Workshop program

20-22 APRIL 2023

April 20, 2023

April 21, 2023

April 22, 2023

15:30 - 16:30

MINI-WORKSHOP PART 1
Hands on breast implant (part 1)

Speakers: Marjory Jolicoeur, MD & Dany Truchon, Medical Physicist
At the end onf this activity, the candidate will be able to:

Discuss the different steps of the implant

Recognize the limitations due to anatomy relations

Analyze the needle placement for optimal dosimetry

Discuss dosimetric accommodations

Daily Survey Day 1 click HERE

Hands on Breast Implant Part 1 Survey. Click HERE
Show Objectives
15:30 - 16:30

MINI-WORKSHOP PART 1
LDR prostate brachytherapy

Speakers: Eric Vigneault, MD & Daniel Taussky, MD & Mélanie Chouinard, Technologist & Renée Larouche, Medical Physicist
At the end of this activity, the participant will be able to:

Discriminate between the different indications of LDR brachytherapy

Analyze tehcnical aspects of the implant

Discuss implant feasability and dosimetry

LDR Prostate Brachytherapy Survey click HERE
Show Objectives
15:30 - 16:30

MINI-WORKSHOP PART 1
Non-Cancerous Skin tumor Brachytherapy

Speakers: Talar Derashodian, MD & Regis Heliou, Medical Physicist & Yannick Chassé, Technologist
At the end of this activity, the participant will be able to:

Analyze the use of different applicators

Discuss the use of 3D printers in this context

Discuss dosimetric parameters

Non-Cancerous Skin Tumor Brachytherapy Survey click HERE
Show Objectives

07:30 - 08:00

Welcome
07:59 - 10:00

Session I: GYN

Moderator : Boris Bahoric, MD
08:00 - 08:20

SESSION I: GYN
Adaptive personalised brachytherapy for gyn cancer

Speaker: Joe Hsu, MD
At the end of this presentation, the participant will be able to:

Analyse the adaptive benefits of several HDR implants

Explain the use of imaging at every step for a perzonalized brachytherapy implant

ADAPTIVE PERSONALISED BRACHYTHERAPY FOR GYN CANCER Survey click HERE
Show Objectives
08:20 - 08:30

SESSION I: GYN
3D printed personalized applicators for gyn brachytherapy

Speaker: Francois Bachand, MD
At the end of this presentation, the participant will be able to:

Describe the commercially available applicators

Explain the pros- and cons of such applicators

Analyze the clinical and dosimetric benefits of a personnalised 3-D printed applicator

3D PRINTED PERSONALIZED APPLICATORS FOR GYN BRACHYTHERAPY survey click HERE
Show Objectives
08:30 - 08:50

SESSION I: GYN
Limiting treatment toxicity

Speaker: Fleur Huang, MD
At the end of this presentation, the participant will be able to:

Analyze the different implant techniques in regards to toxicity

Discuss the need the need to limit treatment toxicity for stage IB-II tumors

Discuss strategies to limit treatment toxicity.

LIMITING TREATMENT TOXICITY survey click HERE
Show Objectives
08:50 - 09:10

SESSION I: GYN
Brachytherapy workflow for cervical cancer

Speaker: Geetha Menon, Medical Physicist
At the end of this presentation, the participant will be able to:

Enumerate the main steps of a cervical implant

Discuss the benefit of a good workflow

Review their own workflow and optimise it

BRACHYTHERAPY WORKFLOW FOR CERVICAL CANCER survey click HERE
09:10 - 09:30

SESSION I: GYN
Brachytherapy for vulvar cancer

Speaker: Marjory Jolicoeur, MD
At the end of this presentation, the participant will be able to:

Explain the organ preservation using vulvar brachytherapy

Discuss the morbidity and toxicity of available treatments

Personalize the implant to the tumor and patient anatomy

BRACHYTHERAPY FOR VULVAR CANCER survey click HERE
Show Objectives
09:30 - 09:35

SESSION I: GYN

Patient insight in gyn brachytherapy

Speaker: Nathalie Lebel, Patient Advocate

At the end of this presentation, the participant will be able to understand the patient's experience.

