Androgen-Deprivation Therapy and Radiation Therapy in Treating Patients With Prostate Cancer
- Conditions
- Prostate Cancer
- Interventions
- Radiation: radiation therapyRadiation: Whole-pelvic radiotherapy (WPRT)
- Registration Number
- NCT01368588
- Lead Sponsor
- Radiation Therapy Oncology Group
- Brief Summary
RATIONALE: Androgens can cause the growth of prostate cancer cells. Androgen deprivation therapy may stop the adrenal glands from making androgens. Radiation therapy uses high-energy x-rays to kill tumor cells.
PURPOSE: This randomized phase III trial studies androgen-deprivation therapy and radiation therapy in treating patients with prostate cancer.
- Detailed Description
OBJECTIVES:
Primary
* Demonstrate that prophylactic, neoadjuvant, androgen-deprivation therapy (NADT) and whole-pelvic radiation therapy (WPRT) will result in improvement in overall survival (OS) of patients with "unfavorable" intermediate-risk or "favorable" high-risk prostate cancer compared to NADT and high-dose prostate (P) and seminal vesicle (SV) radiation therapy (RT) using intensity-modulated RT (IMRT) or external-beam RT (EBRT) with a high-dose rate (HDR) or a permanent prostate (radioactive seed) implant (PPI) boost.
Secondary
* Demonstrate that prophylactic WPRT improves biochemical control.
* Determine the distant metastasis (DM)-free survival.
* Determine the cause-specific survival (CSS).
* Compare acute and late treatment-adverse events between patients receiving NADT and WPRT versus NADT, P, and SV RT.
* Determine whether health-related quality of life (HRQOL), as measured by the Expanded Prostate Cancer Index Composite (EPIC), significantly worsens with increasing aggressiveness of treatment (i.e., Arm 2, NADT + WPRT).
* Determine whether more aggressive treatment (Arm 2, NADT + WPRT) is associated with a greater increase in fatigue (PROMIS Fatigue Short Form) from baseline to last week of treatment, and a greater increase in circulating inflammatory markers (IL-1, IL-1ra, IL-6, tumor necrosis factor (TNF)-alpha, and C-reactive protein).
* Demonstrate an incremental gain in OS and CSS with more aggressive therapy that outweighs any detriments in the primary generic domains of HRQOL (i.e., mobility, self-care, usual activities, pain/discomfort, and anxiety/depression).
* Determine whether changes in fatigue from baseline to the next three time points (week prior to RT, last week of treatment, and 3 months after treatment) are associated with changes in circulating cytokines, mood, sleep, and daily activities across the same time points.
* Collect paraffin-embedded tissue blocks, plasma, whole blood, and urine for planned and future translational research analyses.
OUTLINE: This is a multicenter study. Patients are stratified according to moderate- to high-risk groups as listed in the Disease Characteristics of this abstract, type of radiotherapy boost (IMRT vs brachytherapy \[Low-dose rate (LDR) using PPI or HDR\]), and duration of androgen-deprivation therapy (short-term \[6 months\] vs long-term \[32 months\]). Patients are randomized to 1 of 2 treatment arms.
All patients receive neoadjuvant androgen-deprivation therapy comprising bicalutamide orally (PO) once daily or flutamide PO thrice daily for 6 months, and luteinizing hormone-releasing hormone (LHRH) agonist/antagonist therapy comprising leuprolide acetate, goserelin acetate, buserelin, triptorelin, or degarelix subcutaneously (SC) or intramuscularly (IM) every 1 to 3 months beginning 2 months prior to radiotherapy and continuing for 6 or 32 months.
Radiotherapy begins within 8 weeks after beginning LHRH agonist/antagonist injection.
* Arm I: Patients undergo high-dose radiotherapy of the prostate and seminal vesicles using intensity-modulated radiotherapy (IMRT)\* or 3D-conformal radiation therapy (3D-CRT)\* once daily, 5 days a week, for approximately 9 weeks. Patients may also undergo permanent prostate implant (PPI) brachytherapy or high-dose rate brachytherapy (iodine I 125 or palladium Pd 103 may be used as the radioisotope).
* Arm II: Patients undergo whole-pelvic radiotherapy (WPRT)\* (3D-CRT or IMRT) once daily, 5 days a week, for approximately 9 weeks. Patients may also undergo brachytherapy as in arm I.
NOTE: \* Patients undergoing brachytherapy implant receive 5 weeks of IMRT, 3D-CRT, or WPRT.
Patients may undergo blood and urine sample collection for correlative studies. Primary tumor tissue samples may also be collected.
Patients may complete the Expanded Prostate Cancer Index Composite (EPIC), the PROMIS-Fatigue Short Form, and the EuroQol (EQ-5D) quality-of-life (QOL) questionnaires at baseline and periodically during treatment. Patients who participate in the QOL portion of the study must also agree to periodic blood collection.
After completion of study therapy, patients are followed up every 3 months for 1 year, every 6 months for 3 years, and then yearly thereafter.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- Male
- Target Recruitment
- 2592
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Arm I radiation therapy Patients undergo high-dose radiotherapy of the prostate and seminal vesicles using intensity-modulated radiotherapy (IMRT)\* or 3D-conformal radiation therapy (3D-CRT)\* once daily, 5 days a week, for approximately 9 weeks. Patients may also undergo permanent prostate implant (PPI) brachytherapy or high-dose rate brachytherapy (I 125 or Pd 103 may be used as the radioisotope). Arm II Whole-pelvic radiotherapy (WPRT) Patients undergo whole-pelvic radiotherapy (WPRT)\* (3D-CRT or IMRT) once daily, 5 days a week, for approximately 9 weeks. Patients may also undergo brachytherapy as in arm I.
- Primary Outcome Measures
Name Time Method Overall Survival From date of randomization to the date of death.
