BR+A Proton Therapy Brochure - 2024

GLOBAL LEADERS IN PARTICLE THERAPY ENGINEERING

For 20+ years, BR+A has specialized in the development of Particle Therapy Facilities, domestically and internationally, resulting in over 5,000,000 SF of proton space designed and constructed.

We have been successful in providing engineering services to our particle clients worldwide, currently encompassing 18 countries. That success stems from our talented, and experienced, core group of engineering professionals who have been consistently working together on multiple proton projects over several years.

BR+A has been involved in the successful delivery of 36 proton centers that are currently treating patients with numerous other facilities–in various stages of design and construction–that will be brought ‘online’ to start treating patients through the end of 2024 and into 2026.

We collaborate directly with many of the leading proton and carbon manufacturers to assist them in developing new and/or updated Engineering Technical Documents based on BR+A’s significant particle therapy experience.

Our familiarity with how to deliver these highly complex facilities, combined with an in depth knowledge of the technical requirements of the proton equipment operating systems, uniquely positions our firm as the worldwide engineering leader in the design and delivery of very specialized and complex cancer treatment facilities.

SQ FT DESIGNED + COMPLETED 20

5 MIL

18

60+ COUNTRIES WORLDWIDE

BR+A DESIGNED FACILITIES

36

OPEN + TREATING PATIENTS

WHAT IS PARTICLE THERAPY?

Isn’t a particle therapy system just like a big linac? Both systems make radiation for treating cancer, so don’t the same design rules apply?

While both systems are used to treat cancer, useful corollaries between design for linacs and for particle therapy systems end there.

Facility design for particle therapy tends to look more like a cross between medical and scientific design, rivaling in complexity that of a power plant, rather than a traditional healthcare project.

The space and subsystem requirements are vastly greater in a particle therapy system as opposed to a linac. Design, construction, and operational tolerances are also more complex and critical.

PARTICLE THERAPY

MECHANICAL ENGINEERING

ELECTRICAL ENGINEERING

PLUMBING ENGINEERING

FIRE PROTECTION ENGINEERING

TECHNOLOGY SYSTEMS DESIGN

LIGHTING SYSTEMS DESIGN

FACILITY SYSTEM COMMISSIONING

PROJECT MANAGEMENT

PROJECT EVALUATION

PARTICLE THERAPY

FACILITY DESIGN

BR+A core Particle Therapy Engineering Services offering provides custom design of Mechanical, Electrical, Plumbing, Low Voltage, and Lighting design. As part of this service BR+A will work with the facility owner to assess the facility cost to operate and ensure that all strategies to make the facility as robust and reliable as possible, while economical to operate, are considered.

Not only do we understand how to implement the unique requirements of proton therapy vendors, we also know what requirements and systems will have an impact on long term system stability and performance.

FACILITY SYSTEM COMMISSIONING

BR+A’s in-house Commissioning Group (BR+A Cx) has the ability to provide Fundamental Building Commissioning and start-up testing services for the mechanical and electrical equipment systems directly supporting the proton operational system. BR+A Cx has provided services on 10 proton centers nationwide and understand the importance of a timely delivery to allow for the proton equipment installation process to begin.

BR+A Cx brings valuable lessons learned from other facilities and they work hand-in-hand with the construction team to achieve a successful Ready for Equipment Installation (RFEI) date.

Achieving a successful RFEI date is essential to meet the first patient treatment date. BR+A works to properly plan for, and mitigate, future risks.

PARTICLE THERAPY

VENDOR COLLABORATION

PARTICLE THERAPY VENDOR

INTERFACE DESIGN

Our experience has given us a comprehensive knowledge of how systems perform after years of use, and what impact building systems have on project cost, system reliability and performance, directly impacting a vendor’s cost to provide long term maintenance and operations of their proton therapy system.

This knowledge has led several major equipment manufacturers to contact us to create or refine their facility interface documents, resulting in end users having an easier time implementing proton vendor requirements. This has resulted in fewer RFIs and change requests, and an overall lower cost to implement vendor requirements.