PATIENT INSIGHT IN GYN BRACHYTHERAPY survey click HERE

Show Objectives
09:35 - 09:50

SESSION I: GYN
gyn Q&A interactive

Speakers: Joanne Alfieri, MD & Eric Leung, MD
At the end of this presentation, the participant will be able to :

Discuss difficult cases of GYN brachytherapy

GYN Q&A INTERACTIVE survey click HERE
Show Objectives
09:50 - 10:10

Coffee break
10:09 - 11:40

Session II: STARTING A BRACHYTHERAPY PROGRAM ?

Moderators : Shirin Enger, Medical Physicist & Juanita Crook, MD
10:10 - 10:25

SESSION II: STARTING A BRACHYTHERAPY PROGRAM
guiding principles for program implantation

Speaker: Jean-Pierre Bissonnette, Medical Physicist
At the end of this presentation, the participant will be able to

Determine the need for a program implantation

Understand the principles behind program implantation

Discuss the challenges of a starting program

GUIDING PRINCIPLES FOR PROGRAM IMPLANTATION survey click HERE
Show Objectives
10:25 - 10:40

SESSION II: STARTING A BRACHYTHERAPY PROGRAM
Step by step program implantation

Speaker: Nadia Octave, Medical Physicist
At the end of this presentation, the participant will be able to:

List the steps needed to complete the program implantation (machine acquisition, commissioning, sterilization, etc..)

Anticipate and avoid impediments in the day-to-day workflow

STEP BY STEP PROGRAM IMPLANTATION survey click HERE
Show Objectives
10:40 - 10:55

SESSION II: STARTING A BRACHYTHERAPY PROGRAM
Brachytherapy QA: How To Avoid Incidents

Speaker: Dany Truchon, Medical Physicist
At the end of the presentation, the participant will be able to:

Understand the needs of a QA program

Describe the different tests needed in a QA program

Explain the role of each contributor

BRACHYTHERAPY QA: HOW TO AVOID INCIDENTS survey click HERE
Show Objectives
10:55 - 11:10

SESSION II: STARTING A BRACHYTHERAPY PROGRAM
First Years of a Brachytherapy Program

Speaker: Pandit Subhas, MD
At the end of this presentation, the participant will be able to:

Discuss the first sites treated

Analyze the encountered difficulties

Avoid pitfalls

FIRST YEARS OF A BRACHYTHERAPY PROGRAM survey click HERE
Show Objectives
11:10 - 11:20

SESSION V MISCELLANEOUS SUBJECTS
How expensive is hdr brachytherapy?

Speaker: Alexandra Rink, Medical Physicist
At the end of this presentations, the participant will be able to

Discuss the cost of brachytherapy per site

Compare this cost to external beam techniques

HOW EXPENSIVE IS HDR BRACHYTHERAPY? survey click HERE
Show Objectives
11:20 - 11:35

SESSION I: GYN

Q&A

Speakers: Marjory Jolicoeur, MD & Dany Truchon, Medical Physicist
11:35 - 11:40

Discussion panel
11:40 - 13:00

Lunch

13:00 - 14:10

SESSION III: YOUNG INVESTITAGORS

Session III: Young Investigators

Moderators : Charlotte Brouwer, Medical Physicist & Fleur Huang, MD

13:00	Biochemical prostate cancer cured after ultra hypofrationned radiotherapy combined with HDR brachytherapy	Ingrid Sidibe
13:10	Optimisation multi-critère des cathéters pour la curiethérapie GYN à haut débit de dose avec l'applicateur Venezia	Cédric Bélanger
13:20	Characterization of the Xoft Axxent Electronic Brachytherapy (Model S7500) source with the Geant4 Monte Carlo code	Azin Esmaelbeigi
13:30	Plan evaluation in gynecologic brachytherapy; building a systematic teaching method based on CB-CHOP	Leticia Alvarado
13:40	State of the art "transferless" multi-modality imaging brachytherapy at CHU de Québec	Eric Poulin
13:50	Uncertainty estimation in patient-specific LDR brachytherapy dose prediction with deep learning methods	Francisco Berumen