- Secondary Outcome Measures
Name Time Method Prostate cancer-specific HRQOL change as measured by the EPIC-26 (bowel or urinary domain) Date when baseline EPIC-26 completed to 6 months post radiation therapy, 1 year post radiation therapy and 5 years post radiation therapy. Cause-specific survival From date of randomization to the date of death due to prostate cancer. Biochemical failure by the Phoenix definition (PSA ≥ 2 ng/mL over the nadir PSA) From date of randomization to the date of first biochemical failure by phoenix definition within 5 years of randomization. Time to "late" grade 3+ adverse events as assessed by CTCAE current version From protocol treatment start date to the date of the first late grade 3+ adverse event occurring more than 30 days after the completion of radiation therapy. Incidence of "acute" adverse events as assessed by the Common Toxicity Criteria for Adverse Effects (CTCAE) current version From protocol treatment start date to the date of first occurrence of worst severity of the adverse event </= 30 days from completion of radiation therapy. Fatigue status as measured by the Patient-Reported Outcome Measurement Information System (PROMIS) fatigue-domain change score From the date when the baseline PROMIS is completed to the last week of treatment. Assessment and comparison of Quality Adjusted Life Years (QALYs) From the baseline QALYs assessment to the last week of radiation therapy (RT), 3 months post RT, 6 months post RT, 1 year post RT and 5 years post RT. Distant metastasis-free survival From date of randomization to the date of first documented distant metastasis or date of first clinical and/or radiographic appearance of disseminated disease.
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
Trial Locations
- Locations (477)
Los Angeles County-USC Medical Center
🇺🇸Los Angeles, California, United States
Emory University Hospital Midtown
🇺🇸Atlanta, Georgia, United States
Rush University Medical Center
🇺🇸Chicago, Illinois, United States
Weiss Memorial Hospital
🇺🇸Chicago, Illinois, United States
Advocate Illinois Masonic Medical Center
🇺🇸Chicago, Illinois, United States
Cleveland Clinic Cancer Center/Fairview Hospital
🇺🇸Cleveland, Ohio, United States
Memorial Hermann Memorial City Medical Center
🇺🇸Houston, Texas, United States
Ben Taub General Hospital
🇺🇸Houston, Texas, United States
Florida Cancer Affiliates
🇺🇸Trinity, Florida, United States
Queen's Medical Center
🇺🇸Honolulu, Hawaii, United States
The Cancer Center of Hawaii-Liliha
🇺🇸Honolulu, Hawaii, United States
James J Peters VA Medical Center
🇺🇸Bronx, New York, United States
UCSF Medical Center-Mount Zion
🇺🇸San Francisco, California, United States
UCSF Medical Center-Mission Bay
🇺🇸San Francisco, California, United States
Hennepin County Medical Center
🇺🇸Minneapolis, Minnesota, United States
Duke University Medical Center
🇺🇸Durham, North Carolina, United States
Cedars Sinai Medical Center
🇺🇸Los Angeles, California, United States
University of Mississippi Medical Center
🇺🇸Jackson, Mississippi, United States
Fox Chase Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
Saskatoon Cancer Centre
🇨🇦Saskatoon, Saskatchewan, Canada
Doctor H. Bliss Murphy Cancer Centre
🇨🇦St. John's, Newfoundland and Labrador, Canada
Cancer Center at Saint Joseph's
🇺🇸Phoenix, Arizona, United States
Arizona Breast Cancer Specialists-Phoenix
🇺🇸Phoenix, Arizona, United States
Arizona Oncology-Deer Valley Center
🇺🇸Phoenix, Arizona, United States
Wayne State University/Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
Henry Ford Hospital
🇺🇸Detroit, Michigan, United States
Ascension Saint John Hospital
🇺🇸Detroit, Michigan, United States
Porter Adventist Hospital
🇺🇸Denver, Colorado, United States
Providence Portland Medical Center
🇺🇸Portland, Oregon, United States
University of Nebraska Medical Center
🇺🇸Omaha, Nebraska, United States
Ascension Southeast Wisconsin Hospital - Saint Joseph Campus
🇺🇸Milwaukee, Wisconsin, United States
Ascension Columbia Saint Mary's Hospital - Milwaukee
🇺🇸Milwaukee, Wisconsin, United States
Cape Cod Hospital
🇺🇸Hyannis, Massachusetts, United States
Lowell General Hospital
🇺🇸Lowell, Massachusetts, United States
ThedaCare Regional Cancer Center
🇺🇸Appleton, Wisconsin, United States
Ascension Southeast Wisconsin Hospital - Elmbrook Campus
🇺🇸Brookfield, Wisconsin, United States
Anchorage Associates in Radiation Medicine
🇺🇸Anchorage, Alaska, United States
University of South Alabama Mitchell Cancer Institute
🇺🇸Mobile, Alabama, United States
Providence Alaska Medical Center
🇺🇸Anchorage, Alaska, United States
Alaska Oncology and Hematology LLC
🇺🇸Anchorage, Alaska, United States
Fairbanks Memorial Hospital
🇺🇸Fairbanks, Alaska, United States
Anchorage Oncology Centre
🇺🇸Anchorage, Alaska, United States
Arizona Breast Cancer Specialists-Gilbert
🇺🇸Gilbert, Arizona, United States
Arizona Center for Cancer Care-Peoria
🇺🇸Peoria, Arizona, United States
21st Century Oncology-Scottsdale
🇺🇸Scottsdale, Arizona, United States
Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
🇺🇸Jonesboro, Arkansas, United States
Arizona Oncology Associates-West Orange Grove
🇺🇸Tucson, Arizona, United States
University of Arkansas for Medical Sciences