Interface design support helps to lower cost of procurement and ensure system performance.

A GLANCE AT OUR PORTFOLIO

FACILITIES CURRENTLY TREATING OR NEARING COMPLETION

Hefei Heavy Ion Medical Center, Proton Treatment Center | Anhui Province, China

TREATING PATIENTS SINCE FEBRUARY 2024

OSF Healthcare Cancer Institute | Peoria, IL

TREATING PATIENTS SINCE FEBRUARY 2024

Wexner Medical Center James Outpatient Facility Ohio State University | Columbus, OH

TREATING PATIENTS SINCE DECEMBER 2023

University of Arkansas for Medical Sciences (UAMS), Winthrop P. Rockefeller Cancer Institute | Little Rock, AR

TREATING PATIENTS SINCE SEPTEMBER 2023

Hong Kong Sanatorium and Hospital, HKSH Proton Therapy Centre | Hong Kong, China

TREATING PATIENTS SINCE JULY 2023

Singapore Institute of Advanced Medicine Proton Center | Singapore

TREATING PATIENTS SINCE JUNE 2023

Penn Medicine, Virtua Health Proton Therapy Center | Voorhees, NJ

TREATING PATIENTS SINCE APRIL 2023

Penn Medicine, Lancaster General Health, Ann B. Barshinger Cancer Institute Clinic and Proton Center Expansion | Lancaster, PA

TREATING PATIENTS SINCE JANUARY 2023

The University of Kansas Health System, New Proton Center | Kansas City, KS

TREATING PATIENTS SINCE JUNE 2022

University of Miami Health, Sylvester Comprehensive Cancer Center, Dwoskin Proton Therapy Center | Miami, FL

TREATING PATIENTS SINCE SEPTEMBER 2021

King Chulalongkorn Memorial Hospital, HRH Princess Maha Chakri Sirindhorn Proton Center | Bangkok, Thailand

TREATING PATIENTS SINCE JUNE 2021

Clinica Universidad de Navarra, Proton Center | Madrid, Spain

TREATING PATIENTS SINCE APRIL 2020

University of Alabama at Birmingham, Proton International at UAB | Birmingham, AL

TREATING PATIENTS SINCE MARCH 2020

2019 ABC of Alabama Chapter Excellence in HealthcareConstruction Award

Inova Health System, Inova Mather Proton Therapy Center | Fairfax, VA

TREATING PATIENTS SINCE MARCH 2020

Massachusetts General Hospital, Lunder Building Proton Center | Boston, MA

TREATING PATIENTS SINCE FEBRUARY 2020

South Florida Proton Therapy Institute Delray Beach, FL

TREATING PATIENTS SINCE NOVEMBER 2019

Johns Hopkins Medicine, Johns Hopkins Proton Therapy Center | Washington, DC

TREATING PATIENTS SINCE OCTOBER 2019

New York Proton Center | Harlem, NY

TREATING PATIENTS SINCE JULY 2019

2019 Healthcare Design Award Winner from IIDA

McLaren Health Care, McLaren Proton Therapy Center | Flint, MI

TREATING PATIENTS SINCE DECEMBER 2018

Emory University, Emory Proton Therapy Center | Atlanta, GA

TREATING PATIENTS SINCE DECEMBER 2018

The Rutherford Cancer and Proton Center, Peer Review Services | Northumberland, South Wales, UK

TREATING PATIENTS SINCE JUNE 2018

The Rutherford Cancer and Proton Center, Advisory and Peer Review Engineering Services | Newport, Wales, UK

TREATING PATIENTS SINCE JUNE 2018

Beaumont Hospital Cancer Institute, Beaumont Proton Therapy Center | Royal Oak, MI

TREATING PATIENTS SINCE JULY 2017

Baptist Health South Florida, The Proton Therapy Center at Miami Cancer Institute | Miami, FL

