PresentedattheAAPMAnnualMeetinginSanAntonio,July15th,2019

ObjectivesfromtheAbstract:

Identifylearningresourcesabouttreatmentplanningappropriateformedicalphysicists.Discusscompetenciesintreatmentplanning,whichincludeinterpretationofthephysician’sprescription,rigidanddeformableimageregistration,contouringguidelinesanddosetolerancesfornormaltissuestructures,planningtechniquesappropriateforcommontreatmenttypesandavoidanceregions,andmanagementofplanobjectivesusedininverseplanning.

This is a SAMS presentations. Some of the facts presented would be useful to keep in your short term memory.

1

Ihavenoconflictsofinteresttodisclose.

2

Themajorcategoriesofexternalbeamradiationtherapyarelistedhere.Additionally,LDRandHDRbrachytherapypresentsnearlyasmanytreatmentplanningtechniquesasthereareapplicators.Theresourcesforlearningprescribingtechniquesandcontouringareapplicableacrossthemodalitiesdescribedhere,whileresourcesfornormaltissuetoxicitiesmayhavelesscross-modalityvalidityandmodalityspecificresourcesshouldbesoughtout.Thepresentationsinthissessionwillfocusontreatmentplanningforaconventionallinearaccelerator.

3

4

Thedocumentshownherepresentsthecategoriestobecoveredinmedicalphysicsresidenteducation.

5

Abouthalfoftheelementsinthetreatmentplanninganddeliveryrequirementsareabouttreatmentplanning.Qualifiedmedicalphysicistsshouldhaveskillwiththesetechniques.

Seepages11and12ofthisdocument:CAMPEP:StandardsforAccreditationofResidencyEducationalProgramsinMedicalPhysics.RevisedMay2019.

6

In2016theAAPMSubcommitteeonGuidelinesforCompetencyEvaluationforClinicalMedicalPhysicistinRadiationOncologypublishedtheirrecommendationsintheJACMP.Thedocumentlaysoutaframeworkforperformingongoingcompetencyassessment.

Evaluationofthesecompetenciescanbedonethroughauditsofworkproduct,suchastheplanPDF.

“Competencytestsshouldemphasizeknowledge,skills,andbehavior.Aswithcredentialing,thismustbedocumented.Thetypeandfrequencyofeachcompetencymustbedetailed.Thefrequencyshouldbedeterminedbyeachfacilitybutshouldbeatleastonceperyear.”

7

Thedocumentcontainsasamplelistofcompetencyassessmentfrequencies.Thisexamplelistcontainstherecommendationthatmedicalphysicistsshouldperformaminimumoftwelvegeneraltreatmentplanseachyeartomaintaintheircompetency.Thismayseemexcessive,butconsideringtherangeofdifferenttypesoftreatmentplanswerevieweachyear,itisreasonablebefamiliarwiththestepsinvolvedincreatingthesedifferentplancategories.

Thesamplelistalsorecommendsthatamedicalphysicistshouldcompletefourspecialproceduretreatmentplanseachyear.Itwouldbeusefultostorethesetwosamplerecommendationsinyourshorttermmemory.

8

Theknowledgecategorieslistedhereareintegraltotreatmentplanningandthequalifiedmedicalphysicistshouldhaveadequatecompetenceinthem.

9

Toachievethecompetenciesjustdescribed,theresourceonthefollowingslidesmaybeofvalue.

10

Therearemanyresourcesforlearningnormalanatomytissuecontouring.Consensusrecommendationsoftenarecreatedbyclinicaltrialsgroups,suchasRTOG.Theseguidesincludeupperabdominalnormalorgans,hippocampus.https://www.rtog.org/CoreLab/ContouringAtlases.aspx

Outsideoftheclinicaltrailsguidelines,thereareanumberofjournalarticlesdescribingnormaltissuecontouring.

Lastly,severalexcellentpresentationscanbefoundintheAAPMvirtuallibraryandelsewhere.