🇺🇸Little Rock, Arkansas, United States
Arizona Oncology Services Foundation
🇺🇸Scottsdale, Arizona, United States
University of Arizona Cancer Center-Orange Grove Campus
🇺🇸Tucson, Arizona, United States
Banner University Medical Center - Tucson
🇺🇸Tucson, Arizona, United States
University of Arizona Cancer Center-North Campus
🇺🇸Tucson, Arizona, United States
CHI Saint Vincent Cancer Center Hot Springs
🇺🇸Hot Springs, Arkansas, United States
Marin General Hospital
🇺🇸Greenbrae, California, United States
Saint Agnes Medical Center
🇺🇸Fresno, California, United States
Mercy San Juan Medical Center
🇺🇸Carmichael, California, United States
Fresno Cancer Center
🇺🇸Fresno, California, United States
Tibor Rubin VA Medical Center
🇺🇸Long Beach, California, United States
USC / Norris Comprehensive Cancer Center
🇺🇸Los Angeles, California, United States
Mercy UC Davis Cancer Center
🇺🇸Merced, California, United States
Memorial Medical Center
🇺🇸Springfield, Illinois, United States
Fremont - Rideout Cancer Center
🇺🇸Marysville, California, United States
Desert Regional Medical Center
🇺🇸Palm Springs, California, United States
Kaiser Permanente Oakland-Broadway
🇺🇸Oakland, California, United States
Stanford Cancer Institute Palo Alto
🇺🇸Palo Alto, California, United States
Palo Alto Medical Foundation Health Care
🇺🇸Palo Alto, California, United States
Sutter Cancer Centers Radiation Oncology Services-Roseville
🇺🇸Roseville, California, United States
The Permanente Medical Group-Roseville Radiation Oncology
🇺🇸Roseville, California, United States
Saint Joseph's Medical Center
🇺🇸Stockton, California, United States
Palo Alto Medical Foundation-Sunnyvale
🇺🇸Sunnyvale, California, United States
Gene Upshaw Memorial Tahoe Forest Cancer Center
🇺🇸Truckee, California, United States
Rocky Mountain Cancer Centers-Boulder
🇺🇸Boulder, Colorado, United States
UCHealth Memorial Hospital Central
🇺🇸Colorado Springs, Colorado, United States
Longmont United Hospital
🇺🇸Longmont, Colorado, United States
Shaw Cancer Center
🇺🇸Edwards, Colorado, United States
Summa Health System - Akron Campus
🇺🇸Akron, Ohio, United States
Ohio State University Comprehensive Cancer Center
🇺🇸Columbus, Ohio, United States
The Mark H Zangmeister Center
🇺🇸Columbus, Ohio, United States
North Colorado Medical Center
🇺🇸Greeley, Colorado, United States
Cleveland Clinic Cancer Center Independence
🇺🇸Independence, Ohio, United States
Mount Carmel Health Center West
🇺🇸Columbus, Ohio, United States
Parker Adventist Hospital
🇺🇸Parker, Colorado, United States
Hartford HealthCare - Saint Vincent's Medical Center
🇺🇸Bridgeport, Connecticut, United States
UH Seidman Cancer Center at Southwest General Hospital
🇺🇸Middleburg Heights, Ohio, United States
Saint Charles Hospital
🇺🇸Oregon, Ohio, United States
University Hospitals Parma Medical Center
🇺🇸Parma, Ohio, United States
Southern Ohio Medical Center
🇺🇸Portsmouth, Ohio, United States
Christiana Care Health System-Christiana Hospital
🇺🇸Newark, Delaware, United States
Middlesex Hospital
🇺🇸Middletown, Connecticut, United States
UHHS-Westlake Medical Center
🇺🇸Westlake, Ohio, United States
Cancer Treatment Center
🇺🇸Wooster, Ohio, United States
Wright-Patterson Medical Center
🇺🇸Wright-Patterson Air Force Base, Ohio, United States
University of Miami Miller School of Medicine-Sylvester Cancer Center
🇺🇸Miami, Florida, United States
Jupiter Medical Center
🇺🇸Jupiter, Florida, United States
Cancer Center of Putnam
🇺🇸Palatka, Florida, United States
Piedmont Hospital
🇺🇸Atlanta, Georgia, United States
Emory University Hospital/Winship Cancer Institute
🇺🇸Atlanta, Georgia, United States
John B Amos Cancer Center
🇺🇸Columbus, Georgia, United States
Atlanta VA Medical Center
🇺🇸Decatur, Georgia, United States
Kootenai Health - Coeur d'Alene
🇺🇸Coeur d'Alene, Idaho, United States
Saint Alphonsus Cancer Care Center-Boise
🇺🇸Boise, Idaho, United States
Saint Luke's Cancer Institute - Twin Falls
🇺🇸Twin Falls, Idaho, United States
John H Stroger Jr Hospital of Cook County
🇺🇸Chicago, Illinois, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Crossroads Cancer Center
🇺🇸Effingham, Illinois, United States
UChicago Medicine Comprehensive Cancer Center - Saint Joseph Hospital
🇺🇸Chicago, Illinois, United States
Decatur Memorial Hospital
🇺🇸Decatur, Illinois, United States
SwedishAmerican Regional Cancer Center/ACT
🇺🇸Rockford, Illinois, United States
Saint John's Hospital
🇺🇸Springfield, Illinois, United States
Carle Cancer Center
🇺🇸Urbana, Illinois, United States
Radiation Oncology Associates PC
🇺🇸Fort Wayne, Indiana, United States
Parkview Hospital Randallia
🇺🇸Fort Wayne, Indiana, United States
IU Health Methodist Hospital
🇺🇸Indianapolis, Indiana, United States
Indiana University/Melvin and Bren Simon Cancer Center
🇺🇸Indianapolis, Indiana, United States
McFarland Clinic PC - Ames
🇺🇸Ames, Iowa, United States
Mercy Hospital
🇺🇸Cedar Rapids, Iowa, United States
Saint Catherine Hospital
🇺🇸Garden City, Kansas, United States
Finley Hospital
🇺🇸Dubuque, Iowa, United States
Central Care Cancer Center - Garden City
🇺🇸Garden City, Kansas, United States
University of Kansas Cancer Center
🇺🇸Kansas City, Kansas, United States
Lawrence Memorial Hospital
🇺🇸Lawrence, Kansas, United States
