“Hands-On” IMRT TRAINING COURSE

The University of Texas Medical Branch, Galveston, Texas

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Upcoming Course Dates:
1st Quarter 2007

Course Description

This course is designed for those who are tired of listening to endless lectures regarding IMRT and are ready to get to work. Ideally created for those users with Siemens linear accelerators, ADAC/Philips P³IMRT treatment planning, LANTIS record and verify system, and the Siemens Primeview delivery system, this course gives the participants hands-on IMRT training with the above tools and demonstrates the nuances of their integration into the clinic. The course provides the participant with didactic sessions and extensive labs detailing IMRT treatment planning, delivery, and quality assurance. As such, the information provided is ideally suited for physicians, physicists, and dosimetrists who are beginning an IMRT program or introducing these tools into their existing program.

Day 1: Thursday

Start Stop Session

Time Time Length Topic/Event

8:00 AM 8:30 AM 0:30 Breakfast / Welcome and Overview of Course
8:30 AM 9:00 AM 0:30 Overview of IMRT - definitions and literature review

9:00 AM    10:00 AM         1:00                  IMRT Delivery and Quality Assurance
                                                                     Considerations in your TPS model
                                                                     Linear Accelerator Performance Issues
                                                                     MLC Quality Assurance Issues

10:00 AM 10:15 AM 0:15 Break

10:15 AM 10:45 AM 0:30 LAB: perform QA measurements on machine

10:45 AM 12:15 PM         1:30                  Forward Planning IMRT
                                                                     Demonstration of forward planning IMRT process
                                                                     Hands-on Treatment Planning: breast

12:15 PM 1:15 PM 1:00 Lunch

1:15 PM    3:15 PM           2:00                  Inverse Planning IMRT – IA (Prostate)
                                                                     Overview of Pinnacle IMRT Planning Tools
                                                                     Hands-on Treatment Planning: prostate
                                                                     Combined Forward/Inverse Planning
                                                                     Regions of Interest for Prostate IMRT

3:15 PM 3:30 PM 0:15 Break

3:30 PM    5:30 PM           2:00                  Inverse Planning IMRT – IB (Prostate)
                                                                     Regions of Interest for IMRT
                                                                     ROI Expansion/Contraction Tools
                                                                     Dose Objective/Constraints
                                                                     Optimization

7:00 PM Group Dinner

Day 2: Friday

Start Stop Session

Time Time Length Topic/Event

8:00 AM 8:30 AM 0:30 Breakfast

8:30 AM    9:30 AM           1:00                  Fluence Map Segmentation
                                                                     IMFAST segmentation algorithm
                                                                     LAB: segmentation with IMFAST

9:30 AM    10:30 AM         1:00                  Segment Weight Re-optimization
                                                                     Evaluation of the need
                                                                     Revision of Dose Objectives/Constraints
                                                                     LAB: segment weight re-optimization

10:30 AM 12:00 PM         1:30                  Inverse Planning IMRT - IIA (Head and Neck)
                                                                     Review of RTOG Protocol H0022
                                                                     Challenges of Head and Neck IMRT with Pinnacle

12:00 PM 1:00 PM 1:00 Lunch

1:00 PM    3:00 PM           2:00                  Inverse Planning IMRT - IIB (Head and Neck)
                                                                     Hands-on Treatment Planning: head and neck
                                                                     Regions of Interest for IMRT - Head and Neck
                                                                     ROI Expansion/Contraction Tools
                                                                     Dose Objective/Constraints

3:00 PM 3:15 PM 0:15 Break

3:15 PM    4:45 PM           1:30                  Completion of Treatment Planning
                                                                     Setting the Prescription
                                                                     Plan printout
                                                                     DRR creation and printout
                                                                     BEV printout of each segment
                                                                     Export of data from TPS to R&V system
                                                                     LAB: complete treatment plans

4:45 PM    6:15 PM           1:30                  Plan Review and Approval
                                                                     Data transfer from TPS to R&V system
                                                                     Creation of QA fields
                                                                     Hands-on R&V Data Transfer and PrimeView

7:00 PM Group Dinner

Day 3: Saturday

Start Stop Session

Time Time Length Topic/Event

8:00 AM 8:30 AM 0:30 Breakfast

8:30 AM    10:00 AM         1:30                  IMRT Plan Validation - Part I (Phantom Study - TPS)
                                                                     Treatment Planning Process for Phantom Study
                                                                     TPS for comparison with measurements
                                                                     LAB: create and document phantom study

10:00 AM 10:15 AM 0:15 Break

10:15 AM 12:00 PM         1:45                  IMRT Plan Validation - Part II (Point dose and maps)
                                                                     Dose Comparison with Ion chamber or MOSFET
                                                                     Verification of Fluence Maps from Each Beam
                                                                     LAB: Deliver IMRT Plan on Linac to chamber

12:00 PM 1:00 PM 1:00 Lunch

1:00 PM    2:30 PM           1:30                  IMRT Plan Validation - Part III (dose distribution)
                                                                     Utility of RIT113 Film Dosimetry System
                                                                     Efficient creation of H&D curve
                                                                     Experimental design for film study
                                                                     Film processing and conversion of OD to dose
                                                                     LAB: Create H&D curves in RIT

2:30 PM 2:45 PM 0:15 Break

2:45 PM    5:45 PM           3:00                  IMRT Plan Validation - Part IV (dose distribution)
                                                                     LAB: Deliver IMRT Plan on Linac to film
                                                                     Comparison of dose distributions
                                                                     LAB: measure dose distribution and analyze
                                                                     Interpretation of Film/Plan comparison

Acknowledgment

UTMB at Galveston acknowledges the support of Siemens Medical Systems, Oncology Care Systems (Concord, CA) and Philips Medical Systems ROS Division (Milpitas, CA).

Course Director
Brent C. Parker, PhD
Assistant Professor
Department of Radiation Oncology
bcparker@utmb.edu

Contact Information
Stephanie Daniels
Administrative Secretary and IMRT Coordinator
Radiation Oncology - Physics Dept.
UTMB - 301 University Blvd.
Galveston, Tx. 77555-0711, Rm 1.502
office 409-772-6383
fax 409-772-6373
srdaniel@utmb.edu

For a copy of this information, download and print this file

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