11

Backinthe1990s,apopularreferencefornormaltissuetolerancesforconventionaltherapywaspublishedbyDr.Emami.WiththeadventofIMRTandadvancementsinmodeling,theQUANTECprojectundertookasystematicreviewofthedataandpublishedtheirresultsin2010intheRedJournal.TheirtolerancesaresummarizedinaWikibookspage.ForSBRTtreatments,TG-101isausefulresourcewhichusesresultspublishedearlierbyDr.Timmermanandothers.Itisusefultoconverthypofractionationdosesto2Gy/fxequivalentdosesusingtheEQD2equationformakingcompositedoseassessments.

References:Toleranceofnormaltissuetotherapeuticirradiation.EmamiB,LymanJ,BrownA,CoiaL,GoiteinM,MunzenriderJE,ShankB,SolinLJ,WessonM.IntJRadiatOncolBiolPhys.1991May15;21(1):109-22.

IJROPBMarch01,2010.Volume76,Issue3,Supplement,S1-S160.QuantitativeAnalysesofNormalTissueEffectsintheClinic.https://www.redjournal.org/issue/S0360-3016(10)X0002-5

Stereotacticbodyradiationtherapy:thereportofAAPMTaskGroup101.BenedictSH,YeniceKM,FollowillD,GalvinJM,HinsonW,KavanaghB,KeallP,LovelockM,MeeksS,PapiezL,PurdieT,SadagopanR,SchellMC,SalterB,SchlesingerDJ,ShiuAS,

12

AAPMTG-101onSBRTcontainsrecommendationsfornormaltissuetolerances.Itwouldbeworthkeepinginyourshorttermmemorythattheserecommendationsaremostlyunvalidatedandincorporateameasureofeducatedguessing.

FromTG-101:“TableIIIsummarizestolerancedosesfromtheUniversityofTexasSouthwesternandtheUniversityofVirginia.Thedosesaremostlyunvalidated,andwhilemostarebasedontoxicityobservationandtheory,thereisameasureofeducatedguessinginvolvedaswell.Additionalinformationmaybefoundinseveralpublishedreports,includingIndianaUniversity’slungSBRTexperience,KarolinskaHospital’sSBRTexperience,andarecentreportfromStanfordUniversity.Becauseofthesparsenessoflong-termfollow-upforSBRT,itshouldberecognizedthatthedatainbothTableIIIandthepublishedreportsrepresent,atbest,afirstapproximationofnormaltissuetolerance.Whenproceedinginareaswherethereisalackofpublishedliteraturefortoxicityandcomplications,thisreportrecommendsthatformalinstitutionalguidelinesandprospectivetrialsbeimplemented.

Recommendation:NormaltissuedosetolerancesinthecontextofSBRTarestillevolvingandonlyalimitedexperienceexistsfromwhichtodrawrecommendations.ExceptinthesettingofIRBapprovedPhaseIprotocols,criticalorgantolerancedosesbasedontheSBRTexperienceintheevolvingpeer-reviewedliteraturemustberespected.”

13

RTOGhasawealthofclinicaltrialdocumentsthatcontainusefulinformation.

Thislistwasbarrowedfromhere:https://www.medicaldosimetry.org/resources/helpful-links/

14

RTOGprotocolshaveastandardizedsectionnumberingframeworkthatmakesiteasytolocatespecificinformation.

15

Eachofthemajortreatmentplanningsystemvendorshasacustomerportalwheremanualsandadditionalinformationcanbefound.

16

TherearedozensofvideosintheAAPMVirtualLibrarythatprovidetreatmentplanningguidance.

ASTROvideosarerestrictedtothosewhoattendedtheconferenceatwhichtheywerepresented.

OnYouTube“RadiationKnowledge”hasanicesetofvideos.https://www.youtube.com/channel/UCgjpYithXBucvlvTZfozACQ/videosSincemostoftheYoutubecontentistargetedatpatients,itisdifficulttofindin-depthmaterial.

AAPMhasuploadedalotofmaterialtoVimeo.

i.treatsafelyisanexcellentresource,buttendstobeheavyonEclipsevideoswithalackofresourcesforothertreatmentplanningsystems.

17

18

Thankyouforattendingoursession!

