2026 Multidisciplinary Radiopharmaceutical Therapy Symposium onDemand
The 2026 Multidisciplinary Radiopharmaceutical Therapy Symposium is a two-day meeting featuring interactive and case-based educational sessions that focus on the evolving utilization of and advancements in radiopharmaceuticals in the treatment of cancer and other indications. The program will include oral abstract presentations showcasing recent clinical and translational research, program models and best practices as well as digital poster sessions, clinical trials in progress and a robust multidisciplinary educational agenda dedicated to the evolving field of radiopharmaceutical therapy (RPT).
Target Audience
This meeting was designed to meet the interests of medical oncologists, radiation oncologists, physicists, nurses, diagnostic radiologists, radiation therapists, radiation dosimetrists, specialists, nuclear physicians and practice administrators.
Learning Objectives
Upon completion of this activity, participants should be able to do the following:
- Understand the business case for starting a radiopharmaceutical therapy program.
- Design effective multidisciplinary coordination pathways between nuclear medicine, oncology, urology, endocrinology, radiology, and referring providers to optimize patient outcomes.
- Identify best practices in revenue cycle management specific to theranostics, including managing prior authorizations and payer communication.
- Develop and apply continuous audit and quality assessment processes to monitor program success, compliance and operational improvements.
- Recognize emerging considerations such as staffing models, training needs and patient experience metrics that contribute to long-term program sustainability.
- Understand basic radiobiological principles of various forms of radiopharmaceuticals.
- Discuss complex cases and clinical challenges in radiopharmaceutical therapy and how to best utilize current knowledge for decision making.
- Identify clinical indications and therapy-specific management for RPTs that are currently approved for clinical use.
- Outline the regulatory requirements and application process to obtain AU status.
- Describe the basic principles of RPT dosimetry.
Day 1
Keynote I: Accelerating Innovation & Reimagining Health
- Speaker: Stephen M. Hahn, MD, FASTRO, Nucleus RadioPharma
Radiopharmaceutical Program Justification and Initial Start-up
Moderator: Ramji R. Rajendran, MD, PhD, Radiation Oncology Consultants, Ltd.
- Practice Economics for Radiopharmaceutical Therapy: From Mission to Margin
- Dustin L. Boothe, MD, Intermountain Health, Utah Cancer Specialists
- Space Requirements for RPT Administration
- J. Travis Mendel, MD, Rio Grande Cancer Specialists
- The RAM License and SOP Development
- Ashley Cockerham, MSJ, Mercurie Consulting, LLC
- Clinic and Staffing Needs for RPT Delivery
- Brett E. Lewis, MD, PhD, Hackensack University Medical Center
- Q&A
Keynote II: Radiopharmaceutical Impact Review: Patients, Performance, Potential and People
Moderator: Brandon Mancini, MD, MBA, BAMF Health, Michigan State University
- Speaker: Johannes Czernin, MD, University of California, Los Angeles
Authorized User Pathways and Physicist Training in Radiopharmaceutical Therapy
Moderator: Xinxin Zhang, PhD, Rutgers Cancer Institute of New Jersey/Robert Wood Johnson University Hospital
- The Path to Authorized User for Unsealed Byproduct Material
- Robert J. Tokarz, MS, DABR, RJ Tokarz Medical Imaging Radiation Safety Corp
- Physicist Training in RPT: The Beginnings of Structured Programs
- Robert Hobbs, PhD, DABR, Johns Hopkins University
- QA and QC for Dose Calibrators, SPECT/CT and PET/CT Systems for Radiopharmaceutical Therapy
- John J. Sunderland, PhD, MBA, The University of Iowa
- Q&A
Radiopharmaceutical Therapy Administration and the Role of the QMP
Moderator: Jacqueline Zoberi, PhD, Washington University School of Medicine
- Panel Session on RPT Administration and the Role of the QMP
- Jacqueline Zoberi, PhD, Washington University School of Medicine
- Joseph G. Dise, MMP, AstraZeneca
Access to Therapy and Addressing Unmet Needs
Moderator: Savita V. Dandapani, MD, PhD, City of Hope
- Increasing Access to Radiopharmaceutical Therapy
- Phillip J. Koo, MD, Prostate Cancer Foundation
- Addressing Unmet Needs in Radiopharmaceutical Therapy
- Ravi Bhasker Patel, MD, PhD, University of Pittsburgh Medical Center
Plenary Session I
Moderators:
Neil Kanth Taunk, MD, MS, University of Pennsylvania
Jacqueline Zoberi, PhD, Washington University School of Medicine
- Safety and Efficacy of Lu-177 PSMA-617 Versus Established Therapies in mCRPV: Pooled Evidence from Randomized Phase II/III Trials