Kootenai Cancer Clinic
🇺🇸Sandpoint, Idaho, United States
Ascension Via Christi Hospitals Wichita
🇺🇸Wichita, Kansas, United States
Cotton O'Neil Cancer Center / Stormont Vail Health
🇺🇸Topeka, Kansas, United States
Olathe Health Cancer Center
🇺🇸Olathe, Kansas, United States
Mary Bird Perkins Cancer Center - Houma
🇺🇸Houma, Louisiana, United States
East Jefferson General Hospital
🇺🇸Metairie, Louisiana, United States
Mary Bird Perkins Cancer Center - Covington
🇺🇸Covington, Louisiana, United States
Anne Arundel Medical Center
🇺🇸Annapolis, Maryland, United States
University of Maryland/Greenebaum Cancer Center
🇺🇸Baltimore, Maryland, United States
Greater Baltimore Medical Center
🇺🇸Baltimore, Maryland, United States
Sutter Cancer Centers Radiation Oncology Services-Cameron Park
🇺🇸Cameron Park, California, United States
UM Baltimore Washington Medical Center/Tate Cancer Center
🇺🇸Glen Burnie, Maryland, United States
TidalHealth Peninsula Regional
🇺🇸Salisbury, Maryland, United States
Adventist Health Cancer Care Center Chico
🇺🇸Chico, California, United States
UM Saint Joseph Medical Center
🇺🇸Towson, Maryland, United States
Saint Anne's Hospital
🇺🇸Fall River, Massachusetts, United States
Massachusetts General Hospital Cancer Center
🇺🇸Boston, Massachusetts, United States
Alta Bates Summit Medical Center - Summit Campus
🇺🇸Oakland, California, United States
Beth Israel Deaconess Hospital-Plymouth
🇺🇸Plymouth, Massachusetts, United States
Pomona Valley Hospital Medical Center
🇺🇸Pomona, California, United States
Kaiser Permanente-Rancho Cordova Cancer Center
🇺🇸Rancho Cordova, California, United States
Santa Clara Valley Medical Center
🇺🇸San Jose, California, United States
Rohnert Park Cancer Center
🇺🇸Rohnert Park, California, United States
Bixby Medical Center
🇺🇸Adrian, Michigan, United States
Mary Bird Perkins Cancer Center
🇺🇸Baton Rouge, Louisiana, United States
Bronson Battle Creek
🇺🇸Battle Creek, Michigan, United States
Henry Ford Cancer Institute-Downriver
🇺🇸Brownstown, Michigan, United States
McLaren Cancer Institute-Clarkston
🇺🇸Clarkston, Michigan, United States
GenesisCare USA - Clarkston
🇺🇸Clarkston, Michigan, United States
Henry Ford Macomb Hospital-Clinton Township
🇺🇸Clinton Township, Michigan, United States
GenesisCare USA - Farmington Hills
🇺🇸Farmington Hills, Michigan, United States
Weisberg Cancer Treatment Center
🇺🇸Farmington Hills, Michigan, United States
Beaumont Hospital - Farmington Hills
🇺🇸Farmington Hills, Michigan, United States
Spectrum Health at Butterworth Campus
🇺🇸Grand Rapids, Michigan, United States
Katmai Oncology Group
🇺🇸Anchorage, Alaska, United States
Karmanos Cancer Institute at McLaren Greater Lansing
🇺🇸Lansing, Michigan, United States
Saint Mary Mercy Hospital
🇺🇸Livonia, Michigan, United States
Sparrow Hospital
🇺🇸Lansing, Michigan, United States
McLaren Cancer Institute-Lapeer Region
🇺🇸Lapeer, Michigan, United States
Mercy Health Mercy Campus
🇺🇸Muskegon, Michigan, United States
McLaren Cancer Institute-Owosso
🇺🇸Owosso, Michigan, United States
McLaren Cancer Institute-Northern Michigan
🇺🇸Petoskey, Michigan, United States
21st Century Oncology-Pontiac
🇺🇸Pontiac, Michigan, United States
William Beaumont Hospital-Royal Oak
🇺🇸Royal Oak, Michigan, United States
Mayo Clinic Health System in Albert Lea
🇺🇸Albert Lea, Minnesota, United States
Henry Ford West Bloomfield Hospital
🇺🇸West Bloomfield, Michigan, United States
Saint John Macomb-Oakland Hospital
🇺🇸Warren, Michigan, United States
Saint Luke's Hospital of Duluth
🇺🇸Duluth, Minnesota, United States
Sanford Joe Lueken Cancer Center
🇺🇸Bemidji, Minnesota, United States
Coborn Cancer Center at Saint Cloud Hospital
🇺🇸Saint Cloud, Minnesota, United States
Mayo Clinic Health Systems-Mankato
🇺🇸Mankato, Minnesota, United States
Regions Hospital
🇺🇸Saint Paul, Minnesota, United States
Park Nicollet Clinic - Saint Louis Park
🇺🇸Saint Louis Park, Minnesota, United States
Rice Memorial Hospital
🇺🇸Willmar, Minnesota, United States
Singing River Hospital
🇺🇸Pascagoula, Mississippi, United States
Saint Francis Medical Center
🇺🇸Cape Girardeau, Missouri, United States
Southeast Cancer Center
🇺🇸Cape Girardeau, Missouri, United States
Siteman Cancer Center at West County Hospital
🇺🇸Creve Coeur, Missouri, United States
Freeman Health System
🇺🇸Joplin, Missouri, United States
Delbert Day Cancer Institute at PCRMC
🇺🇸Rolla, Missouri, United States
University of Kansas Cancer Center - Lee's Summit
🇺🇸Lee's Summit, Missouri, United States
Heartland Regional Medical Center
🇺🇸Saint Joseph, Missouri, United States
Veteran's Affairs Medical Center - Saint Louis
🇺🇸Saint Louis, Missouri, United States
Siteman Cancer Center-South County
🇺🇸Saint Louis, Missouri, United States
Missouri Baptist Medical Center
🇺🇸Saint Louis, Missouri, United States
Siteman Cancer Center at Saint Peters Hospital
🇺🇸Saint Peters, Missouri, United States
Mercy Hospital Saint Louis
🇺🇸Saint Louis, Missouri, United States
CoxHealth South Hospital
🇺🇸Springfield, Missouri, United States
Benefis Healthcare- Sletten Cancer Institute
🇺🇸Great Falls, Montana, United States
Alegent Health Bergan Mercy Medical Center
🇺🇸Omaha, Nebraska, United States
AtlantiCare Surgery Center
🇺🇸Egg Harbor Township, New Jersey, United States