19

TreatmentPlanningResourcesforMedicalPhysicists

(2019-07-15)

TableofContents

Books(incompletelist).........................................................................................................1

AAPMPresentationsintheVirtualLibrary....................................................................3MobileDeviceAppsforRadiationOncology..................................................................9

i.treatsafely.org........................................................................................................................9

AdditionalReferences.........................................................................................................10

Books(incompletelist)

1. GeneralRadiationOncologya. HandbookofEvidence-BasedRadiationOncology,byEricK.Hansen,

MackRoachIII,Editors.Springer;3rded.2018editionb. EssentialsofClinicalRadiationOncology:-,byMatthewC.Ward|Dec

15,2017.Demos.c. Perez&Brady'sPrinciplesandPracticeofRadiationOncology,

byHalperinMD,Dr.EdwardC.,WazerMD,Dr.DavidE.,etal.|Oct9,2018.LLW

d. RadiationOncology:AQuestion-BasedReview,byBorislavHristov,LinMDPhD,StevenH,etal.|Sep14,2018.

e. FundamentalsofRadiationOncology:Physical,Biological,andClinicalAspects,byHasanMurshed|Mar15,2019.

f. RadiationOncologyQuestionReview,SecondEdition–RadiationOncologyBoardReviewGuidebyExpertRadiationOncologistsfromClevelandClinicTaussigCancerInstitute,byMichaelWeller|Oct28,2018.

g. PocketRadiationOncology,byChadTangandAhsanFarooqi.h. AbsoluteClinicalRadiationOncologyReview,byDanielM.

TrifilettiandNicholasG.Zaorsky|Jan23,2019.i. RadiationOncologyManagementDecisions,byChaoMD,K.S.

Clifford,PerezMD,Dr.CarlosA.,etal.|Oct4,2018.j. ClinicalRadiationOncology,byGundersonMDMSFASTRO,Leonard

L. andTepperMD,JoelE.|Sep9,2015k. ClinicalRadiationOncology:Indications,Techniques,andResults,by

SmallJr.,William,NancyJ.Tarbell,etal.|Apr17,20172. SpecializedRadiationOncology

a. StereotacticRadiosurgeryandStereotacticBodyRadiationTherapy(SBRT),byDwightEHeron,SaifulHuq,etal.|Sep28,2018.Demos.

b. StereotacticRadiosurgeryandStereotacticBodyRadiationTherapy:AComprehensiveGuide,byDanielM.Trifiletti,SamuelT.Chao,etal.|Jul2,2019

3. Site-specificRadiationOncologya. HeadandNeckCancer:MultimodalityManagement,byJacques

Bernier|Aug23,2016.b. AdultCNSRadiationOncology:PrinciplesandPractice,byEricL.

Chang,PaulD.Brown,etal.|Jul28,2018.c. ContemporaryOralOncology:DiagnosisandManagement,byMoni

AbrahamKuriakose|Jul12,2018.d. RadiationTherapyforGastrointestinalCancers,byTheodoreHong

andPrajnanDas|Feb16,2017e. OncologicImaging:SoftTissueTumors,byHeungSikKang,Sung

HwanHong,etal.|Jul26,2017f. GynecologicRadiationOncology:APracticalGuide,byPatriciaEifel

andAnnH.Klopp|Aug27,2016g. RadiationOncologyforPediatricCNSTumors,byAnita

MahajanandArnoldPaulino|Oct31,2017,Springer4. ToxicityManagement

a. SkinCareinRadiationOncology:APracticalGuide,byBarbaraFowble,SueS.Yom,etal.|Sep16,2016.

b. RadiationTherapyTreatmentEffects:AnEvidence-basedGuidetoManagingToxicity,byBridgetF.Koontz|Sep18,2017

c. RadiationTreatmentandRadiationReactionsinDermatology,byRenatoG.PanizzonandM.HeinrichSeegenschmiedt|Dec17,2014

5. Brachytherapya. Brachytherapy:AnInternationalPerspective(MedicalRadiology),

byPaoloMontemaggi,MarkTrombetta,etal.|Apr22,2016.Springer.b. HandbookofImage-GuidedBrachytherapy,byJyotiMayadev,Stanley

H. Benedict,etal.|Mar22,2017.6. TreatmentPlanningandMedicalDosimetry.

a. ReviewofMedicalDosimetry:AStudyGuide,byWilliamAmestoy|Mar3,2015.