- Mohammad Arfat Ganiyani, MBBS, Department of Medical Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami
- Quantitative Ra-223 SPEC/CT for Tumor Dosimetry in Combined SBRT-RPT: Retrospective Analysis from a Phase II Trial
- David Adam, Phd, MS, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore
- Phase I Trial Combining Radiopharmaceutical Therapy (RPT) with Total Marrow and Lymphoid Irradiation (TMLI) in Relapsed for Refractory (R/R) AML
- Savita V. Dandapani, MD, PhD, Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California
- Personalized Multi-Timepoint Voxel-Level Dosimetry in Patients with Metastatic Castration Resistance Prostate Cancer Treated with 177Lu-PSMA-617 Therapy
- Mustafa Basree, DO, MS, Department of Human Oncology, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin
- Patient-Specific Dosimetry-Based Approaches of I-131 Therapy of Metastatic Cancer
- Robert Hobbs, PhD, DABR, FAAPM, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore
- 64Cu-Anti-CEA M5A PET Imaging Pre and Post Neoadjuvant Radiotherapy in Advanced Rectal Cancer
- Savita V. Dandapani, MD, PhD, Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California
- Factors Influencing Lesion-Level Response After Lu-177 PSMA-Radiogland Therapy on Post-Therapy SPEC/CT with AI-Annotation
- Gowthan Murugesan, PhD, BAMF Health, Grand Rapids, Michigan
- Hematologic Toxicity Outcomes of Lu-PSMA-617 in Patients Previously Treated with EBRT for Oligometastatic Disease
- Daniel Rosen, MD, PhD, Department of Radiation Oncology, Brigham and Women's/Dana-Farber Cancer Center, Harvard Medical School, Boston
- Clinical Outcomes among Patients Treated with Lu-PSMA-617 and EBRT for Oligometastatic Prostate Cancer
- Mai Anh Huynh, MD, PhD, Department of Radiation Oncology, Brigham and Women's/Dana-Farber Cancer Center, Harvard Medical School, Boston
BuildingBeyond Initial Theranostics: Optimizing Operations, Coordination and Outcomes
Moderator: Aprit M. Chhabra, MD, Bridge Oncology, New York Proton Center, Mount Sinai Health System
- Revenue Cycle Management and Prior Authorization Challenges in Theranostic Programs
- Adam Brown, MBA, NMTCB, Integrated Theranostics Solutions
- Multidisciplinary Care Coordination Across Referring Providers
- Babak Saboury, MD, PhD, DABR, United Theranostics
- Workflow Optimization: Software Utilization and Tracking Systems
- Erik Mittra, MD, PhD, Oregon Health and Science University
- Clinical Trials Development in Theranostics Programs: Practical Considerations
- Adam Brown, MBA, NMTCB, Integrated Theranostics Solutions
- Q&A
Day 2
Experiences in Collaboration: A Tale of 3 Institutions
Moderator: Erin Grady, MD, CCD, Stanford University
- The Penn State Experience
- Neil Kanth Taunk,MD, MS, University of Pennsylvania
- Philipose G. Mulugeta, MD, University of Pennsylvania
- The Intermountain Health Experience
- Dustin L. Boothe, MD, Intermountain Health, Utah Cancer Specialists
- Eric Hu, MD, MBA, MPH, Intermountain Health, Summit Physician Specialists
- The Stanford Experience
- Erin Grady, MD, CCD, Stanford University
- Mallika Marar, MD, MBA, Stanford University
- Q&A
Unique Challenges with Clinical Trials for Radiopharmaceutical Therapy
Moderator: Jeff M. Michalski, MD, MBA, FASTRO, Washington University, St. Louis
- RPT Clinical Trials - An Investigator and Drug Development Perspective
- Scott T. Tagawa, MD, New York-Presbyterian Hospital/Weill Cornell Medical Center
- RPT Trial Challenges in the National Clinical Trials Network
- Jonathan E. McConathy, MD, The University of Alabama at Birmingham
- Industry Perspective and Regulatory Challenges for RPT Clinical Trials
- Michael J. Morris, MD, Memorial Sloan Kettering Cancer Center
- Q&A
Clinical Challenges in Radiopharmaceutical Therapy
Moderator: Ana P. Kiess, MD, PhD, Johns Hopkins University
- Infusion Troubleshooting and Radiation Safety Challenges with RPT
- Huyn Kim, MD, City of Hope
- Navigating Hematologic and Renal Dysfunction in RPT for Prostate Cancer
- Russell Z. Szmulewitz, MD, University of Chicago
- Where Should We Stop or Pause Treatment with RPT
- Ana P. Kiess, MD, PhD, Johns Hopkins University
- Q&A
Looking to the Future: Novel Targets
Moderator: Neil Kanth Taunk,MD, MS, University of Pennsylvania
- Novel Cancer-Specific Targets in Theranostics
- Freddy E. Escorcia, MD, PhD, RayzeBio
- Pan-cancer Targets in Theranostics
- Elcin Zan, MD, Cleveland Clinic
- The Potential and Challenges in Alpha Therapy Implementation
- Suzanne E. Lapi, PhD, The Univeristy of Alabama at Birmingham
- Q&A
Plenary II Session
Moderators:
