ESTRO 2022 - Abstract Book

S863

Abstract book

ESTRO 2022

of view, yet the translation of voxel-based models into clinical practice it is still fragmented, lacking research in several areas: - Widespread validation of spatial suborgan models on external data. - Physiological interpretation of subregions resulting from these models. - Transfer to the patient-specific planning in a personalized treatment context. - Translation into planning constraints to be transferred to the TPS. - Evaluation of the dosimetric and clinical benefit in different RT scenarios including alternative techniques: VMAT vs SBRT, Conventional fractionation vs hypofractionation, photons vs protons, etc. - Automation in segmentation and planning to make it available to the everyday clinical practice. This presentation will describe The methodology and pitfalls of voxel-wise analysis. We discuss ways on how Contemporary/Current RT protocols can incorporated the findings in order to move RT from the one--fits-all concept towards tailored RT protocols.

SP-1018 Voxel-level analysis of normal tissue response: Are there really any advantages compared to traditional NTCP modelling?

A.Appelt UK

Abstract not available Symposium: Changing the radiation medicine paradigm

SP-1019 Capitalising on research to transform clinical workflows and mindsets: our journey with patient-reported measures from siloed to system-wide

A.Berlin Canada

Patient-reported measures correspond to data directly inputted by people about how they feel and function (e.g. symptoms, physical function, and quality-of-life). Various studies have shown that the systematic monitoring of people affected by cancer using patient-reported measures can improve the patient-provider communication, providers’ awareness of symptoms and responsiveness in their management, patient satisfaction and quality-of-life, and even overall survival. However, most of the efforts in this subject remain in the research field or deployed in controlled and siloed clinical environments. In this session we will review a comprehensive cancer centre’s journey in propagating the use of patient- reported measures, incorporating them into the fabric of routine practices and unlocking new models of care. Challenges, opportunities, and lessons learned across example applications will be shared and discussed with attendants; in turn, equipping them and their teams with knowledge that can help define strategies and remove barriers that withhold the broader, system-wide, deployment of patient-centred care paradigms.

SP-1020 Wearable technology for continuous remote patient monitoring for cancer patients

D. Blum 1

1 Competence Center Palliative Care, University Hospital Zurich, Department of Radiation Oncology, Zurich, Switzerland

Abstract Text Digital technologies permeate all areas of our daily life. Activity and sleep trackers are used for monitoring and applications on smartphones for communication in the healthy population and in cancer research. In particular, the corona-pandemic have spur growth in the use and implementation of digital technologies. This session aims to give an overview on selected publications, outlook, and discussion of aspects of the use or wearables in cancer care. Wearables are investigated during outpatient or inpatient treatment. Wearables and smartphone applications and are investigated to prevent emergency re-hospitalizations or to strengthen outpatient or home care. The combination of subjective actively patient reported outcomes measures and objective passively sensed digital biomarkers is considered as a promising approach. Information flow and data storage are discussed. Bots and Artificial Intelligence could help to better treat patients and prevent emergencies. These strengths and opportunities contrast with threats such as privacy/ surveillance issues and rationing and de-humanization. A guideline by the WHO on how to implement digital interventions will be discussed. Approaches in favor of patient care are warranted in this fast moving field or research.

SP-1021 Reimagining on-treatment radiation review clinics: Bringing the patient voice to the forefront and delivering the right care at the right time

M. Campbell 1 , D. Erler 1

1 Sunnybrook Health Sciences Centre, Odette Cancer Centre, Toronto, Canada

Abstract Text Radiation review clinic (RRC) is structured as weekly clinics where the radiation oncologist (RO) and possibly oncology nurse assess patients on treatment. Many patients experience minimal treatment-related sequelae. To facilitate the provision of excellent care in RRC, there is an opportunity to explore alternative models to support this group of “well” patients.