b. MedicalDosimetryCertificationStudyGuide,SecondEdition.K.N.GovindaRajan.

c. TargetVolumeDelineationforConformalandIntensity-ModulatedRadiationTherapy(MedicalRadiology),byNancyY.Lee,NadeemRiaz,etal.

d. StrategiesforRadiationTherapyTreatmentPlanning,byXiaPhD,Ping,GodleyPhD,Andrew,etal.|Oct28,2018

e. HandbookofTreatmentPlanninginRadiationOncology,byVideticMDCMFRCPC,Gregory,WoodyMD,Neil,etal.|Aug14,2014

f. Khan'sTreatmentPlanninginRadiationOncology,byKhanPh.D,FaizM.,GibbonsPh.D,JohnP.,etal.|Jun14,2016

AAPMPresentationsintheVirtualLibrary

1. Generala. 2018AM-IntroductionofLynnVerheyandTreatmentPlanningin

MedicalPhysics3.0-PresentedbyBruceCurranb. 2014AM-FromtheArttotheStateoftheArt:InversePlanningand

IMRT-PresentedbyThomasBortfeldc. 2010AM-IMRTandVMATInversePlanningwithCompressed

SensingTechniques-PresentedbyDr.LeiXingd. 2011AM-LeibelMemorialSymposium:AdvancedIMRTPlanningand

DeliveryandFutureDirections-PresentedbyDr.C.CliftonLinge. 2011AM-LeibelMemorialSymposium:AdvancedIMRTPlanningand

DeliveryandFutureDirections-PresentedbyDr.ThomasJ.LoSassof. 2011AM-LeibelMemorialSymposium:AdvancedIMRTPlanningand

DeliveryandFutureDirections-PresentedbyDr.ThomasR.Bortfeldg. 2014AM-MoreThanPrettyPictures:3DTreatmentPlanningand

ConformalTherapy-PresentedbyBenedickFraassh. 2014SS-TheImportanceof4DSimulation,PlanningandDelivery-

PresentedbyKrishniWijesooriyai. 2012SCM-Therapy2-VMATforDummies:Concepts,Clinical

ImplementationandTreatmentPlanning-PresentedbyDr.RajatKudchadker

j. 2012SCM-Therapy2-VMATforDummies:Concepts,ClinicalImplementationandTreatmentPlanning-PresentedbyDr.RichardPopple

k. 2014AM-TreatmentPlanningandDeliveryFeaturesofNewGenerationofDigitalLinacs-PresentedbyLeiXing

l. 2017AM-TreatmentPlanningandIGRTCredentialingforNRGSBRTTrials-PresentedbyHaniaAbdulraoufAl-Hallaq

m. 2009AM-TreatmentPlanningofComplexCases:StrategiesandTradeoffs-PresentedbyMargieA.Hunt

n. 2009AM-TreatmentPlanningofComplexCases:StrategiesandTradeoffs-PresentedbyTeamourSNurushev

o. 2016AM-Treatmentplanningprocessmanagementandoptimizationinclinicalenvironment-PresentedbyWenzhengFeng

p. 2011SS-UncertaintiesinTreatmentPlanningandDoseComputation- PresentedbyJeffSiebers

2. Sitea. Intracranial

i. 2017AM-SmallVolumeDoseLimitsinPlanningBrain/spineSRS/SBRT-PresentedbyLijunMa,

ii. 2015AM-StrategiesandTechnologiesforCranialRadiosurgeryPlanning:GammaKnife-PresentedbyDavidSchlesinger

iii. 2015AM-StrategiesandTechnologiesforCranialRadiosurgeryPlanning:MLC-BasedLinac-PresentedbyGraceGwe-YaKim

b. HeadandNecki. 2009AM-ImagingandTreatmentPlanningforAdaptiveRadiotherapyintheHeadandNeck-PresentedbyJan-JakobSonke

ii. 2009AM-ImagingandTreatmentPlanningforAdaptiveRadiotherapyintheHeadandNeck-PresentedbyKristyK.Brock

iii. 2009AM-ImagingandTreatmentPlanningforAdaptiveRadiotherapyintheHeadandNeck-PresentedbyLeiDong

