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Dr. Ariyanto Pramana

MBBS, BSc (Med) (Hons), FRANZCR – Radiation Oncologist

Dr Ariyanto Pramana is the Response Oncology’s Radiation Oncologist, providing tailored, specialist care to adult patients with cancer, whether they are in the curative or palliative stages of their journey. Determined to provide cutting edge treatments and obtain the best outcomes for patients, Dr Pramana routinely attends ongoing professional development, both in Australia and overseas, and is a veracious reader of medical journals. Dr Pramana is quality-focused, and enthusiastically participates in peer reviews. Radiation Oncology is an ever advancing field of medical treatment and is still bulk billed to patients. This ensures patients are able to access appropriate and specialised care they require, at different stages of their cancer’s potential progress.

Experience

Consultant Radiation Oncologist: July 2015-Current
1. Liz Plummer Cancer Care Centre, Cairns (Queensland Health)
2. Radiation Oncology Centre, Cairns
3. Response Oncology (private room), Cairns
4. Cairns Haematology and Oncology Clinic (private room), Cairns

Locum Staff Specialist: 2014-July 2015
and Research Fellow in Radiation Oncology at St George Hospital, Sydney

Education

Royal Australian and New Zealand College of Radiologists 2009-2013
(RANZCR)
Sydney, Australia
Completed Phase 1 examination (passed on 1st attempt): Sep 2010
Completed Phase 2 examination (passed on 1st attempt): Apr 2013

Date of admission to Fellowship of The Royal Australian 29 Jan 2014
and New Zealand College of Radiologists
as a specialist in Radiation Oncology:

Bachelor of Science (Medicine) 2000 – 2005
Bachelor of Medicine. Bachelor of Surgery
With Honours Class 2 Division 2
The University of New South Wales
Sydney, Australia

Certifications

Certification
• Ongoing Continuing Professional Development – RANZCR – current
• Conjoint Associate Lecturer UNSW appointed since 1st August 2011

Proficiency in Radiation Oncology Techniques
• Stereotactic Body Radiotherapy technique
 Lung SBRT, Liver SBRT including departmental protocol application and implementation
 Prostate stereotactic boost using VMAT: St George technical protocol establishment, planning, and delivery of stereotactic boost
• Conventional, 3D Conformal External Beam Radiation Therapy techniques (Mega-voltage electron and photon machines)
• Superficial and Orthovoltage techniques
• Brachytherapy:
 Skin brachytherapy technique
1. Valencia applicator with High-Dose Rate brachytherapy
2. Esteya electronic brachytherapy for skin cancer
 Gynaecology: Vaginal vault and Cervix
• Intensity Modulated Radiation Therapy (IMRT)
• Volumetric Modulated Arc Therapy (VMAT)
• 4D CT Simulation
• Deformable Fusion technique for MRI/PET (Velocity/MIM software)
• Radiotherapy planning software: Pinnacle, Focal, ARIA, Mosaiq

Publications

International presentation 2015
Oral presentation at ASTRO October 2015 (San Antonio)
Pulmonary Fibrosis Following Breast Adjuvant Radiation Therapy: The Modifying Effects of Endocrine and Chemotherapy (PULp FICTion)
Ariyanto PRAMANA1,3,4, Lois H BROWNE1, Helen COX1, Anastasia SABA1, John LIM2, Peter H GRAHAM1,3
1. Radiation Oncology Department, St George Cancer Care Centre, Sydney, NSW, Australia
2. Radiology Department, St George Hospital, Sydney, NSW, Australia
3. The University of New South Wales, Sydney, NSW, Australia
4. Radiation Oncology Queensland, Cairns, QLD, Australia
DOI: 10.1016/j.ijrobp.2015.07.255

International presentation 2015
Poster presentation at San Antonio Breast Cancer Symposium
December 2015
Quantitative versus semi-quantitative assessments of radiation-induced pulmonary fibrosis post adjuvant breast radiotherapy
Ariyanto PRAMANA1,3,4, Lois BROWNE1, Anastasia SABA1, Katherine PHAM1, Stami TRAKIS1, Katie CRAWFORD1, Melissa HALL1, Nadia BATCHELOR1, Helen COX1, John LIM2, Peter GRAHAM1,3
1. Radiation Oncology Department, St George Cancer Care Centre, Sydney, NSW, Australia. 2. Radiology Department, St George Hospital, Sydney, NSW, Australia
3. The University of New South Wales, Sydney, NSW, Australia. 4. Radiation Oncology Queensland, Cairns, QLD, Australia

