Getting Your Ducks in a Row: Experiences Operationalizing Adaptive Radiotherapy
Adaptive radiotherapy is emerging as a treatment approach for patients with improvements in technology that allow real-time planning and consequent treatment delivery. Different imaging modalities are used, such as MR and CBCT, for image guidance. Different workflows are used in different clinics, with impact on the personnel. Understanding of the different workflows and models of care, as well as the impact in the clinic, is needed when planning an adaptive program.
- "Traditional" model for online adaptive radiotherapy
James "Jim" Mechalakos, PhD
- The expanding role of radiation therapists in adaptive radiotherapy
Alex Tyler Price, MS, PhD
- Implementing a Physician-centric Treatment Planning Workflow for Online Adaptive Radiotherapy
Yi-Fang Wang, MS, PhDc
- Adaptive Radiotherapy in the Community: A Clinician Perspective
Christien Kluwe, MD, PhD
- Q and A
This activity is available from February 6, 2024, through 11:59 p.m. Eastern time on February 5, 2026.
This activity was originally recorded at the 2023 ASTRO Annual Meeting.
The activity is designed to meet the interests of radiation oncologists, physicists, radiation dosimetrists, radiation therapists, and residents.
Upon completion of this activity, participants should be able to:
- Identify different operational and models of care for adaptive radiotherapy.
- Understand differences between different adaptive programs.
- Identify the limitations and potential gaps in different approaches.
- Laura I. Cervino, PhD, is employed by Memorial Sloan Kettering Cancer Center.
- Michael Price, PhD, MS, is employed by Columbia University Irving Medical Center.
- James G. Mechalakos, PhD, is employed by Memorial Sloan Kettering Cancer Center.
- Alex Tyler Price, MS, PhD, is employed by University Hospitals Seidman Cancer Center, Case Western Reserve University. Dr. Price receives honoraria from ViewRay, Inc. Dr. Price serves as the Physics PI on Varian's ARTIA Pancreas and ARTIA Bladder.
- Yi-Fang Wang, MS, PhD, is employed by Columbia University Irving Medical Center. Dr. Wang receives compensation from Varian.
- Christien Kluwe, MD, PhD, is employed by Vanderbilt Medical Group and the University of Texas Health System.
The person(s) above served as the developer(s) of this activity. Additionally, the Education Committee had control over the content of this activity. All relevant relationships have been mitigated.
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council of Continuing Medical Education to provide continuing education to physicians.
ASTRO is awarded Deemed Status by the American Board of Radiology to provide SA-CME as part of Part II Maintenance of Certification.
- 1.25 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 for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.25 Certificate of AttendanceThis activity was designated for 1.25 AMA PRA Category 1 Credit™.
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Postdoctoral Fellow: $49
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The course and its materials will only be available on the ASTRO website until February 6, 2026, regardless of purchase date. At the expiration of the qualification, participants will no longer have access to the course or its materials. ASTRO reserves the right to remove a course before the end of its qualification period.
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