iv. 2009AM-ImagingandTreatmentPlanningforAdaptiveRadiotherapyintheHeadandNeck-PresentedbyVincentGregoire

v. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforHeadandNeckTreatments-PresentedbyDr.CharlesS.Mayo

vi. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforHeadandNeckTreatments-PresentedbyDr.LeiDong

vii. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforHeadandNeckTreatments-PresentedbyDr.StephenK.Fry

viii. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforHeadandNeckTreatments-PresentedbyDr.YolandaIGarces

ix. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforHeadandNeckTreatments-PresentedbyPanelDiscussion

x. 2011AM-ThisHouseBelievesThattheUseofFunctionalImagingforTreatmentPlanningofHeadandNeckTumorsNeedstoBeCarefullyConsidered-PresentedbyVincentGregoire

c. Lungi. 2014SS-LungPlanning-PresentedbyKristiHendricksonii. 2014AM-LungSBRT:4DCT,PlanningandQA-Presentedby

KrishniWijesooriyaiii. 2016AM-SpatialDistributionsofRadiationInduced

PulmonaryChangesCanBeModeledandUtilizedforImage-GuidedPlanningandTherapytoImprovePulmonaryFunctionPreservationandHencetheTherapeuticRatioforLungCancer- PresentedbyJohnBayouth

d. Breasti. 2015SCM-BasicsofBreastPlanning-PresentedbyRebeccaHowell

ii. 2013AM-TreatmentPlanningConsiderationsforBreastCancer-PresentedbyJeanMoran

iii. 2013AM-ClinicalImplicationsofTreatmentPlanningforBreastCancerRadiotherapy-PresentedbyJuliaWhite

e. GI

i. 2014SS-GIPlanning-PresentedbyMinsongCaof. Prostate

i. 2014SS-ProstatePlanning-PresentedbyMinsongCaog. Pelvis

i. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforPelvisTreatments-PresentedbyMs.AnnA.Lawyer

ii. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforPelvisTreatments-PresentedbyMs.JenniferLynnJohnson

iii. 2011AM-Planning,QA,andtheRoleofImagingofLocalizationforPelvisTreatments-PresentedbyPanel

3. Protonsa. 2015AM-ProtonTreatmentPlanning-PresentedbyMarkPankuchb. 2018AM-ProtonPlanning-PresentedbyKatjaLangenc. 2014AM-ImagingforProtonTreatmentPlanningandIGRT-

PresentedbyJonKrused. 2013AM-ImagingNeedsforProtonTherapy:TreatmentPlanning-

PresentedbyLeiDonge. 2012SCM-ProtonTherapyPlanning:FromPhysicstoClinical

Realities-PresentedbyDr.StefanBothf. 2018AM-ProtonTreatmentPlanninginthePresenceof

Uncertainties-PresentedbyStellaFlampourig. 2012AM-ProtonTreatmentPlanningIssues-PresentedbyBrian

Wineyh. 2012AM-ProtonTreatmentPlanningIssues-PresentedbyJudith

Adamsi. 2012AM-ProtonTreatmentPlanningIssues-PresentedbyStefan

Bothj. 2012AM-ProtonTreatmentPlanningIssues-PresentedbyX.Ronald

Zhuk. 2013AM-ProtonTreatmentPlanning:DoubleScattering-Presented

byBrianWineyl. 2014AM-TreatmentPlanningConsiderationinProtonTherapy-

PresentedbyMarkPankuchm. 2015SS-TreatmentPlanningforSFUD-PresentedbyX.RonaldZhun. 2015SS-TreatmentPlanningforSFUD-PresentedbyLeiDong,PhDo. 2016AM-ProtonTreatmentPlanningandBeamOptimization-

