Keywords: external beam radiation therapy, megavoltage machines, linac


The subject matter of the article is review and analysis of existing radiation treatment technologies, availability and efficiency of use of modern radiotherapy equipment in regions Ukraine according to European radiotherapy development trends. The goal of the work is to analyze the current status of radiotherapy equipment in Ukraine and to find the ways for extension of its use. The following tasks were solved in the article: the analysis of distribution of radiotherapy machines in Ukraine, estimation of current number of radiotherapy machines per million people for all regions and needs of radiotherapy centers of Ukraine in high precision conformal treatment machines. The following methods used – documentary data analysis, comparison and summarizing. The following results were obtained – estimated that according to requirements of IAEA that necessary number of megavoltage treatment machines in Ukraine should be near 200. Use of 90 machines covers only 45% needs of Ukrainian population in radiation treatment. According to DIRAC data 61 of 65 Co-60 machines in Ukraine are used during more than 20 years, Co-60 sources in 23 these machines now have Dose rate less than 0.4 Gy/min and must be replaced urgently. Conclusions: The main actual aspects of technical status of equipment for External-beam radiation therapy in Ukraine were discussed. Existing radiotherapy facilities were analyzed from the point of view of real needs and possibilities of Ukrainian radiation oncology. As a conclusion, the results of this analysis demonstrate a significant heterogeneity in the access to modern radiotherapy equipment in different regions of Ukraine. The qualitative analyses of used radiotherapy equipment demonstrate its significant technical backwardness. The results of this analysis may be used as technical recommendations for improvement of radiotherapy facilities in Ukraine.


Download data is not yet available.

Author Biographies

Lilya Averyanova, Kharkiv National University of Radio Electronics
PhD (Engineering Sciences), Associate Professor, Associate Professor of the Department of Biomedical Engineering
Victor Starenkiy, State Institution "Grigoriev Institute for medical Radiology NAMS of Ukraine"
Doctor of Sciences (Medicine), Professor, Head of the Department of Radiotherapy


Yap, M. L., Zubizarreta, E., Bray, F., Ferlay, J., Barton, M. (2016), "Global Access to Radiotherapy Services: Have We Made Progress During the Past Decade?", Journal of Global Oncology, Vol. 2, No. 4, P. 207–215. DOI:

Atun, R., Jaffray, D. A., Barton, M. B. et al. (2015), "Expanding global access to radiotherapy", The Lancet Oncology, Vol. 16, Issue 10, P. 1153–1186. DOI:

World Health Organization International Agency for Research on Cancer. GLOBOCAN 2018: Estimated Cancer Incidence, Mortality and Prevalence in Ukraine, available at :

Grover, S., Xu, M. J., Yeager, A., Rosman, L., Groen, R. S., Chackungal, S., Rodin, D., Mangaali, M., Nurkic, S., Fernandes, A., Lin, L. L., Thomas, G. and Tergas, A. I. (2015), "A systematic review of radiotherapy capacity in low- and middle-income countries", Frontiers in Oncology, No. 4:380. DOI:

Starenkiy, V. P., Petrichenko, O. O., Averyanova, L. O. (2017), "External beam radiotherapy facilities in Ukraine. Trends and challenges", Problems of Atomic Science and Technology, No. 6, P. 126–129, available at :

International Atomic Energy Agency (2011), "Planning National Radiotherapy Services: A Practical Tool, Human Health Series", IAEA, Vienna, No. 14, available at :

International Atomic Energy Agency Division of Human Services: Directory of Radiotherapy Centres (DIRAC), available at :

Radiation Therapy Equipment 2017-2025 - Global Market Analysis, Trends, and Forecasts Report 2019 - Varian and Elekta Rule the Radiotherapy Equipment Market (2019), Research and Markets, available at :

Grau, C., Defourny, N., Malicki, J. et al. (2014), "Radiotherapy equipment and departments in the European countries: Final results from the ESTRO-HERO survey", Radiotherapy and Oncology, Vol. 112, Issue 2, P. 155–164. DOI:

Shirzadfar, H., Khanahmadi, M. (2018), "Current approaches and novel treatment methods for cancer and radiotherapy", Int J Biosen Bioelectron, No. 4 (5):224. DOI:

Datta, N. .R, Samiei, M., Bodis, S.. (2014), "Radiation therapy infrastructure and human resources in low- and middle-income countries: Present status and projections for 2020", International Journal of Radiation Oncology, Biology, Physics, Vol. 89, No. 3, P. 448–457. DOI:

Gelband, H., Sankaranarayanan, R., Gauvreau, C. L. et al (2016), "Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries: key messages from Disease Control Priorities, 3rd edition", The Lancet, Vol. 387, Issue 10033, P. 2133–2144. DOI:

Chan, J. et al. (2020), "Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations: Measuring inequities to inform solutions", Radiotherapy and Oncology, Vol. 146, P. 1–8. DOI:

Starenkij, V., Vasyliev, L., Samofalov, I. (2016), "The Problems and Perspectives of Megavoltage Photon Beam Radiotherapy in Ukraine", Problems of Atomic Science and Technology, No. 3 (105), P. 94–97, available at :

IAEA Leads Review of Ukraine's Cancer Control Programme, available at :

Healy, B. J. et al. (2017), "Cobalt-60 Machines and Medical Linear Accelerators: Competing Technologies for External Beam Radiotherapy", Clinical Oncology, Vol. 29, Issue 2, P. 110–115. DOI:

International Atomic Energy Agency (2006), "Radiation protection in the design of radiotherapy facilities", IAEA, Vienna, No. 47, available at :

Abstract views: 85
PDF Downloads: 54
How to Cite
Averyanova, L. and Starenkiy, V. (2020) “ANALYSIS OF RADIATION THERAPY EQUIPMENT STATUS IN UKRAINE”, INNOVATIVE TECHNOLOGIES AND SCIENTIFIC SOLUTIONS FOR INDUSTRIES, (1 (11), pp. 106-113. doi: 10.30837/2522-9818.2020.11.106.