2012 State of the Art Techniques in IMRT, IGRT, SBRT, Proton and Brachytherapy: Emphasis on Quality and Safety

The 2012 State of the Art Techniques in IMRT, IGRT, SBRT, Proton and Brachytherapy symposium is your ideal opportunity to explore current and emerging radio-therapeutic techniques. Leaders in the field have been invited to discuss the impact these modalities have on patient outcomes, with an emphasis on quality and safety.


+ show speakers and program
Friday, May 4, 2012
6:30 a.m. - 5:30 p.m.

Registration

6:30 a.m. - 8:00 a.m.

Continental breakfast in the Exhibit Hall

7:30 a.m. - 8:55 a.m.

Basics in Anatomy, Planning and Delivery I
Interactive
Moderator: Larry L. Kestin, MD

The session is dedicated to reviewing the basics of anatomy, planning, image guidance and delivery pertaining to CNS tumors, spine, breast, and head and neck malignancies.

Brain/Spine
Yoshiya Yamada, MD

Head and Neck
Kenneth S. Hu, MD

Breast
Frank Vicini, MD

After this session, attendees will be able to:

Review the essentials of relevant anatomy in radiation therapy for CNS tumors, spine, breast, and head and neck malignancies.
Review the essentials of radiation therapy planning for CNS tumors, spine, breast, and head and neck malignancies.
Review the essentials of image guidance during radiotherapy for CNS tumors, spine, breast, and head and neck malignancies.

8:55 a.m. - 10:00 a.m.

Introduction to Quality, Safety and State of the Art Techniques
Moderator: Larry L. Kestin, MD

This session will review issues related to the safe delivery of radiation therapy in an era of rapid innovation and changing cultures in radiation therapy and the health care system.

Welcome
Larry L. Kestin, MD

Innovation
Michael L. Steinberg, MD, FASTRO

Response Assessment
Lawrence Marks, MD, FASTRO

After this session, attendees will be able to:

Compare trends in radiation oncology innovation and assessment of value relative to cost, quality and clinical efficacy.
Describe the challenges in assessment of normal tissue response and the impact on DVH constraints and the treatment planning process.
Discuss the impact of rapid innovation and technological advancement on patient care, quality and safety.

10:00 a.m. - 10:30 a.m.

Break in the Exhibit Hall

10:30 a.m. - 12:00 p.m.

Split Sessions

Head and Neck Cancers
Moderator: Patrick A. Kupelian, MD

This session will provide a perspective on the most recent advances in the treatment strategies for head and neck cancers, specifically novel application of advanced imaging, dose-painting and adaptive techniques.

Imaging Advances and Dose Painting
Kenneth S. Hu, MD

Adaptive RT - Physicist Perspective
Robert Jeraj, PhD

Head and Neck Panel
Laura A. Dawson, MD, Kenneth S. Hu, MD, and Robert Jeraj, MD

After this session, attendees will be able to:

Describe IGRT solutions for head and neck cancer.
Discuss technical issues in re-RT for head and neck cancer.
Explain how adaptive RT may benefit head and neck cancer patients.

Brachytherapy
Moderator: Larry L. Kestin, MD

This session will review the current and state-of-the-art treatment strategies utilizing brachytherapy approaches for various malignancies.

Clear Clinical Benefits
Alvaro Martinez, MD

Brachytherapy Uncertainties
Mark J. Rivard, PhD

Requirements for Quality Brachytherapy
Michel Ghilezan, MD, PhD

After this session, attendees will be able to:

Describe the indications and options for brachytherapy with associated outcomes and evidence for various malignancies.
Describe the challenges and uncertainties with various brachytherapy modalities and techniques.
Review the options and challenges for establishing a safe and effective brachytherapy program.

12:00 p.m. - 12:45 p.m.

Lunch in the Exhibit Hall

12:45 p.m. - 1:45 p.m.

Vendor Workshops
Accuray, Brainlab, Elekta, Philips and Varian

2:00 p.m. - 3:30 p.m.