PresentedbyMarkPankuchp. 2014AM-Developmentanddeliveryofbiologicallyoptimized

treatmentplansinprotonradiotherapy-PresentedbyAlejandroCarabe-Fernandez

q. 4. Brachytherapy

a. 2018SCM-MRIforHDRTreatmentPlanning-PresentedbyJoannPrisciandaro

b. 2017SS-BrachytherapyTreatmentPlanning-PresentedbyBruceLibby

5. Vendora. Philips-Pinnacle

i. 2018AM-ClinicalExperiencewithPhilipsAuto-Planning-ChristianRoenn

ii. 2010AM-EfficientOutcomes-DrivenIMRTTreatmentPlanningUsingCommercialTreatmentPlanningSystems-PresentedbyDr.JosephO.Deasy(Pinnacle)

b. Eclipsei. 2018SCM-IfOnlyMyPlanningSystemCould...UsingScriptingtoPushtheEnvelopeOnClinicalCapabilitiesofTreatmentPlanningSystems-PresentedbyCharlesMayo(Eclipse)

ii. 2010AM-EfficientOutcomes-DrivenIMRTTreatmentPlanningUsingCommercialTreatmentPlanningSystems-PresentedbyDr.CharlesS.Mayo(Eclipse)

c. Monacoi. 2010AM-EfficientOutcomes-DrivenIMRTTreatmentPlanningUsingCommercialTreatmentPlanningSystems-PresentedbyMarkusAlber(Monaco)

d. Generali. 2010AM-EfficientOutcomes-DrivenIMRTTreatmentPlanningUsingCommercialTreatmentPlanningSystems-PresentedbyAllenLi

ii. 2010AM-EfficientOutcomes-DrivenIMRTTreatmentPlanningUsingCommercialTreatmentPlanningSystems-PresentedbyX.AllenLi(TG-166)

6. SBRTa. 2016AM-SBRTTreatmentPlanningandDelivery-Presentedby

YongYangb. 2012AM-SBRTTreatmentPlanning:PracticalConsiderations-

PresentedbyLindaHongc. 2018AM-SBRTPlanning-PresentedbyCynthiaFu-YuChuangd. 2015SBRT-ClinicalTargetsandTreatmentPlanningI-Presentedby

NingWene. 2015SBRT-ClinicalTargetsandTreatmentPlanningI-Presentedby

SalimSiddiquif. 2015SBRT-ClinicalTargetsandTreatmentPlanningII-Presentedby

MarthaMatuszakg. 2015SBRT-ClinicalTargetsandTreatmentPlanningII-Presentedby

MaryFengh. 2015AM-TreatmentSimulation,PlanningandDeliveryforSBRT-

PresentedbyYongYang7. Pediatric

a. 2014AM-ChallengesforPediatricTreatmentPlanningandDelivery-PresentedbyArthurOlch

b. 2014SS-CNS-BrainandSpinePlanning-PresentedbyRyanFosterc. 2014AM-PediatricRadiationTherapy:Simulation,Planning

Guidelines,ImageGuidance,andProtonTherapy-PresentedbyChia-HoHua

d. 2009AM-PediatricRadiotherapyTreatmentPlanningandDelivery-PresentedbyArthurJ.Olch

e. 2015AM-PediatricTreatmentPlanningI:OverviewofPlanningStrategiesandChallenges-PresentedbyArthurOlch

f. 2015AM-PediatricTreatmentPlanningII:ApplicationsofProtonBeamsforPediatricTreatment-PresentedbyChia-HoHua

8. ImagingandRegistrationa. 2014SCM-ImageRegistrationforTreatmentPlanning-Presentedby

DongxuWangb. 2017AM-Image-BasedTreatmentPlanningandDosimetry-

PresentedbySrinivasCheenuKappadathc. 2006SS-ImagingforRadiationTreatmentPlanning*-Presentedby

CraigW.Stevens9. MR

a. 2013AM-MRGuidedTxPlanning-PresentedbyYueCaob. 2017AM-MRImageProcessing,Registration&PlanningforExtra-

CranialRadiotherapy-PresentedbyJingCaic. 2015AM-MRImagingforTreatmentPlanning:WhatEveryPhysicist

ShouldKnow-PresentedbyKiaranMcGeed. 2016AM-MR-DrivenRTPlanning-PresentedbyMinsongCaoe. 2014AM-RTPlanning-PresentedbyTufveNyholm(MR)f. 2009AM-StrengthsandLimitationsofAnatomicalandSpectroscopic

