EDU 31 - Simulation-Free Radiotherapy Treatment Planning and Workflow - From Diagnostic CT and MR to State of the Art On-Board Imaging

Moderator(s)

• 

  Rojano Kashani, PhD

  University Hospitals Seidman Cancer Center
  Cleveland, OH

The recent increase in clinical implementation of online plan adaptation has highlighted the need for onboard volumetric images of sufficient quality for target definition and dose calculation, pushing the manufacturers of radiotherapy systems, as well as clinicians and researchers, to develop techniques to either acquire or synthetically produce images that are of similar quality to those of simulation CT scans. This has enabled workflows that not only allow for online adaptation of existing plans, but also the utilization of these workflows and images, for sim-free treatments of palliative patients, with plans that go beyond simple beam geometries and monitor unit calculations in water. This session will provide an overview of different sim-free workflows utilizing diagnostic CT, MR, as well as on-board CBCT for planning, discuss the current state of sim-free workflows available clinically, the types and quality of images available on standard and specialized linacs, and well as future direction for utilization of these techniques clinically.

Presentations:

• 5:00 PM – 5:02 PM ET

  Introductions
  

  Speaker: Rojano Kashani, PhD – University Hospitals Seidman Cancer Center
• 5:02 PM – 5:17 PM ET

  Clinical Indications for Sim-Free Treatment Planning and Delivery - Palliative Treatments and Beyond
  

  Speaker: Joshua Schiff, MD – University of Southern California Keck School of Medicine
• 5:17 PM – 5:32 PM ET

  Image Quality and HU Accuracy - Whats Available and Whats Needed
  

  Speaker: Alex Price, PhD, MS – University Hospitals Cleveland Medical Center
• 5:32 PM – 5:47 PM ET

  Practical Considerations for Clinical Implementation of Sim-Free Workflows on Different Platforms
  

  Speaker: Mu-Han Lin, PhD – UT Southwestern Medical Center
• 5:47 PM – 6:00 PM ET

  Questions and Answers
  

  Speaker: Rojano Kashani, PhD – University Hospitals Seidman Cancer Center