Robert Hobbs, PhD, DABR, Johns Hopkins University
Terence M. Williams, MD, PhD, City of Hope
- Toward Consensus in Lu-177 RPT Dosimetry: Comparing Multi-Timepoint and Single-Timepoint Imaging in Clinical Implementation
- Siju George, PhD, Herbert Wertheim College of Medicine, Florida International University, Miami
- Multispecialty Expansion in Radiopharmaceutical Therapy: National Trends from Medicare 2013-2023
- Sean Maroongroge, MD, MBA, Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA
- Development and Implementation of and Internatl Dosimetry Program to Evaluate Radiotoxicity in Patients Treated with Sequential Lu-177-PSMA and Ac-225-PSMA Radiopharmaceutical Therapy
- Serguei Castaneda, MD, CB Oncology Partners, Cutler Bay, FL
- A Model of Parallel Radiopharmaceutical Therapy Delivery in Once Large Academic Health System
- Seema Kacker, MD, PhD, Johns Hopkins University School of Medicine, Baltimore
- A Multidisciplinary Care Process Model for Radiopharmaceutical Therapy Including Both Radiation Oncologists and Nuclear Medicine Physicians as Authorized Users
- Dustin Boothe, MD, Intermountain Health, Salt Lake City
- Using Virtual Phantoms to Commission the Fitting, Integration, and Dose Calculation for Lu-177 Radiopharmaceutical Therapy Dose Calculations
- Jose Garcia-Ramirez, MS, WashU Medicine, Department of Radiation Oncology, St. Louis
- From Concept to Clinic: Development and Prototype Inplementation of the Intelligent Radiotherapy Collaboration System for Integrated Radiopharmaceutical Workflows
- Ranjini Tolakanahalli, PhD, Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami
- Challenges Establishing a Radiopharmaceutical Therapy Clinic within a Radiation Oncology Department in a Community-Based Hospital
- Danial Sforza, PhD, Department of Radiation Oncology and Molecular Radiation Sciences, School of Medicine, Johns Hopkins University, Baltimore
- Radiopharmaceutical Retreatment
- Andrew Salner, MD, FASTRO, Hartford HealthCare Cancer Institute, Hartford, CT
Current Status and Challenges of Dosimetry
Moderator: Robert Hobbs, PhD, DABR, Johns Hopkins University
- Status of RPT Dosimtery Methods and Results
- Yuni Derwaraja, MS, PhD, University of Michigan
- QA and Harmonization in RPT
- John J. Sunderland, PhD, MBA, The University of Iowa
- Q&A
Radiobiological and Translational Aspects of RPTs
Moderator: Terence M. Williams, MD, PhD, City of Hope
- The Impact of Dose, Dose Rate, Dose Heterogeneity, and LET on Immuno-Radiobiology and the Translation of RPT
- Zachary Scott Morris, MD, PhD, University of Wisconsin School of Medicine and Public Health
- Translating Radiolabeled Antibodies from Bench to Bedside
- Anna Wu, PhD, City of Hope
- Q&A
Faculty and Planner Disclosures:
All relevant financial relationships have been mitigated.
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Available Credit
- 13.25 AMA PRA Category 1 Credit™
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education for physicians. ASTRO designates this Enduring material for a maximum of 13.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 13.25 Certificate of AttendanceThis activity was designated for 13.25 AMA PRA Category 1 Credit™.
Price
Course Fees:
ASTRO members must log in to the ASTRO website to view and receive the discounted member rate.
- Nonmember: $1799
- Member: $1299
- Member-in-Training/Postdoctoral Fellow Member: $699
- Student/Graduate Student/PGY-1 Member: $549
If you are an ASTRO member from a low or lower-middle income country, as identified by the World Bank, you can receive a 50% discount off your corresponding registration for this activity. Please email [email protected] to inquire about the discount.
Policies:
No refunds, extensions, or substitutions will be made for those participants who, for any reason, have not completed the activity by the expiration date.
Participants using ASTRO Academy activities to satisfy the requirement of a Continuing Certification (MOC) program should verify the credit number and type and availability dates of any activity before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased activities that do not align with their MOC requirement.
The activity and its materials will only be available on the ASTRO website until March 1, 2028, regardless of purchase date. At the expiration of the activity, participants will no longer have access to the activity or its materials. ASTRO reserves the right to remove an activity before its expiration date.
Required Hardware/software
One of the two latest versions of Google Chrome, Mozilla Firefox, Internet Explorer or Safari.

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