TREATING PATIENTS SINCE NOVEMBER 2017

Cincinnati Children’s / UC Health, Proton Therapy Center | Cincinnati, OH

TREATING PATIENTS SINCE SEPTEMBER 2016

2017 Best New Construction Winner Alliant Build America Award

McKesson Specialty Health, Texas Center for Proton Therapy | Irving, TX

TREATING PATIENTS SINCE MAY 2016

2017 Gold Medal Winner American Council of Engineering

University Hospitals of Cleveland, UH Rainbow Babies and Children’s Hospital Proton Therapy Center | Cleveland, OH

TREATING PATIENTS SINCE MAY 2016

ProCure, Seattle Cancer Care Alliance Proton Therapy | Seattle, WA

TREATING PATIENTS SINCE MARCH 2013

ProCure Proton Therapy Center | Somerset, NJ

TREATING PATIENTS SINCE MARCH 2012

ProCure, Northwestern Medicine

Chicago Proton Center | Warrenville, IL

TREATING PATIENTS SINCE OCTOBER 2010

Penn Medicine, The Roberts Proton Therapy Center | Philadelphia, PA

TREATING PATIENTS SINCE NOVEMBER 2009

ProCure Proton Therapy Centers

Oklahoma City, OK

TREATING PATIENTS SINCE JUNE 2009

MD Anderson Cancer Center, Proton Therapy Center (PTC2) | Houston, TX

TREATING PATIENTS SINCE JANUARY 2024

University of Florida Health Proton Therapy Institute | Jacksonville, FL

TREATING PATIENTS SINCE OCTOBER 2006

Massachusetts General Hospital, Francis H. Burr

Proton Beam Therapy Center | Boston, MA

TREATING PATIENTS SINCE NOVEMBER 2001

National University of Taiwan Cancer Center

Taipei City, Taiwan

PATIENT TREATMENT SCHEDULED FOR APRIL 2024

Cairo Children’s Hospital, Proton Therapy Center | Cairo, Egypt

PATIENT TREATMENT SCHEDULED FOR 2025

South Australian Health and Medical Research Institute, Australian Bragg Centre for Proton Therapy | Adelaide, Australia

PATIENT TREATMENT SCHEDULED FOR 2026

Cincinnati Children’s / UC Health, Proton Therapy Center

Cincinnati, OH | USA

ProCure, Seattle Cancer Care

Alliance Proton Therapy

Seattle, WA | USA

ProHEALTH, New York

Proton Center

New York, NY | USA

University Hospital of Halle, New Proton Center

Halle, Germany

Cairo Children’s Hospital Proton Therapy Center

Cairo, Egypt

MD Anderson Cancer Center, Proton Therapy Center (PTC1) + Expansion (PTC2)

Houston, TX | USA

University of Alabama at Birmingham, UAB Proton Center

Birmingham, AL | USA

Penn Medicine, The Roberts Proton Therapy Center

Philadelphia, PA | USA

Proton International, South Florida Proton Therapy Institute

Delray Beach, FL | USA

Clinica Universidad de Navarra Proton Center

Madrid, Spain

Gulf International Cancer Center, New Proton Facility

Abu Dhabi, UAE

Singapore Institute of Advanced Medicine, Proton Center

Singapore

Hefei Ion Medical Center Proton Treatment Center

Anhui Province, China

Hong Kong Sanatorium and Hospital, Proton Therapy Center

Happy Valley, Hong Kong

Australian Bragg Centre for Proton Therapy

Adelaide, Australia

OUR GLOBAL FOOTPRINT

BR+A TODAY

BR+A is a global engineering firm that embraces challenging projects for organizations whose work makes a difference in people’s lives and the world. We engineer responsive, high-performing buildings where people and ideas thrive.

Founded in 1975, BR+A creates state-of-theart facilities by providing tightly integrated and coordinated engineering design services that touch every aspect of the built environment. These include MEP/FP systems design, sustainability consulting, building commissioning, infrastructure design, master planning, and more. Whether it’s a small, quick-turn assignment or complex, large-scale project, BR+A is hands-on from inception to construction completion.

HIGHER EDUCATION

CORPORATE

HEALTHCARE

INFRASTRUCTURE

SCIENCE + TECHNOLOGY

PROTON THERAPY