ESTRO 2022 - Abstract Book

S595

Abstract book

ESTRO 2022

Work-related stress and anxiety were prevalent among Canadian (n=155) and Norwegian RTs (n=124), with Canadian RTs reporting higher levels. Fear of transmission, changes in PPE usage, and changes in staffing were reported as the most frequent work-related stressors. Themes related to working during the pandemic included: generalized anxiety; physical, emotional and cognitive symptoms of stress; and loneliness, as well as negative impact on health and quality of relationships. Survey findings from RT department managers in Canada (n=12) and Norway (n=13) suggest that the pandemic had an organizational impact on RT departments due to implemented infection control measures and changes in staffing Conclusion The COVID-19 pandemic has led to similar stressors amongst Canadian and Norwegian RTs but relatively higher levels of psychological impact among Canadian RTs. Findings demonstrate the importance of mental health support programs in the workplace to mitigate the psychological impact of the COVID-19 pandemic on RTs.

PD-0661 Implementation of marker less Surface Guided Radiotherapy in a complex multi-stakeholder environment

F. Das Neves Horácio 1 , A. Sprangers 1 , W. Wingerhoed 2 , P. Brokken 2 , K. Schaerlaeken 2 , H. Van Dyck 2 , I. Mollaert 3 , D. Verellen 2

1 Iridium Netwerk, Radiotherapy, Antwerp, Belgium; 2 Iridium Netwerk, Radiotherapy, Antwerpen, Belgium; 3 Iridium netwerk, Radiotherapy, Antwerpen, Belgium Purpose or Objective Surface guided Radiotherapy (SGRT) is more and more used in radiation therapy. With SGRT a marker less patient’s workflow can be implemented in a radiotherapy center and will give patients more comfort during their treatments, skin marks should no longer be placed. The implementation of SGRT in a Radiotherapy Network Centre with 4 radiotherapy sites and 9 linear accelerators can be quite challenging. This work demonstrates the steps adopted in our Network for the implementation of a SGRT system and the progressive transition to a marker less Radiotherapy with the use of a “Superusers” Team. Materials and Methods In October 2020 we have started the implementation of C-Rad Surface Guided Radiotherapy system in our Radiotherapy Network Center. We began with a “Superusers” Team - a selected group of 5 RTTS and 3 physicists with previous extended experience on SGRT/ tattoo less. The implementation of SGRT was progressive and included: I) Superusertraining by cRAD II) Training of the “Superusers” team at one linear accelerator in order to evaluate current used methods, identify bottlenecks and troubleshooting and create a new uniformized workflow III) Introduction of table parameters, since the Surface scanning system can only give accurate measurements with object within 5 cm of targeted position IV) Going Marker less meaning new patients had no tattoos workflow V) Create support materials, such as the positioning and procedure manuals. VI) Train the RTT’s. A SWOT analyze (see fig 1) was done by the superuserteam, our management and cRAD.

Results From SWOT analyze, we see that the use of a Superuser team concept has helped with the fast implementation of marker less SGRT based positioning workflow and especially in a period of Covid-19. In one year, we have implemented SGRT in 3 radiotherapy sites totaling 7 linear accelerators and 25 trained RTTs. The more RTTs were trained and used to the new workflow, time of implementing in a new machine became shorter. At the time of writing, more than 75% of the treated population is in a tattoo less workflow. (See fig 2)