International presentation 2014
Poster presentation at EANM’14 Conference, Sweden
Assessing linearity in the relationships between quantitative FDG-PET/CT parameters and prognosis in patients with non-small cell lung cancer treated with radical radiotherapy
Duo Wang1, Eng-Siew Koh1,2,3, Joseph Descallar1,2, Shalini K. Vinod1,2,3,5, Ariyanto Pramana4, Ivan Ho Shon1,6.
1University of New South Wales, Sydney, Australia
2Ingham Institute of Applied Medical Research, Liverpool Hospital, Sydney, Australia
3Liverpool and Macarthur Cancer Therapy Centres, Sydney, Australia
4St George Cancer Care Centre, Sydney, Australia
5University of Western Sydney, Sydney, Australia
6Department of Nuclear Medicine and PET, Liverpool Hospital, Sydney Australia
DOI: 10.1007/s00259-014-2901-9

Journal – Original Research Article 2016
Liverpool Cancer Therapy Centre
Application of novel quantitative parameters for FDG-PET/CT in non-small cell lung cancer patients receiving curative radiotherapy.
Duo Wang1, Eng-Siew Koh1,2,3, Joseph Descallar1,2, Ariyanto Pramana4, Shalini K. Vinod1,2,3,5 Ivan Ho Shon1,6.
1University of New South Wales, Sydney, Australia
2Ingham Institute of Applied Medical Research, Liverpool Hospital, Sydney, Australia
3Liverpool and Macarthur Cancer Therapy Centres, Sydney, Australia
4St George Cancer Care Centre, Sydney, Australia
5University of Western Sydney, Sydney, Australia
6Department of Nuclear Medicine and PET, Liverpool Hospital, Sydney Australia
-Presented at 44th Annual Scientific Meeting of the Australian and New Zealand Society of Nuclear Medicine (April 2014). DOI: 10.1111/imj.12419
– Asia Pac J Clin Oncol. 2016 Dec;12(4):349-358. doi: 10.1111/ajco.12587. Epub 2016 Aug 23.

Journal – Original Research Article First Author Publication 2011-2014
Liverpool and Macarthur Cancer Therapy Centre (A/Prof Shalini Vinod)
A decade of community-based outcomes of patients treated with curative radiotherapy +/- chemotherapy for Non-Small Cell Lung Cancer.
-Oral presentation at Ingham research institute annual showcase
 Best oral presentation award – Nov 2011
-Oral presentation (VARIAN session) at RANZCR Annual Scientific Meeting in Cairns July 2012. DOI: 10.1111/j.1754-9485.2012.02424.x
-Poster presentation in IALSC 15th World Conference on Lung Cancer in Sydney October 2013. DOI: 10.1097/01.JTO.0000438438.14562.c8
-Published in Asia Pacific Journal of Clinical Oncology July 2014: doi: 10.1111/ajco.12262

Journal – Original Research Article First Author Publication 2008-2010
St. George Cancer Care Centre (A/Prof Peter Graham)
Metastatic cutaneous squamous cell carcinoma to parotid nodes: The role of bolus with adjuvant radiotherapy
-Oral presentation (proffered paper) at RANZCR Annual Scientific Meeting in Perth October 2010. DOI: 10.1111/%28ISSN%291754-9485
-Published in JMIRO 11 July 2011
Journal of Medical Imaging and Radiation Oncology 56 (2012) 100–108 (doi:10.1111/j.1754-9485.2011.02326.x)

Other contribution / submission
Correlation of Gross Tumour Volume and metabolic 2016
Tumour Volume for non-small cell lung cancer patients
M.G. Jameson1,3,4, A.J. Oar1,2,M. Field3,4 , I. Ho-Shon5,6, P.
Phan1, D. Wang5, J. Descallar3,5, A. Pramana8, S. Vinod1,2,5, E.
Koh1,2,3, L.C. Holloway1,3,4,5,7
1 Liverpool and Macarthur Cancer Therapy Centres, Sydney,
Australia
2 University of Western Sydney, Sydney, Australia
3 Ingham Institute of Applied Medical Research, Liverpool
Hospital, Sydney, Australia
4 Institute of Medical Physics, School of Physics, University of
Sydney, Sydney, Australia
5 University of New South Wales, Sydney, Australia
6 Department of Nuclear Medicine and PET, Liverpool
Hospital, Sydney Australia
7 Centre for Medical Radiation Physics, University of
Wollongong, Wollongong, Australia
8 St George Cancer Care Centre, Sydney, Australia
February 2016.Radiotherapy and Oncology 118:S51-S52.DOI 10.1016/S0167-8140(16)30107-4