Brain/Spine/Sarcoma
Interactive
Moderator: Larry L. Kestin, MD

This session will review the current and state-of-the-art treatment strategies for IMRT, SBRT, SRS, and routine image guidance approaches for sarcoma, spine, and CNS tumors.

Brain and Spine: Dose Painting/Conformal Avoidance/Technical Advances
John Suh, MD

Neural Tissue Tolerances: Dose/Time/
Fractionation/Retreatment
William McBride, DSc, PhD

Sarcoma: IMRT and Image Guidance
Kaled M. Alektiar, MD

After this session, attendees will be able to:

Describe the challenges and outcomes with SBRT and SRS for sarcoma, spine and CNS tumors.
Discuss the role of IMRT and SBRT/SRS planning and routine image guidance for sarcoma, spine and CNS tumors.
Review the options and challenges associated with management of motion and deformation in treating sarcoma, spine and CNS tumors.

3:30 p.m. - 3:45 p.m.

Break in the Exhibit Hall

3:45 p.m. - 4:30 p.m.

Image Guidance and Adaptive Radiotherapy
Moderator: Indrin J. Chetty, PhD



This session will focus on the tenets of adaptive radiotherapy, including deformable image registration and dose accumulation for adaptive planning, as well as real-time, daily correction strategies.

Deformable Registration and Adaptive RT: Definition and Examples
Di Yan, PhD

IGRT-based Localization: Clinical Examples/Experiences
Patrick A. Kupelian, MD

Debate: Image Guidance or Dose Adaptation?
Di Yan, PhD vs. Patrick A. Kupelian, MD

fter this session, attendees will be able to:

Review the basics of deformable image registration, including a definition, as well as examples of different algorithms and expected accuracies in clinical deformable registration.
Review clinical examples of the use of adaptive RT and provide a perspective for the role and importance of adaptive RT in different clinical circumstances.
Evaluate two different treatment paradigms, one related to real-time RT involving on-line, image-guided patient correction and another related to adaptive RT and plan adaptation, including the benefits of on-line vs. off line adaptive strategies.

4:30 p.m. - 5:30 p.m.

Breast
Interactive
Moderator: Larry L. Kestin, MD

This session will review the current and state-of-the-art treatment strategies for partial and whole breast irradiation, IMRT, and routine image guidance approaches for breast malignancies.

Whole Breast RT Technique
Martha M. Matuszak, PhD


Partial Breast Irradiation: Brachytherapy vs. External Beam vs. Intraoperative RT
Frank Vicini, MD

After this session, attendees will be able to:

Describe the challenges and outcomes with the various options for APBI, whole breast and regional nodal irradiation.
Discuss the role of IMRT planning and routine image guidance for breast malignancies.
Review the options and challenges associated with management of motion and deformation in treating breast malignancies.

5:30 p.m. - 6:30 p.m.

Reception in the Exhibit Hall
Saturday, May 5, 2012
6:30 a.m. - 5:30 p.m.

Registration

6:30 a.m. - 8:00 a.m.

Continental breakfast in the Exhibit Hall

7:30 a.m. - 8:45 a.m.

Basics in Anatomy, Planning and Delivery II
Moderator: Patrick A. Kupelian, MD

This session is dedicated to reviewing the basics of anatomy, planning, image guidance and delivery pertaining to radiotherapy for thoracic and upper gastrointestinal malignancies.

Thorax (4-D CT, ITV, MIP)
Billy W. Loo, MD, PhD

Abdomen
Karyn A. Goodman, MD, MS

After this session, attendees will be able to:

Review the essentials of relevant anatomy in radiation therapy for thoracic and upper gastrointestinal malignancies.
Review the essentials of radiation therapy planning for thoracic and upper gastrointestinal malignancies.
Review the essentials of image guidance during radiotherapy for thoracic and upper gastrointestinal malignancies.

8:45 a.m. - 9:45 a.m.

Perspective and Safety
Moderator: Patrick A. Kupelian, MD

This session will examine the incidents and issues related to the safe delivery of radiation therapy in an era of rapidly evolving technologies and changing cultures in modern radiation therapy departments.