Virtua Voorhees
🇺🇸Voorhees, New Jersey, United States
Sparta Cancer Treatment Center
🇺🇸Sparta, New Jersey, United States
Memorial Medical Center - Las Cruces
🇺🇸Las Cruces, New Mexico, United States
South Shore University Hospital
🇺🇸Bay Shore, New York, United States
New York-Presbyterian/Brooklyn Methodist Hospital
🇺🇸Brooklyn, New York, United States
Sands Cancer Center
🇺🇸Canandaigua, New York, United States
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
🇺🇸New York, New York, United States
Stony Brook University Medical Center
🇺🇸Stony Brook, New York, United States
FirstHealth of the Carolinas-Moore Regional Hospital
🇺🇸Pinehurst, North Carolina, United States
UNC Rex Cancer Center
🇺🇸Raleigh, North Carolina, United States
NHRMC Radiation Oncology - 16th Street
🇺🇸Wilmington, North Carolina, United States
NHRMC Radiation Oncology - Supply
🇺🇸Supply, North Carolina, United States
Adena Regional Medical Center
🇺🇸Chillicothe, Ohio, United States
Cleveland Clinic Akron General
🇺🇸Akron, Ohio, United States
Cleveland Clinic Mercy Hospital
🇺🇸Canton, Ohio, United States
Summa Health System - Barberton Campus
🇺🇸Barberton, Ohio, United States
Geauga Hospital
🇺🇸Chardon, Ohio, United States
Case Western Reserve University
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Foundation
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Cancer Center Mansfield
🇺🇸Mansfield, Ohio, United States
Mercy Cancer Center-Elyria
🇺🇸Elyria, Ohio, United States
Summa Health Medina Medical Center
🇺🇸Medina, Ohio, United States
UH Seidman Cancer Center at Lake Health Mentor Campus
🇺🇸Mentor, Ohio, United States
Toledo Clinic Cancer Centers-Maumee
🇺🇸Maumee, Ohio, United States
University Hospitals Portage Medical Center
🇺🇸Ravenna, Ohio, United States
North Coast Cancer Care
🇺🇸Sandusky, Ohio, United States
Cleveland Clinic Cancer Center Strongsville
🇺🇸Strongsville, Ohio, United States
University of Toledo
🇺🇸Toledo, Ohio, United States
Northwest Community Hospital
🇺🇸Arlington Heights, Illinois, United States
Clackamas Radiation Oncology Center
🇺🇸Clackamas, Oregon, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States
Three Rivers Community Hospital
🇺🇸Grants Pass, Oregon, United States
Kaiser Permanente Northwest
🇺🇸Portland, Oregon, United States
Providence Saint Vincent Medical Center
🇺🇸Portland, Oregon, United States
Northeast Radiation Oncology Center
🇺🇸Dunmore, Pennsylvania, United States
Fox Chase Cancer Center Buckingham
🇺🇸Furlong, Pennsylvania, United States
Ephrata Cancer Center
🇺🇸Ephrata, Pennsylvania, United States
Adams Cancer Center
🇺🇸Gettysburg, Pennsylvania, United States
Geisinger Wyoming Valley/Henry Cancer Center
🇺🇸Wilkes-Barre, Pennsylvania, United States
Reading Hospital
🇺🇸West Reading, Pennsylvania, United States
WellSpan Health-York Hospital
🇺🇸York, Pennsylvania, United States
Asplundh Cancer Pavilion
🇺🇸Willow Grove, Pennsylvania, United States
Prisma Health Cancer Institute - Spartanburg
🇺🇸Boiling Springs, South Carolina, United States
Saint Francis Cancer Center
🇺🇸Greenville, South Carolina, United States
AnMed Health Cancer Center
🇺🇸Anderson, South Carolina, United States
Prisma Health Cancer Institute - Faris
🇺🇸Greenville, South Carolina, United States
Prisma Health Cancer Institute - Greer
🇺🇸Greer, South Carolina, United States
Self Regional Healthcare
🇺🇸Greenwood, South Carolina, United States
Prisma Health Cancer Institute - Seneca
🇺🇸Seneca, South Carolina, United States
Gibbs Cancer Center-Pelham
🇺🇸Greer, South Carolina, United States
Sanford USD Medical Center - Sioux Falls
🇺🇸Sioux Falls, South Dakota, United States
Erlanger Medical Center
🇺🇸Chattanooga, Tennessee, United States
Texas Cancer Center
🇺🇸Abilene, Texas, United States
Texas Oncology PA Beaumont
🇺🇸Beaumont, Texas, United States
Wellmont Holston Valley Hospital and Medical Center
🇺🇸Kingsport, Tennessee, United States
Vanderbilt University/Ingram Cancer Center
🇺🇸Nashville, Tennessee, United States
West Texas Cancer Center
🇺🇸Odessa, Texas, United States
UTMB Cancer Center at Victory Lakes
🇺🇸League City, Texas, United States
Sandra L Maxwell Cancer Center
🇺🇸Cedar City, Utah, United States
Deke Slayton Cancer Center
🇺🇸Webster, Texas, United States
McKay-Dee Hospital Center
🇺🇸Ogden, Utah, United States
American Fork Hospital / Huntsman Intermountain Cancer Center
🇺🇸American Fork, Utah, United States
Texas Oncology Cancer Center Sugar Land
🇺🇸Sugar Land, Texas, United States
Intermountain Medical Center
🇺🇸Murray, Utah, United States
Dixie Medical Center Regional Cancer Center
🇺🇸Saint George, Utah, United States
Utah Cancer Specialists-Salt Lake City
🇺🇸Salt Lake City, Utah, United States
Huntsman Cancer Institute/University of Utah
🇺🇸Salt Lake City, Utah, United States
Southwestern Vermont Medical Center
🇺🇸Bennington, Vermont, United States
Central Vermont Medical Center/National Life Cancer Treatment
🇺🇸Berlin, Vermont, United States
University of Vermont Medical Center
🇺🇸Burlington, Vermont, United States
Augusta Health Center for Cancer and Blood Disorders
🇺🇸Fishersville, Virginia, United States
Sentara Rockingham Memorial Hospital Hahn Cancer Center
🇺🇸Harrisonburg, Virginia, United States
Bon Secours DePaul Medical Center
🇺🇸Norfolk, Virginia, United States
