). Proton therapy does not require bed rest or other restrictions of physical activity.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Monitoring the treatment effectiveness<\/strong>. After completing the treatment, you will be advised to come in for the long-term follow-up. You will visit your doctor regularly for a clinical examination and, if necessary, a CT scan.<\/p>\n<\/div>","is_ambulant":"1","bh_fee":0,"only_for_children":"2","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"60018f682a5ef.jpg","city":"Heidelberg","clinic_site":"https:\/\/www.klinikum.uni-heidelberg.de\/Startseite.2.0.html?&no_cache=1","department_recommend":"1","country":"Germany","country_id":"1","clinic_name":"University Hospital Heidelberg","cinic_name":"University Hospital Heidelberg","department_id":"451","duration":"39","direction":"Proton therapy","min_duration":0,"clinic_id":"250","paketPrice":13800,"paket":"<ul>\n <li>Interpreter up to 30 hours<\/li>\n <li>Translation up to 15 pages<\/li>\n <li>Visa support<\/li>\n\n<\/ul>","title":"Treatment of pancreatic cancer with proton therapy","price":{"val":0,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"6","distance":"78","airport_title":"Frankfurt a.M."},{"id":"19","distance":"130","airport_title":"Stuttgart"},{"id":"4","distance":"297","airport_title":"Duesseldorf"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}