Welcome
Patrick A. Kupelian, MD

Safety Culture in Radiation Oncology: What Does It Mean?
Tim R. Williams, MD, FASTRO

Error Reporting and Analysis
Eric C. Ford, PhD

After this session, attendees will be able to:

Evaluate recent incidents and updates on radiation delivery safety.
Cite recent measures taken at different levels to improve safe radiation delivery.
Discuss possible future directions in research and culture changes related to safety in radiation delivery.

9:45 a.m. – 10:00 a.m.

Update on IHE-RO
Jatinder Palta, PhD

10:00 a.m. - 10:30 a.m.

Break in the Exhibit Hall

10:30 a.m. - 12:00 p.m.

Split Sessions

Protons
Moderator: Larry L. Kestin, MD

This session will review the current and state-of-the-art treatment strategies utilizing proton therapy for various malignancies.

Clear Clinical Benefits
Helen Shih, MD

Proton Delivery Uncertainties
Harald Paganetti, PhD

What Do You Need to Start Your Own Proton Center?
Stephen M. Hahn, MD

After this session, attendees will be able to:

Describe the indications and options for proton therapy with associated outcomes and evidence for various malignancies.
Describe the challenges and uncertainties with proton therapy planning and delivery and the utilization of IMPT and image guidance.
Review the options, primary considerations and challenges for developing a proton center.

SBRT: Technical Challenges and Safety
Moderator: Indrin J. Chetty, PhD

This session will review the planning and delivery strategies and the technical challenges associated with them in the treatment of cancers using SBRT. Saftey considerations for SBRT will also be discussed.

Technical Considerations in Contouring and Planning
Janell Dow, CMD, RTT

Challenges in Image Guidance and Treatment Planning
Indrin J. Chetty, PhD

Safety and Quality Considerations
Tina Kunkel, RTT

After this session, attendees will be able to:

Describe tumor and normal tissue contouring, tumor and normal tissue tolerance doses, and planning strategies and associated challenges in SBRT.
Discuss the central considerations in SBRT planning of the lung and review image-guidance strategies for SBRT treatment delivery.
Utilize safety considerations for SBRT treatment, including practice guidelines, as well as practical measures for QA and safety.

12:00 p.m. - 12:45 p.m.

Lunch in the Exhibit Hall

12:45 p.m. - 1:45 p.m.

Vendor Workshops
Accuray, Brainlab, Elekta, Philips, and Varian

2:00 p.m. - 3:30 p.m.

Lung
Interactive
Moderator: Patrick A. Kupelian, MD

This session will focus on the current and state-of-the-art treatment strategies for IMRT, SBRT and routine image guidance approaches treatment of lung cancers.

Early Stage: SBRT vs. Surgery and Early-stage: SBRT for Central Lesions
Brian Kavanagh, MD, MPH

Advanced Stage: Image Guidance, Adaptive RT and Motion Management
Larry L. Kestin, MD

Lung Panel
Indrin J. Chetty, PhD, Brian Kavanagh, MD, MPH. Larry L. Kestin, MD, and Billy W. Loo, MD, PhD

After this session, attendees will be able to:

Describe the challenges and outcomes in SBRT for the lung cancers.
Discuss the role of IMRT and SBRT planning and routine image-guidance for lung cancers.
Review the challenges associated with management of motion and deformation in treating lung cancers.

3:30 p.m. - 3:45 p.m.

Break in the Exhibit Hall

3:45 p.m. - 5:15 p.m.

Upper GI
Interactive
Moderator: Indrin J. Chetty

This session will address current and state-of-the-art treatment strategies for IMRT, SBRT and routine image guidance approaches treatment of upper GI cancers.

Liver, Retroperitoneal and Kidney SBRT
Laura A. Dawson, MD

Pancreas: IMRT Image Guidance and SBRT
Albert Koong, MD, PhD

Upper Abdomen: Motion/Deformation - Challenges and Solutions
Sonja Dieterich, PhD

After this session, attendees will be able to:

Describe the challenges and outcomes in SBRT for the liver, kidney and other non-pancreatic upper abdominal sites.
Discuss the role of IMRT and SBRT planning and routine image-guidance for pancreas cancers.
Review the challenges associated with management of motion and deformation in treating upper GI cancers.
Sunday, May 6, 2012
6:30 a.m. - 12:00 p.m.