PeaceHealth Southwest Medical Center
🇺🇸Vancouver, Washington, United States
Sentara Obici Hospital
🇺🇸Suffolk, Virginia, United States
Virginia Mason Medical Center
🇺🇸Seattle, Washington, United States
Saint Francis Hospital
🇺🇸Federal Way, Washington, United States
West Virginia University Healthcare
🇺🇸Morgantown, West Virginia, United States
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
🇺🇸Yakima, Washington, United States
Ascension Saint Francis - Reiman Cancer Center
🇺🇸Franklin, Wisconsin, United States
Mayo Clinic Health System-Franciscan Healthcare
🇺🇸La Crosse, Wisconsin, United States
UW Cancer Center Johnson Creek
🇺🇸Johnson Creek, Wisconsin, United States
Gundersen Lutheran Medical Center
🇺🇸La Crosse, Wisconsin, United States
Bay Area Medical Center
🇺🇸Marinette, Wisconsin, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States
Froedtert Menomonee Falls Hospital
🇺🇸Menomonee Falls, Wisconsin, United States
Zablocki Veterans Administration Medical Center
🇺🇸Milwaukee, Wisconsin, United States
Marshfield Clinic-Minocqua Center
🇺🇸Minocqua, Wisconsin, United States
Marshfield Clinic Stevens Point Center
🇺🇸Stevens Point, Wisconsin, United States
Vince Lombardi Cancer Clinic-Sheboygan
🇺🇸Sheboygan, Wisconsin, United States
Aspirus Regional Cancer Center
🇺🇸Wausau, Wisconsin, United States
Froedtert West Bend Hospital/Kraemer Cancer Center
🇺🇸West Bend, Wisconsin, United States
Tom Baker Cancer Centre
🇨🇦Calgary, Alberta, Canada
Billings Clinic-Cody
🇺🇸Cody, Wyoming, United States
BCCA-Fraser Valley Cancer Centre
🇨🇦Surrey, British Columbia, Canada
QEII Health Sciences Centre/Nova Scotia Health Authority
🇨🇦Halifax, Nova Scotia, Canada
Odette Cancer Centre- Sunnybrook Health Sciences Centre
🇨🇦Toronto, Ontario, Canada
Stronach Regional Health Centre at Southlake
🇨🇦Newmarket, Ontario, Canada
Jewish General Hospital
🇨🇦Montreal, Quebec, Canada
CHUM - Hopital Notre-Dame
🇨🇦Montreal, Quebec, Canada
McGill University Department of Oncology
🇨🇦Montreal, Quebec, Canada
Allan Blair Cancer Centre
🇨🇦Regina, Saskatchewan, Canada
The Research Institute of the McGill University Health Centre (MUHC)
🇨🇦Montreal, Quebec, Canada
Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
🇨🇦Sherbrooke, Quebec, Canada
Kantonsspital Aarau
🇨🇭Aarau, Switzerland
National University Hospital Singapore
🇸🇬Singapore, Singapore
Chaim Sheba Medical Center
🇮🇱Tel Hashomer, Israel
National Cancer Centre Singapore
🇸🇬Singapore, Singapore
Prisma Health Cancer Institute - Eastside
🇺🇸Greenville, South Carolina, United States
Tidelands Georgetown Memorial Hospital
🇺🇸Georgetown, South Carolina, United States
Spartanburg Medical Center
🇺🇸Spartanburg, South Carolina, United States
Emory Saint Joseph's Hospital
🇺🇸Atlanta, Georgia, United States
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
🇺🇸Savannah, Georgia, United States
Central Georgia Gynecologic Oncology
🇺🇸Macon, Georgia, United States
Penn Medicine Princeton Health
🇺🇸Plainsboro, New Jersey, United States
Sidney Kimmel Cancer Center Washington Township
🇺🇸Sewell, New Jersey, United States
Inspira Medical Center Vineland
🇺🇸Vineland, New Jersey, United States
Robert Wood Johnson University Hospital Somerset
🇺🇸Somerville, New Jersey, United States
Baptist MD Anderson Cancer Center
🇺🇸Jacksonville, Florida, United States
McLaren Cancer Institute-Central Michigan
🇺🇸Mount Pleasant, Michigan, United States
McLaren-Port Huron
🇺🇸Port Huron, Michigan, United States
McLaren Cancer Institute-Bay City
🇺🇸Bay City, Michigan, United States
Sentara Cancer Institute at Sentara CarePlex Hospital
🇺🇸Hampton, Virginia, United States
Oncology and Hematology Associates of Southwest Virginia
🇺🇸Roanoke, Virginia, United States
Geisinger Medical Center
🇺🇸Danville, Pennsylvania, United States
Cherry Tree Cancer Center
🇺🇸Hanover, Pennsylvania, United States
Sechler Family Cancer Center
🇺🇸Lebanon, Pennsylvania, United States
Upper Delaware Valley Cancer Center
🇺🇸Milford, Pennsylvania, United States
VA Pittsburgh Healthcare System
🇺🇸Pittsburgh, Pennsylvania, United States
Norris Cotton Cancer Center-North
🇺🇸Saint Johnsbury, Vermont, United States
UT Southwestern/Simmons Cancer Center-Dallas
🇺🇸Dallas, Texas, United States
Texas Oncology - Denison Cancer Center
🇺🇸Denison, Texas, United States
Brooke Army Medical Center
🇺🇸Fort Sam Houston, Texas, United States
Texas Oncology - Fort Worth Cancer Center
🇺🇸Fort Worth, Texas, United States
University of Texas Medical Branch
🇺🇸Galveston, Texas, United States
Texas Oncology-McAllen
🇺🇸McAllen, Texas, United States
University of Texas Health Science Center at San Antonio
🇺🇸San Antonio, Texas, United States
Texas Oncology-Plano West
🇺🇸Plano, Texas, United States
Texas Oncology-McKinney
🇺🇸McKinney, Texas, United States
Helen F Graham Cancer Center
🇺🇸Newark, Delaware, United States
Beebe Health Campus
🇺🇸Rehoboth Beach, Delaware, United States
Mayo Clinic Health System Eau Claire Hospital-Luther Campus
🇺🇸Eau Claire, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Saint Mary's
🇺🇸Green Bay, Wisconsin, United States
Aurora Bay Area Medical Group-Marinette
🇺🇸Marinette, Wisconsin, United States
Aurora BayCare Medical Center
🇺🇸Green Bay, Wisconsin, United States
Ascension All Saints Hospital
