ESTRO 2025 - Abstract Book

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Invited Speaker

ESTRO 2025

First is a clinical use case whereby TV improves specific indications' treatment quality (assurance).

Second is an integration with the therapy system and workflow for wide and seamless use.

Third is an affordable technical solution that achieves valuable performance for a justifiable cost.

Evolutions of the proton therapy systems over the last decade regularly impacted requirements on treatment verification technologies and so will the evolutions expected for the next decade.

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Speaker Abstracts RTT-led adaptive RT credentialling Meegan Shepherd 1,2 , Brian Porter 1 , John Atyeo 1,2 , Leigh Ambrose 1,2 , Alexandra Turk 1 , Alexander Podreka 1 , Jeremy Booth 1,3 1 Northern Sydney Cancer Centre, Royal North Shore Hospital, St Leonards, Australia. 2 Medical Imaging and Radiation Sciences, Monash University, Clayton, Australia. 3 Institute of Medical Physics School of Physics, University of Sydney, Sydney, Australia Online Adaptive Radiotherapy (oART) represents an evolution in radiation oncology, enabling online adaptation of treatment plans based on daily anatomical variations. The potential of oART can only be realised through the concerted efforts of a multidisciplinary team (MDT) with each member ensuring treatment precision and patient safety. As the complexity of radiation therapy (RT) continues to advance, it is evident that Therapeutic Radiographers and Radiation Therapists (RTTs) must evolve beyond traditional scopes of practice and roles to lead aspects of the oART workflow. Critical in this transformation is the development of RTT-led oART credentialing, ensuring that RTTs are equipped with the skills and knowledge to safely and efficiently deliver oART treatments. This presentation will focus on RTT-led credentialing in oART, emphasising how a well-structured credentialing framework can foster professional development, advanced practice, promote efficiency and potentially improve patient outcomes. The experiences and research at the Northern Sydney Cancer Centre (NSCC) related to RTT-led training and credentialing will be presented, highlighting how targeted credentialing can empower RTTs to lead oART processes and elevate their responsibilities within the MDT. Abstract:

Overview of RTT Credentialing for oART

The foundational competencies essential for RTTs in oART will be discussed, referencing the evaluation work undertaken at NSCC. This mapping of credentialing, focused on the cone-beam CT system, outlines skills and knowledge areas including contouring, treatment planning, quality assurance (QA) and decision-making in the oART workflow, both in an RTT-led and MDT driven workflow. An important emphasis is on how these competencies have been informed by MDT collaboration and evidence-based practice.

Linking RTT Credentialing to Advanced Practice and Career Development

RTT-led credentialing plays a crucial role in career advancement, opening pathways to leadership roles and contributing to the development of advanced practice roles. This section will explore how the credentialing process aligns with career progression frameworks for RTTs, highlighting the collaborative efforts with academic institutions and professional bodies in developing credentialing standards and career development pathways.