Registration

6:30 a.m. - 8:00 a.m.

Continental breakfast

7:30 a.m. - 8:55 a.m.

Basics in Anatomy, Planning and Delivery III
Interactive
Moderator: Indrin J. Chetty, PhD

This session is dedicated to reviewing the basics of anatomy, planning, image guidance and delivery pertaining to radiotherapy for gynecological and genitourinary malignancies.

GYN: Cervix/Uterus/Vulva
Arno Mundt, MD

GU: Bladder/Kidney/Testis
Brian J. Davis, MD, PhD

Prostate
Andy K. Lee, MD, MPH

After this session, attendees will be able to:

Review the essentials of relevant anatomy in radiation therapy for gynecological and genitourinary malignancies.
Review the essentials of radiation therapy planning for gynecological and genitourinary malignancies.
Review the essentials of image guidance during radiotherapy for gynecological and genitourinary malignancies.

8:55 a.m. - 9:30 a.m.

Documentation
Moderator: Indrin J. Chetty, PhD

This session will cover billing and documentation issues in Radiation Oncology and will provide a perspective on the current and future status.

Welcome
Indrin J. Chetty, PhD

Billing and Documentation
Brian Kavanagh, MD, MPH

After this session, attendees will be able to:

Apply the current level of documentation required for proper billing, the current codes and possible changes, and a perspective "roadmap" of anticipated future changes.

9:30 a.m. - 10:00 a.m.

Lower GI
Moderator: Patrick A. Kupelian

This session will examine current and state-of-the-art treatment strategies for IMRT, SBRT and routine image guidance approaches treatment of lower GI cancers.

Anal Ca: IMRT, Rectal Ca: IMRT vs. CRT
Karyn A. Goodman, MD, MS

After this session, attendees will be able to:

Describe the challenges and outcomes in IMRT for the lower GI sites (anal, rectal and colon cancers).
Discuss the role of IMRT planning and routine image-guidance for lower GI cancers.
Review the challenges associated with management of motion and deformation in treating lower GI cancers.

10:00 a.m. - 10:15 a.m.



Break

10:15 a.m. - 10:45 a.m.

GYN Debate: Brachytherapy Boost vs. IMRT/SBRT Boost
Moderator: Larry L. Kestin, MD

This session will review the current and state-of-the-art treatment strategies for IMRT, SBRT, brachytherapy, and routine image guidance approaches for gynecologic malignancies.

Brachytherapy Boost
Kaled M. Alektiar, MD

IMRT/SBRT Boost
Arno Mundt, MD

After this session, attendees will be able to:

Describe the challenges and outcomes with IMRT and brachytherapy/SBRT boost for gynecologic malignancies.
Discuss the role of IMRT and SBRT planning, brachytherapy, and routine image guidance for gynecologic malignancies.
Review the options and challenges associated with management of motion and deformation in treating gynecologic malignancies.

10:45 a.m. - 11:55 a.m.

Prostate Debate: LDR Brachytherapy vs. HDR Brachytherapy vs. Photons/SBRT vs. Protons
Moderators: Indrin J. Chetty, PhD and Andy K. Lee, MD, MPH

This session will review treatment approaches on prostate cancer with emphasis on different paradigms. The debates will provide perspectives on and rationales for use of (a) LDR vs. HDR brachytherapy; and (b) Photon EBT vs Proton Therapy.

LDR Brachytherapy
Brian J. Davis, MD, PhD

HDR Brachytherapy
Michael Ghilezan, MD, PhD

Photons/SBRT
Patrick A. Kupelian, MD

Protons
Andy K. Lee, MD, MPH

After this session, attendees will be able to:

Identify a case for the use of LDR brachytherapy with focus on planning, delivery and clinical outcome data.
Identify a case for the use of HDR brachytherapy with focus on planning, delivery and clinical outcome data.
Identify a case for the use of photon external beam with focus on planning, delivery and clinical outcome data.

12:00 p.m.



Meeting Adjourns

4 May - 6 May 2012
las vegas
United States of America
meeting website