Advanced Treatment Techniques of Stereotactic, Adaptive and Protons for Gynecologic Cancer – Tips, Tricks and Patient Selection

This activity discusses some of the newer treatment techniques, including stereotactic body radiation (SBRT), adaptive radiation therapy and protons being utilized in gynecologic cancer. These more novel treatment approaches offer expanded or alternative treatment options for cervical, endometrial and ovarian cancer patients. Additionally, these more recently developed advanced treatments may also improve the therapeutic ratio by decreasing the incidental radiation dose to normal tissues, such as with adaptive radiation potentially allowing smaller margins and protons eliminating exit dose. Using SBRT to treat nodal recurrences or oligometastases are covered along with a hypofractionated approach to treating the pelvis in post-operative endometrial cancer. Additionally, the optimal gynecologic patients for CT- and MRI-based adaptive radiation therapy in the definitive and stereotactic setting are covered. This activity also provides example workflows for optimizing the adaptive radiation therapy approach. As the centers offering proton therapy have expanded, this activity discusses the data and potential benefits for utilizing protons to treat oligometastases and pelvis or para-aortic regions in certain gynecologic cancer patients.

Topics:

  1. Stereotactic Body Radiation for Oligometastases and Definitive Treatment in Gynecologic Cancers
    Eric W. Leung, MD
  2. Adaptive Radiation for Gynecological Cancers
    Jyoti S. Mayadev, MD, FASTRO
  3. Clinical Trial Data and Potential Benefits of Utilizing Protons for Gynecologic Cancer
    Andrea L. Russo, MD
  4. Q and A
    Elizabeth A. Kidd, MD - Moderator
    Full Panel

This activity is available from December 5, 2025, through 11:59 p.m. Eastern time on December 4, 2027. 

The content was originally presented and recorded at the 2025 ASTRO Annual Meeting.

Target Audience

The activity is designed to meet the interests of radiation oncologists and residents.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Describe the different ways that stereotactic, adaptive and proton radiation are being utilized to treat gynecologic cancers.
  • Discuss the important consideration and workflow for performing stereotactic, adaptive and proton radiation for gynecologic cancers.
Course summary
Available credit: 
  • 1.00 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 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 1.00 Certificate of Attendance
    This activity was designated for 1.00 AMA PRA Category 1 Credit™.
Course opens: 
12/05/2025
Course expires: 
12/04/2027
Cost:
$149.00
Rating: 
0
  • Elizabeth A. Kidd, MD, is employed by Stanford University School of Medicine. 
  • Eric W. Leung, MD, is employed by Odette Cancer Centre, Sunnybrook Health Sciences Centre.
  • Jyoti S. Mayadev, MD, FASTRO, is employed by University of California San Diego. Dr. Mayadev receives honoraria from AstraZeneca, KORTUC, Merck, MSD, Primmune and Varian Medical Systems. 
  • Andrea L. Russo, MD, is employed by Massachusetts General Hospital. Dr. Russo receives compensation/payment from the British Medical Journal and UpToDate.

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

  • 1.00 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 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 1.00 Certificate of Attendance
    This activity was designated for 1.00 AMA PRA Category 1 Credit™.

Price

Cost:
$149.00
Please login or register to take this course.

Course Fees:
ASTRO members must log in to the ASTRO website to view and receive the member rate.

  • Nonmember: $149
  • Member: $99
  • Member-in-Training: $49
  • Student/Graduate Student/PGY-1 Member: $49
  • Postdoctoral Fellow Member: $49

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 December 4, 2027, 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.