ESTRO 2024 - Abstract Book

S5552

RTT - Patient care, preparation, immobilisation and IGRT verification protocols

ESTRO 2024

References:

[1] Li B, Bai F, Yao X, Xu L, Zhao L. Clinical value of styrofoam fixation in intracranial tumor radiotherapy. Front Oncol 2023;13:1131006. https://doi.org/10.3389/FONC.2023.1131006/BIBTEX.

[2] Macromedics. Head and neck DSPS® - MacroMedics. 2023 https://www.macromedics.com/products/head neck/dsps (accessed October 24, 2023).

[3]

Orfit. Head, Neck and Shoulders Immobilization Systems 2023. https://www.orfit.com/radiation

oncology/products/ahead-neck-and-shoulders (accessed October 24, 2023).

1731

Digital Poster

Rad-led Prehabilitation Clinic increases number of successful prostate radiotherapy CTplanning scans

Tanya Fitzpatrick 1 , Emma Simpson 2 , Kathryn Lees 1 , Sara Hodgkinson 1 , Claire Johnson 2 , Geraint Rees 1

1 Maidstone General Hospital, Maidstone and Tunbridge Wells NHS Trust, Radiotherapy and Oncology, Maidstone, United Kingdom. 2 The Kent and Canterbury Hospital, Maidstone and Tunbridge Wells NHS Trust, Radiotherapy and Oncology, Canterbury, United Kingdom

Purpose/Objective:

Prostate Cancer is a common condition with 52,000 men diagnosed each year in the UK. Approximately 58% of these men are treated with Radiotherapy for the disease. The number of men being diagnosed and treated is increasing, putting pressure on treatment facilities. Prostate Radiotherapy is conventionally planned using a planning CT and delivered, in the majority of centres in the UK, using Linear Accelerator delivered IMRT with Cone Beam CT (CBCT) or Fiducial image guidance. Consistent bladder and rectal filling are important in order to maintain good set up for treatment, allow accurate image matching for treatment and to avoid the need to re-plan. A new radiographer led Prehabilitation service has been developed at the Kent Oncology Centre in order to try make bladder and rectal filling for Prostate radiotherapy more consistent. The aim was to reduce the number of patients failing their initial planning CT scan or needing to have treatment re-planned once started due to inconsistent bladder or rectal filling. Patients are seen face to face approximately 2 weeks prior to their planning CT scan. Education regarding hydration and diet is given, an assessment of bowel and urinary (with the help of Uroflowmetry analysis) function is made and any additional preparation methods i.e. micro-enemas, laxatives or alpha blockers started. Written information is also given to the patient as reference. Patients determined to be at a "higher risk" of failing their CT planning scan after this initial appointment with the Prehabilitation team (due to urinary or bowel function) are given further follow up calls/ appointments for additional help and support that they may require. Patients may also be brought in again for repeat Uroflowmetry tests or the Prehabilitation team may liaise with other multidisciplinary teams to get patients the support they require. i.e..