7th ICHNO Abstract book

page 20 7 th ICHNO Conference International Conference on innovative approaches in Head and Neck Oncology 14 – 16 March 2019 Barcelona, Spain __________________________________________________________________________________________ 7th ICHNO

–Accurate (in time and 3D space) –Additive (more than 1 feature/function). The presentation will detail the emerging applications of quantitative imaging using head and neck cancer as a use case for exploring the potential and pitfalls in programmatic development of quantitative imaging applications in radiotherapy.

Abstract text 3 Dimension Reconstruction in the Head and NeckReconstructing complex composite defects in the head and neck in a 3 dimensional manner is critical for aesthetics, speech and swallowing.The use of 3 D printers (Computer aided Modelling – CAM) and then Virtual Surgical Planning (VSP) with Computer Aided Design (CAD) and Customised implants have not only transformed reconstruction but also aided resections of tumours improving resection margins. They have reduced surgical operating time, improved surgical precision and improved functional outcomes. Despite the initial expenditure it has reduced the cost of surgery. We present our experience, mistakes and learning curve in incorporating this new technology in our practise at the University Hospital Birmingham. SP-035 New developments in sentinel node biopsy R. De Bree 1 1 UMC Utrecht, Head and Neck Surgical Oncology, Utrecht, The Netherlands Abstract text The sentinel node procedure is nowadays routinely applied in patients with early oral cancer in many head and neck centers. Overall, the results are good. However, there is still room for improvement, particularly in floor of mouth carcinomas. The procedure itself consists of 3 steps: preoperative identification of the sentinel node, excision of the sentinel node and examination of the sentinel node. Within these steps research is performed with new tracers (e.g. fluorescence, positron emitters, tilmanocept, iron particles), cameras (e.g. handheld gamma cameras, SPECT-CT, freehand SPECT, PET, near infra red, MRI) and other techniques (e.g. molecular biological techniques) to improve the sentinel node procedure in early oral cancer patients. Keynote lecture: Keynote lecture 6: Integration of imaging and radiotherapy innovation SP-036 Integration of imaging and radiotherapy innovation: Head and neck radiotherapy applications. C.Fuller 1 1 The University of Texas MD Anderson Cancer Center, Radiation Oncology, Houston, USA Abstract text The promise of biologically guided therapy is premised upon the capacity to define and track alterations in multiple spatial (i.e. imaging) biomarkers serially before, during and after therapy. The fundamental advantage of such approaches is simultaneous imaging of not only anatomy, but of functional and spatial/motion tracking of both tumor and normal tissue physiology over time. Ideally, such approaches would also leverage rapid integration with treatment approaches as well as endogenous, rather than exogenous tracers. The presentation will detail established and cutting-edge applications for head and neck cancers, focusing not only on tumor modeling, but risk stratification, treatment planning/adaptation, and normal tissue injury assessment. Ultimately, radiation oncologists will require, in order to meet the challenge of biologically guided radiation, quantitative imaging data that is: –Anticipatory (predictive/early) –Actionable (changes care)

Symposium: Symposium 4: How to improve survivorship?

SP-037 How to make use of the AHNS survivorship guidelines? A. Sacco USA

Abstract not received

SP-038 Self-management and eHealth to facilitate supportive care in head and neck cancer patients I. Verdonck-de Leeuw 1 1 VU University Medical Center, Otolaryngology Head and Neck Surgery, Amsterdam, The Netherlands Abstract text A major challenge in treating cancer is to obtain a high cure rate while preserving vital structures and function, preventing treatment related-symptoms, and maintaining good health related quality of life (HRQOL). The main aim of supportive care is to improve HRQOL. In many countries, government policy statements and national guidelines reflect broad scientific and societal support for an integrated approach to supportive care in cancer patients, including rehabilitation, psychosocial care, and lifestyle interventions. Using patient reported outcome measures (PROMs) in clinical practice is recommended to monitor HRQOL and to facilitate adequate referral to supportive care. Currently, much effort is undertaken to use the concept of value-based health care to optimize (head and neck cancer) care, which can be translated into three components: tailoring of care to the needs of the individual patient (patient-centered care), offering effective care (quality care), and offering cost-effective care (affordable care). An important aspect in this type of care is patient’s self-management. There are six core self-management skills: problem solving, decision making, resource utilization, forming of a patient/health care provider partnership, taking action, and self-tailoring. E- health applications including PROMs to monitor HRQOL, computerized decision support, and self-help interventions facilitate supportive care. However, the diversity and unconnectedness of available supportive care options (online and face-to-face) remains a problem and many cancer patients have unmet needs. This presentation provides an overview of evidence of (cost)effectiveness of supportive care with a special focus on self-management and eHealth. SP-039 Discussion: How to improve survivorship: patient’s point of view A.Steinbacher Germany

Abstract not received