ESTRO 2022 - Abstract Book

S165

Abstract book

ESTRO 2022

autoplanning for brachytherapy in principle works and made us move forward to use this in clinic. As a next step we initiated a prospective validation study. For this we developed and validated a wish-list for BT applied to locally advanced cervical cancer patients that adheres to the clinically applied EMBRACE II protocol and the planning philosophy. We then used the validated wish-list to generate, in parallel to and without any interaction with the clinical workflow, a fully automatically generated Bicycle plan. Quantitative and qualitative plan evaluations were performed as well as a manual finetuning performed by the treating physician. The results of the study will show if Bicycle is capable of generating clinicaly feasible and optimal treatment plans within a clinical setting and timeframe. The prelimary study results will be presented during the talk.

Symposium: What’s new in RTT advanced practice?

SP-0208 RTT advanced practice in IGRT: Ancient history or new era?

N. Anderson 1

1 Austin Health , Radiation Oncology, Heidelberg, Australia

Abstract Text The evolution of radiation therapy as a key pillar in the management of cancer patients has revolutionised the roles within the multidisciplinary teams providing care. As a consequence, the traditional boundaries in which radiation oncologists, radiation therapy technologists (RTT) and medical physicists work have become increasingly blurred. Technology has evolved considerably, necessitating change within our workforces to meet the needs and complexities of current and future clinical radiation oncology practice. One such initiative to support this change has been the development, evolution and acceptance of RTT advanced practitioners (AP). With varying levels of structure, recognition and ultimately, success, RTT AP programs have been established in Australia, New Zealand, Canada and the United Kingdom. Scope of practice for the RTT AP ranges from direct patient care as a surrogate for medically trained professionals, through to image guidance and adaptive radiotherapy treatments. With a significant paradigm shift towards adaptive, individualised, image guided treatments, the scope of practice for RTT’s has broadened considerably, requiring a highly specialised skillset to deliver precision radiotherapy. In many cases, this skillset resides outside the traditional scope of RTT practice, demanding the expansion of traditional knowledge and acquisition of completely new skills and responsibilities. Subsequently, the role of the RTT and RTT AP in image guidance has never been more critical as we move into this new era of radiotherapy. Recent literature supports the competency of the RTT AP in image guided radiotherapy, to deliver adaptive, complex treatments in conjunction with their medical colleagues. Furthermore, we are witnessing the expansion of the RTT AP into routine clinical practice as peer-to-peer knowledge transfer occurs. Like it or not, the role of the RTT in image guidance is here to stay and will only become more prominent. It raises an interesting debate as to whether in fact the RTT AP can be classified as ancient history, ultimately because it will become the role of every RTT- AP or not. This presentation will discuss the evolution of image guidance into the RTT scope of practice, both now and into the future, and aim to instigate discussion as we arrive at this imminent crossroad in the RTT profession.

SP-0209 Individualised radiotherapy: Roles of RTT advanced practice

A. Duffton 1

1 Beatson West of Scotland Cancer Centre, Radiotherapy, Glasgow, United Kingdom

Abstract Text Radiotherapy (RT) technology and techniques continue to become more advanced, making individualised RT more of a reality. Individualised RT uses patient specific factors to plan and deliver treatment. This includes consideration of clinical and biological characteristics, as well as biomarkers of response. Along with these developments, the multi-disciplinary team (MDT) must approach patient care in a more personalised way, that considers patient needs. This is essential in ensuring that patients get the best care, which is suited to them. The RTT is a key member of the MDT who plays many roles in developing, implementing and evaluating individualised RT strategies. Advanced practice RTT roles need to adapt alongside novel treatment strategies to deliver a safe and effective treatment, which aims to improve outcomes. This requires thinking beyond the service that’s already in place and being proactive in identifying how the advanced practice RTT stays at the forefront of delivering individualised care.

SP-0210 Innovations in patient care through RTT advanced practice

L. Otto-Vollaard 1 , S. Quint 1 , J. Nuyttens 1 , I. Steinvoort-Draat 1 , I. de Pree 1 , O. Tims 1

1 Erasmus MC, Radiotherapy, Rotterdam, The Netherlands