MRIinRadiationOncologyTreatmentPlanning-PresentedbyJohnE.Bayouth

g. 2018AM-TreatmentPlanningIssueswithMRI-PresentedbyCarriGlide-Hurst

h. 2018AM-MR-OnlyTreatmentPlanningandMR-SIM-PresentedbyNeelamTyagi

10. PETa. 2011AM-PETImagingofTumorMicroenvironmentforRadiation

TreatmentPlanning-PresentedbyDr.AndreiB.Pugachevb. 2016AM-PitfallsandRemediesinPET/CTImagingforRTPlanning-

PresentedbyTinsuPanc. 2010AM-PositronEmissionTomographyImagingforRadiation

TreatmentPlanning-PresentedbyDr.AndreiB.Pugachev11. Knowledge-basedplanning

a. 2018AM-AutomatedTreatmentPlanningProcessThroughRadiationPlanningAssistant-PresentedbyLaurenceEdwardCourt

b. 2015SCM-AutomatedTreatmentPlanningtoImprovePlanQuality-PresentedbyPingXia

c. 2015AM-KnowledgeModelingForClinicalTreatmentPlanning-PresentedbyQing-RongJackieWu

d. 2017AM-MachineLearningforImageAnalysisandTreatmentPlanning-PresentedbyLeiXing

e. 2014AM-ModelingExpertClinicalKnowledgeInTreatmentPlanning-PresentedbyQ.JackieWu

f. 2018AM-AutomatedContourSegmentationforTreatmentPlanning:ChallengesandPotentials-PresentedbyMinsongCao

g. 2018AM-AutomationinTreatmentPlanQA:TowardSelf-DrivingPatientCare-PresentedbyKellyYounge

h. 2016AM-Automatedtreatmentplanningforlow-resourcesettings-PresentedbyLaurenceEdwardCourt

i. 2012AM-AutomatedTreatmentPlanningUsingaDatabaseofPriorPatientTreatmentPlans-PresentedbyToddMcNutt

j. 2012AM-AutomaticTreatmentPlanning-AnMCOPerspective-PresentedbyDavidCraft

k. 2012AM-AutomaticTreatmentPlanningforIMRT,VMATandIMPT-PresentedbyXiaodongZhang

l. 2014AM-ClinicalExperiencewithKnowledge-BasedTreatmentPlanning-PresentedbyLindseyOlsen

m. 2015AM-ClinicalUsageofKnowledgeBasedTreatmentPlanning-PresentedbyXiaodongZhang

n. 2018AM-AutomatedTreatmentPlanningProcessThroughRadiationPlanningAssistant-PresentedbyLaurenceEdwardCourt

o. 2018AM-ClinicalExperiencewithAutomatedMulticriteriaOptimization-PresentedbyBenJ.Heijmen

p. 2018AM-ClinicalExperiencewithRapidplan-Eclipse-PresentedbyMohammadHussein

q. 2015AM-ClinicalUsageofKnowledgeBasedTreatmentPlanning-PresentedbyXiaodongZhang

r. 2018AM-ExperiencewithAutomatedPlanninginBusyInternationalClinicSetting-AlejandroCuadra.

12. Adaptiveandtime-constrainedplanninga. 2016AM-Assurethequalityoftreatmentplanningwhentimeis

constrained-PresentedbyJenghwaChangb. 2015AM-MaintaintheQualityofTreatmentPlanningforTime-

ConstraintCases-PresentedbyJenghwaChangc. 2016AM-Assurethequalityoftreatmentplanningwhentimeis

constrained-PresentedbyJenghwaChangd. 2010AM-TreatmentPlanningBasedOnCBCTImagesAcquiredfor

On-linePositionVerification-PresentedbyDrDanielLetourneaue. 2010AM-TreatmentPlanningBasedOnCBCTImagesAcquiredfor

On-linePositionVerification-PresentedbyDr.JeanPouliot,f. 2010AM-TreatmentPlanningBasedOnCBCTImagesAcquiredfor

On-linePositionVerification-PresentedbyDr.LeiXingg. 2018AM-TreatmentPlanningConsiderationsforAdaptive

Radiotherapy-PresentedbyQing-RongJackieWu13. BiologicalPlanning

a. 2015AM-BiologicalTreatmentPlanning-PresentedbyColinOrtonb. 2012SCM-BiologicallyBasedRadiationTreatmentPlanning-

