ESTRO 2025 - Abstract Book

S4146

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

ESTRO 2025

existing data. Multicenter studies are necessary to establish guidelines and best practices for safe IGRT use in pediatric radiotherapy.

Keywords: Pediatric Radiotherapy, CBCT, Gentle IGRT

4562

Poster Discussion Transforming Skin Care in Radiotherapy: An Inclusive Image Library for Equitable Assessment and Management. Jo K McNamara 1 , Naman Julka-Anderson 2 1 Rad Chat, Rad Chat, Sheffield, United Kingdom. 2 Rad Chat, Rad Chat, London, United Kingdom Purpose/Objective: Through cancer treatment it’s common for the skin to be affected e.g. Radiation Induced Skin Reactions. (RISR) is a common side effect for patients undergoing external beam radiotherapy. RISR can be more severe at sites, such as head and neck. RISR can cause skin colour changes, skin tightening, oedema, and pain within the treatment field. These effects may be experienced in the short and long term, impacting on quality of life. Current medical education focuses on looking for treatment related skin changes on white skin e.g. the term ‘redness’ is used often, this is true for people with white skin tones. However, for patients with black skin, acute RISR may cause their skin tone within the treatment area to go darker than their normal, yellow, purple, grey, or maroon. Patients with brown skin may see some redness, or maroon colour changes along with becoming darker than their normal (1,2). Currently there’s no such oncology-based image bank which offers free access, driven by registered healthcare professionals, offering free CPD and available in different languages. Material/Methods: A PPI group consisting of representation from Black Women Rising, Sakoon Through Cancer, OUTPatients, From Me to You and the African Carribean Leukaemia Trust and Radiotherapy UK helped to crowd source a medical image library of oncology-related skin reactions in people of colour, documenting various skin changes caused by cancer treatments. Educational activities using the image library were utilised to educate oncology professionals about the varying skin reactions in different skin tones, ensuring they were equipped to recognise and manage side effects like Radiation Induced Skin Reactions (RISR) across all demographics of patients. Results: By utilising the comprehensive image library, healthcare professionals’ confidence in assessing skin related oncology reactions e.g. RISR across people of colour improved. Healthcare professionals were able to better manage skincare reactions and provide appropriate advice. Conclusion: Ensuring healthcare professionals have access to a broad demographic of medical imagery for free, improves the assessment and management for people going through cancer treatment and attempts to address health inequalities.

Keywords: Images, radiation, skincare

References: 1Jothishankar B, Stein SL. Impact of skin color and ethnicity. Clin Dermatol. 2019 Sep-Oct;37(5):418-429. doi: 10.1016/j.clindermatol.2019.07.009. Epub 2019 Jul 17. PMID: 31896399.