🇺🇸Racine, Wisconsin, United States
Marshfield Medical Center-Rice Lake
🇺🇸Rice Lake, Wisconsin, United States
HSHS Saint Nicholas Hospital
🇺🇸Sheboygan, Wisconsin, United States
Aspirus Cancer Care - Wisconsin Rapids
🇺🇸Wisconsin Rapids, Wisconsin, United States
Mercy Cancer Center - Sacramento
🇺🇸Sacramento, California, United States
Sutter Medical Center Sacramento
🇺🇸Sacramento, California, United States
University of California Davis Comprehensive Cancer Center
🇺🇸Sacramento, California, United States
South Sacramento Cancer Center
🇺🇸Sacramento, California, United States
Rocky Mountain Cancer Centers-Aurora
🇺🇸Aurora, Colorado, United States
University of Colorado Hospital
🇺🇸Aurora, Colorado, United States
James A. Haley Veterans Affairs Hospital
🇺🇸Tampa, Florida, United States
MedStar Washington Hospital Center
🇺🇸Washington, District of Columbia, United States
Aurora Saint Luke's Medical Center
🇺🇸Milwaukee, Wisconsin, United States
Northwell Health/Center for Advanced Medicine
🇺🇸Lake Success, New York, United States
Vince Lombardi Cancer Clinic - Oshkosh
🇺🇸Oshkosh, Wisconsin, United States
Kaiser Permanente Cancer Treatment Center
🇺🇸South San Francisco, California, United States
Kootenai Clinic Cancer Services - Post Falls
🇺🇸Post Falls, Idaho, United States
Durham VA Medical Center
🇺🇸Durham, North Carolina, United States
Rush - Copley Medical Center
🇺🇸Aurora, Illinois, United States
London Regional Cancer Program
🇨🇦London, Ontario, Canada
Lakeland Medical Center Saint Joseph
🇺🇸Saint Joseph, Michigan, United States
Providence Medford Medical Center
🇺🇸Medford, Oregon, United States
UH Seidman Cancer Center at Firelands Regional Medical Center
🇺🇸Sandusky, Ohio, United States
Exeter Hospital
🇺🇸Exeter, New Hampshire, United States
Rogue Valley Medical Center
🇺🇸Medford, Oregon, United States
Jefferson Abington Hospital
🇺🇸Abington, Pennsylvania, United States
Arnot Ogden Medical Center/Falck Cancer Center
🇺🇸Elmira, New York, United States
UHHS-Chagrin Highlands Medical Center
🇺🇸Beachwood, Ohio, United States
Lehigh Valley Hospital-Cedar Crest
🇺🇸Allentown, Pennsylvania, United States
Arizona Breast Cancer Specialists-Scottsdale
🇺🇸Scottsdale, Arizona, United States
Saint Vincent Hospital Cancer Center at Sturgeon Bay
🇺🇸Sturgeon Bay, Wisconsin, United States
Hillcrest Hospital Cancer Center
🇺🇸Mayfield Heights, Ohio, United States
University of Virginia Cancer Center
🇺🇸Charlottesville, Virginia, United States
Sentara Virginia Beach General Hospital
🇺🇸Virginia Beach, Virginia, United States
Saint Joseph Mercy Oakland
🇺🇸Pontiac, Michigan, United States
LSU Healthcare Network / Metairie Multi-Specialty Clinic
🇺🇸Metairie, Louisiana, United States
Sanford Broadway Medical Center
🇺🇸Fargo, North Dakota, United States
Arizona Breast Cancer Specialists
🇺🇸Scottsdale, Arizona, United States
Saint Joseph's Hospital and Medical Center
🇺🇸Phoenix, Arizona, United States
Arizona Center for Cancer Care-Surprise
🇺🇸Surprise, Arizona, United States
Sutter Cancer Centers Radiation Oncology Services-Auburn
🇺🇸Auburn, California, United States
Alta Bates Summit Medical Center-Herrick Campus
🇺🇸Berkeley, California, United States
Providence Saint Joseph Medical Center/Disney Family Cancer Center
🇺🇸Burbank, California, United States
AIS Cancer Center at San Joaquin Community Hospital
🇺🇸Bakersfield, California, United States
UC San Diego Moores Cancer Center
🇺🇸La Jolla, California, United States
Kaiser Permanente Medical Center - Santa Clara
🇺🇸Santa Clara, California, United States
Sutter Cancer Centers Radiation Oncology Services-Vacaville
🇺🇸Vacaville, California, United States
McKee Medical Center
🇺🇸Loveland, Colorado, United States
Smilow Cancer Hospital Care Center at Saint Francis
🇺🇸Hartford, Connecticut, United States
Broward Health North
🇺🇸Deerfield Beach, Florida, United States
TidalHealth Nanticoke / Allen Cancer Center
🇺🇸Seaford, Delaware, United States
Cleveland Clinic-Weston
🇺🇸Weston, Florida, United States
GenesisCare USA - Plantation
🇺🇸Plantation, Florida, United States
Baptist Medical Center South
🇺🇸Jacksonville, Florida, United States
Grady Health System
🇺🇸Atlanta, Georgia, United States
Northeast Georgia Medical Center-Gainesville
🇺🇸Gainesville, Georgia, United States
Piedmont Fayette Hospital
🇺🇸Fayetteville, Georgia, United States
The Cancer Center of Hawaii-Pali Momi
🇺🇸'Aiea, Hawaii, United States
Idaho Urologic Institute-Meridian
🇺🇸Meridian, Idaho, United States
Saint Luke's Hospital
🇺🇸Cedar Rapids, Iowa, United States
OSF Saint Francis Radiation Oncology at Peoria Cancer Center
🇺🇸Peoria, Illinois, United States
Memorial Hospital of South Bend
🇺🇸South Bend, Indiana, United States
OSF Saint Francis Medical Center
🇺🇸Peoria, Illinois, United States
Parkview Regional Medical Center
🇺🇸Fort Wayne, Indiana, United States
Southwest Illinois Health Services LLP
🇺🇸Swansea, Illinois, United States
Owensboro Health Mitchell Memorial Cancer Center
🇺🇸Owensboro, Kentucky, United States
University of Kansas Cancer Center-Overland Park
🇺🇸Overland Park, Kansas, United States
Veteran's Administration Medical Center - Ann Arbor
🇺🇸Ann Arbor, Michigan, United States
Saint Agnes Hospital
🇺🇸Baltimore, Maryland, United States