PresentedbyDr.X.AllenLic. 2012AM-PracticalIssuesforBiologicallyBasedTreatmentPlanning

-PresentedbyX.AllenLi

MobileDeviceAppsforRadiationOncologyMobileappsforradiationoncologytendtoquicklycomeandgo.Forexample,thefollowingpaperhasanextensivelistofappslookedatin2017,butin2019theseappsforthemostpartdonotappearintheAppStore,atleastintheUS:AppsforRadiationOncology.AComprehensiveReview,J.J.Calero,L.F.Oton,andC.A.Oton,TranslOncol.2017Feb;10(1):108–114.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300110/TakealookatX-Anatomy,RadOncReference,andEQD2/BEDcalculators.

i.treatsafely.orgThefollowingareusefultreatmentplanningvideosavailableoni.treatsafely.org.

1. Prostatea. BeamArrangementandPlanningTemplatesforProstateIMRTb. SettingtheIsocenterforProstateIMRTc. ContouringNormalTissuesforProstateIMRTd. OptimizationforProstateIMRT-3e. OptimizationforProstateIMRT-1f. EvaluatingtheCalculatedDoseDistributioninProstateIMRTg. ContouringOptimizationStructuresforProstateIMRTh. OptimizationforProstateIMRT-2

2. Breasta. SettingtheIsocenter-BreastField-in-Fieldb. FinalDoseEvaluation-BreastField-in-Fieldc. AddingandShapingSubfields-BreastField-in-Fieldd. FieldSetup-BreastField-in-Fielde. Contouring-BreastField-in-Field

3. Lunga. SettingtheIsocenterforLungSBRTb. FinalDoseReviewforLungSBRTc. BeamArrangementforLungSBRTd. ContouringOptimizationStructuresforLungSBRTe. ContouringNormalTissuesforLungSBRTf. ApplyingCouchAngles(Kicks)-LungSBRTg. DoseReviewandAdjustmentforLungSBRT-1h. DoseReviewandAdjustmentforLungSBRT-2

4. Eclipsea. IMRTPlanninginEclipseb. Basic3DPlanninginEclipsec. PlanAnalysisinEclipsed. MonitoringthePlanningProcesse. GettingStartedwithEclipsef. ContouringinEclipseg. EclipseOverview

5. HDRa. HDRGYN-ImportingImagesandImageRegistrationb. HDRVaginalCylinder-Part2-TreatmentPlanningc. GYNHDR-Digitizationandplanning

6. Halcyona. Halcyon-TreatmentPlanning-Prostate-FinalOptimizationb. Halcyon-TreatmentPlanning-Prostate-PlanReviewc. Halcyon-TreatmentPlanning-Prostate-Optimizationd. Halcyon-TreatmentPlanning-Prostate-ContouringandBeam

Setupe. HalcyonTreatmentPlanning-BreastIrregularSurface

Compensatorf. HalcyonTreatmentPlanning-BreastFIFg. HalcyonTreatmentPlanning-BreastIMRTh. HalcyonTreatmentPlanning-IMRTGYNi. HalcyonTreatmentPlanning-AP-PAHip

7. Qualitya. BiasintheClinicalDecisionMaking-01b. BiasintheClinicalDecisionMaking-02c. PhysicalBiasesd. IncidentRe-creation-PhysicsandBeamDataManagement

AdditionalReferences

1. HeadandNeckAnatomy a. http://headneckbrainspine.com/

2. Econtoura. https://www.econtour.org

3. RadiationAssistanta. http://www.radiologyassistant.nl/en/p42023a885587e/welcome-

to-the-radiology-assistant.html4. AAMDmultiplePowerPoints

a. http://medicaldosimetry.org/meetings/archives.cfm5. ProstateContouring:

a. http://www.prostadoodle.com/6. ContouringAtlasforGIRadiotherapyPlanning

a. https://medicine.umich.edu/dept/radonc/education-training/resources-references/contouring-atlas-gi-radiotherapy-planning

7. ASTROresidenteducationalresourcesa. https://www.astro.org/Affiliate/ARRO/Resident-

Resources/Educational-Resources8. ARROCase

a. https://www.astro.org/ARROcase.aspx