ESTRO 2025 - Abstract Book

S81

Invited Speaker

ESTRO 2025

• Tagliaferri, L., Bussu, F., Rigante, M., Gambacorta, M. A., Autorino, R., Mattiucci, G. C., Fionda, B., Miccichè, F., Placidi, E., Balducci, M., Galli, J., Valentini, V., Paludetti, G., & Kovacs, G. (2015). Endoscopy-guided brachytherapy for sinonasal and nasopharyngeal recurrences. Brachytherapy . • Strnad, V., Lotter, M., Kreppner, S., & Fietkau, R. (2015). Reirradiation for recurrent head and neck cancer with salvage interstitial pulsed-dose-rate brachytherapy: Long-term results. Strahlenther Onkol .

4775

Speaker Abstracts Incidents in implementing new or experimental treatments using recent experience of implementing oART Amanda Moreira Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Canada

Abstract:

The paradigm of radiation therapy has evolved over the years as we move towards increasingly automated treatments. This has directly impacted the work and type of decision making performed by front-line Radiation Therapists. In combination with the uptake of online adaptive radiation therapy (oART) over the last 5 years, this paradigm and thus the Radiation Therapist's roles and responsibilities has shifted once again. This session will cover the implementation of a Therapist-led oART workflow, discuss risk management in light of balancing individualized care with standardization and compare implementation and risk assessment of two oART platforms within a single department. To help manage resources, streamline workflows and increase access to new ART treatments, Radiation Therapists across multiple countries have upskilled to allow task shifting within the oART environment. This session will provide a brief overview of various published training programs used to enable this task shifts while minimizing risk. It will expand on one institution’s experience in implementing Therapist-led oART workflows, focusing on how risk was managed through multidisciplinary protocol development, go-no-go definition and collaborative decision making. As with any new technology, how do we ensure we are nimble enough to keep up with the latest innovations, while ensuring the safety of our patients and mitigating potential incidents? This question is a common challenge across various professions but is especially significant in oART due to its condensed timeline and the added layer of personalized care. One approach is to create an ART rapid response team which processes ad hoc, ‘off-protocol’, requests ensuring we can conduct initial risk assessments and allocate resources upstream, ensuring downstream success. This approach underscores the importance of balancing truly individualized care with the need for standardization through protocols. Lastly, we compare the implementation and provide a risk assessment of two online ART platforms within a single department. This analysis will focus on lessons learned, a comparison of workflow approaches, and the role of the Radiation Therapists across the two platforms at each ‘go live’, which occurred 5 years apart. Additionally, we will discuss changes made after the implementation of each platform.

4776

Speaker Abstracts Radiotherapy patient care risks in 2030 Marcel R. Stam