Rapid learning in practice: 2014
A lung cancer survival decision support system in routine patient care data
Radiother Oncol. 2014 Oct; 113(1): 47–53. Published online 2014 Sep 18. doi: 10.1016/j.radonc.2014.08.013

Research:
Principal Investigator – CROSS PET STUDY 2013- current
St George Cancer Care Centre (Co-investigator: Dr Y Chin)
Phase II post neoadjuvant CROSS-chemoradiation PET scan as predictor of response and survival in patients with localised oesophageal cancer
-Principal investigator and coordinator
-Protocol establishment and revisions
-Coordination and supervision of trial between different participating centres
-Database creation and maintenance
-Current status: active enrolment
-Participating hospitals and co-investigators:
• St George (Dr Y Chin, Dr K Sjoquist, Dr L Browne)
• Prince of Wales (Dr S Thompson)
• Westmead (Dr J Jayamohan)
• Nepean (Dr T Wang)
• Royal North Shore (A/Prof A Kneebone)
-Future sites:
• Liverpool (Dr M Lee)
• Wollongong (Dr E Nasser)
-Presented in AGITG Research Workshop meeting, October 2013 (Melbourne)
-Clinical trial registration: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000676617
-Trial agreement with NL-Tec for MIM software.

Site Investigator/Co-investigator
TROG P-Lung study, Cairns 2016-current
• A Randomised Phase III Trial of High Dose Palliative Radiotherapy (HDPRT) Vs Concurrent Chemotherapy + HDPRT in Patients with Locally Advanced/Small Volume Metastatic Non-Small Cell Lung Cancer Not Suitable for Radical Chemo-Radiotherapy

TROG STARS trial, Cairns 2015-current
• Study of Anastrozole and Radiotherapy Sequencing

Research and Protocol Establishment
Associate Investigator 2014- 2015
Development of automated real time RT clinical trial QA using atlas registration
Liverpool Cancer Therapy Centre (Mr M Jameson)
-Associate investigator, atlas contouring, review and analysis

Associate Investigator – PROMETHEUS STUDY 2014- 2015
St George Cancer Care Centre (Dr J Bucci, Dr Y Chin)
Stereotactic Radiotherapy Boost (SRB) to the prostate with fractionated external beam radiotherapy using Volumetric Modulated Arc Therapy (VMAT)
PROMETHEUS trial – A/Prof J Martin, Dr M Sidhom
-Associate/corresponding investigator for St George hospital
-St George technical protocol establishment, SSA application, coordination of trial logistics, plan supervision and approval

Associate Investigator – SABR LUNG STUDY 2014- 2015
St George Cancer Care Centre (Dr E Hau)
A Phase II study of Stereotactic Ablative Body Radiotherapy (SABR) for Stage I Non-Small Cell Lung Cancer (NSCLC)
-Associate investigator at St George Hospital
-Patient enrollment, SABR planning and approval, quality assurance
-Clinical trial registration:
https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366235

Associate Investigator –PULP FICTION STUDY 2014- 2015
St George Cancer Care Centre (A/Prof P Graham)
Pulmonary Fibrosis following breast conservation adjuvant radiotherapy: the modifying effects of systemic therapies (chemotherapy, tamoxifen, and aromatase inhibitors)
-Patient enrollment, coordination of logistics, database maintenance
-Ongoing manuscripts in writing and submissions as described above

Awards

• Best poster presentation at Australasian Breast Congress, Gold Coast, Oct 2014
o Clinical impact of radiological lung volume changes and fibrosis after adjuvant breast cancer radiotherapy
• St George Radiation Oncology Department – Internal research funding for CROSS PET study Aug 2013
• Best oral presentation award at Ingham research institute annual showcase, Sydney, Nov 2011
o A decade of community-based outcomes of patients treated with curative radiotherapy +/- chemotherapy for Non-Small Cell Lung Cancer.

Professional memberships

Member: ESTRO
January 2013 to Present
Member: TROG
2009 to Present
Member: RANZCR
2008 to Present

Languages

  1. English
  2. Indonesian