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Program Information

A Clinical View of Adaptive Therapy


K Brock

W Mao

R Kashani




K Brock1*, W Mao2*, R Kashani3*, (1) University of Michigan, Ann Arbor, MI, (2) UT Southwestern Medical Center, Dallas, TX, (3) Washington University School of Medicine, St. Louis, MO

Presentations

SA-D-BRD-0 (Saturday, March 7, 2015) 4:00 PM - 6:00 PM Room: Ballroom D


Adaptive radiation therapy has the potential to ensure the optimal treatment is delivered to the patient by accounting for anatomical and functional changes that occur over the course of treatment. Technically, adaptation has been performed for many years clinically, through the re-simulation of the patient who have noticeable changes and the design of a new treatment plan. However, the use of deformable image registration, dose summation tools, and advanced plan optimization enables the ability to improve efficiency. The introduction of these tools also has the potential to introduce more uncertainties into the process. This session will discuss the commissioning and QA necessary for the safe use of deformable registration for adaptive radiotherapy, strategies and guidelines to determine when and how to adapt, a practical workflow to enable clinical implementation of adaptive therapy , and a discussion of the costs associated with it. Clinical cases will be used to illustrate these concepts.

Learning Objectives:
1. To describe how to commission deformable image registration for clinical use.
2. To learn how to implement adaptive therapy in a clinical environment and to understand the cost and resources required.
3. To learn the strategies and guidelines to determine when to adapt a treatment.

Handouts


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