Central Maryland Radiation Oncology in Howard County
🇺🇸Columbia, Maryland, United States
UM Upper Chesapeake Medical Center
🇺🇸Bel Air, Maryland, United States
University of Maryland Radiation Oncology Center at Union Hospital
🇺🇸Elkton, Maryland, United States
Saint Joseph Mercy Hospital
🇺🇸Ann Arbor, Michigan, United States
Beaumont Hospital - Dearborn
🇺🇸Dearborn, Michigan, United States
University of Michigan Comprehensive Cancer Center
🇺🇸Ann Arbor, Michigan, United States
Mercy Health Saint Mary's
🇺🇸Grand Rapids, Michigan, United States
McLaren Cancer Institute-Flint
🇺🇸Flint, Michigan, United States
West Michigan Cancer Center
🇺🇸Kalamazoo, Michigan, United States
McLaren Cancer Institute-Macomb
🇺🇸Mount Clemens, Michigan, United States
Ascension Saint Mary's Hospital
🇺🇸Saginaw, Michigan, United States
GenesisCare USA - Troy
🇺🇸Troy, Michigan, United States
William Beaumont Hospital - Troy
🇺🇸Troy, Michigan, United States
Monticello Cancer Center
🇺🇸Monticello, Minnesota, United States
Washington University School of Medicine
🇺🇸Saint Louis, Missouri, United States
Renown Regional Medical Center
🇺🇸Reno, Nevada, United States
Billings Clinic Cancer Center
🇺🇸Billings, Montana, United States
Dartmouth Hitchcock Medical Center
🇺🇸Lebanon, New Hampshire, United States
Inspira Medical Center Mullica Hill
🇺🇸Mullica Hill, New Jersey, United States
Virtua Memorial
🇺🇸Mount Holly, New Jersey, United States
Mary Imogene Bassett Hospital
🇺🇸Cooperstown, New York, United States
Long Island Jewish Medical Center
🇺🇸New Hyde Park, New York, United States
The Coleman Radiation Center-Carteret General Hospital
🇺🇸Morehead City, North Carolina, United States
UH Seidman Cancer Center at Salem Regional Medical Center
🇺🇸Salem, Ohio, United States
ProMedica Flower Hospital
🇺🇸Sylvania, Ohio, United States
Mercy Health - Saint Anne Hospital
🇺🇸Toledo, Ohio, United States
Cleveland Clinic Wooster Family Health and Surgery Center
🇺🇸Wooster, Ohio, United States
Genesis Healthcare System Cancer Care Center
🇺🇸Zanesville, Ohio, United States
Saint John Medical Center
🇺🇸Tulsa, Oklahoma, United States
Penn State Milton S Hershey Medical Center
🇺🇸Hershey, Pennsylvania, United States
The Radiation Oncology Center-Hilton Head/Bluffton
🇺🇸Hilton Head Island, South Carolina, United States
Novant Health Forsyth Medical Center
🇺🇸Winston-Salem, North Carolina, United States
Wake Forest University Health Sciences
🇺🇸Winston-Salem, North Carolina, United States
Ogden Regional Medical Center
🇺🇸Ogden, Utah, United States
Utah Valley Regional Medical Center
🇺🇸Provo, Utah, United States
Naval Medical Center - Portsmouth
🇺🇸Portsmouth, Virginia, United States
Sentara Norfolk General Hospital
🇺🇸Norfolk, Virginia, United States
Madigan Army Medical Center
🇺🇸Tacoma, Washington, United States
United Hospital Center
🇺🇸Bridgeport, West Virginia, United States
Langlade Hospital and Cancer Center
🇺🇸Antigo, Wisconsin, United States
ThedaCare Regional Medical Center - Appleton
🇺🇸Appleton, Wisconsin, United States
Marshfield Medical Center-EC Cancer Center
🇺🇸Eau Claire, Wisconsin, United States
Saint Vincent Hospital Cancer Center Green Bay
🇺🇸Green Bay, Wisconsin, United States
Marshfield Medical Center-Marshfield
🇺🇸Marshfield, Wisconsin, United States
Ascension Columbia Saint Mary's Hospital Ozaukee
🇺🇸Mequon, Wisconsin, United States
Aurora Medical Center in Summit
🇺🇸Summit, Wisconsin, United States
Aurora West Allis Medical Center
🇺🇸West Allis, Wisconsin, United States
Vince Lombardi Cancer Clinic-Two Rivers
🇺🇸Two Rivers, Wisconsin, United States
BCCA-Cancer Centre for the Southern Interior
🇨🇦Kelowna, British Columbia, Canada
CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)
🇨🇦Quebec City, Quebec, Canada
CHUM - Centre Hospitalier de l'Universite de Montreal
🇨🇦Montreal, Quebec, Canada
Rabin Medical Center
🇮🇱Petach Tikva, Israel
Orlando Health Cancer Institute
🇺🇸Orlando, Florida, United States
Tulane University Health Sciences Center
🇺🇸New Orleans, Louisiana, United States
Touro Infirmary
🇺🇸New Orleans, Louisiana, United States
Ochsner Medical Center Jefferson
🇺🇸New Orleans, Louisiana, United States
North Kansas City Hospital
🇺🇸Kansas City, Missouri, United States
Kansas City Veterans Affairs Medical Center
🇺🇸Kansas City, Missouri, United States
University of Kansas Cancer Center - North
🇺🇸Kansas City, Missouri, United States
The University of Kansas Cancer Center-South
🇺🇸Kansas City, Missouri, United States
UNC Lineberger Comprehensive Cancer Center
🇺🇸Chapel Hill, North Carolina, United States
Medical University of South Carolina
🇺🇸Charleston, South Carolina, United States
Hunter Holmes McGuire Veterans Administration Medical Center
🇺🇸Richmond, Virginia, United States
University of Kentucky/Markey Cancer Center
🇺🇸Lexington, Kentucky, United States
University of Wisconsin Hospital and Clinics
🇺🇸Madison, Wisconsin, United States
Wilmot Cancer Institute Radiation Oncology at Greece
🇺🇸Rochester, New York, United States
Highland Hospital
🇺🇸Rochester, New York, United States
University of Rochester
🇺🇸Rochester, New York, United States
Cross Cancer Institute
🇨🇦Edmonton, Alberta, Canada
Metro Health Hospital
🇺🇸Wyoming, Michigan, United States
Pamela Youde Nethersole Eastern Hospital
🇭🇰Chai Wan, Hong Kong