14:09 - 15:40

Session IV: Physic's corner

Moderators : Shirin Enger, Medical Physicist & Jean-Pierre Bissonnette, Medical Physicist
14:10 - 14:30

SESSION IV: PHYSIC'S CORNER
Brachytherapy QA using scintillators

Speaker: Luc Beaulieu, Medical Physicist
At the end of this presentation, the participant will be able to

Describe how a scintillator work

Discuss the advantage of using scintillators in clinical

Understand the limits of using such devices

BRACHYTHERAPY QA USING SCINTILLATORS survey click HERE
Show Objectives
14:30 - 14:50

SESSION IV: PHYSIC'S CORNER
Acceleration of post-implant planning by automation of target contouring in gyn brachytherapy

Speaker: Alexandra Rink, Medical Physicist
At the end of the talk, the participant will be able to

Discuss the benefit of autocontouring of target in GYN brachytherapy

Explain the limits of using autocontouring

Review their workflow to account for automated contouring

ACCELERATION OF POST-IMPLANT PLANNING BY AUTOMATION OF TARGET CONTOURING IN GYN BRACHYTHERAPY survey click HERE
Show Objectives
14:50 - 15:10

SESSION IV: PHYSIC'S CORNER
Is automated brachytherapy ready for clinical practice?

Speaker: Charlotte Brouwer, Medical Physicist
At the end of this talk, the participant will be able to

Discuss the efficiency of automated planning

Determine where automated planning can be beneficial for the clinic

Describe the main steps of automated planning

IS AUTOMATED BRACHYTHERAPY READY FOR CLINICAL PRACTICE? survey click HERE
Show Objectives
15:10 - 15:30

SESSION IV: PHYSIC'S CORNER
Radiobiological parameters for HDR brachytherapy doses estimations

Speaker: Geetha Menon, Medical Physicist
At the end of this talk, the participant will be able to:

Enumerate the different parameters for radiobiological doses estimation

Explain the limits of using such parameters

RADIOBIOLOGICAL PARAMETERS FOR HDR BRACHYTHERAPY DOSES ESTIMATIONS survey click HERE
Show Objectives
15:30 - 15:40

Discussion panel
15:40 - 16:00

Coffee break
16:00 - 17:00

MINI-WORKSHOP PART 2
Skin Cancer Brachytherapy

Speakers: Talar Derashodian, MD & Philip Devlin, MD
At the end of this activity, the participant will be able to:

Analyze the use of different applicators

Discuss the use of 3D printers in this context

Discuss dosimetric parameters

SKIN CANCER BRACHYTHERAPY survey click HERE
Show Objectives
16:00 - 17:00

MINI-WORKSHOP PART 2
Hands on breast implant (part 2)

Speakers: Marjory Jolicoeur, MD & Dany Truchon, Medical Physicist
At the end of this activity, the candidate will be able to:

Discuss dosimetric parameters and constraints

Analyze the needle placement for optimal dosimetry

Discuss dosimetry's adaptation

HANDS ON BREAST IMPLANT (PART 2) survey click HERE
Show Objectives
16:00 - 17:00

MINI-WORKSHOP PART 2
Patient welfare during brachytherapy

Speakers: Andrée Jutras, Technologist & Marie-Pier St-Laurent, Technologist
At the end of this activity, the participant will be able to:

Discuss the need for good positioning before the implant

Discuss the benefits of an efficient workflow and of double verification

Analyze the advantages obtained by immobilization for a breast implant

PATIENT WELFARE DURING BRACHYTHERAPY survey click HERE
Show Objectives
16:00 - 17:00

MINI-WORKSHOP PART 2
Hands-on vulvar brachytherapy

Speakers: Marie Lynn Racine, MD & Joe Hsu, MD
At the end of this activity, the participant will be able to:

Plan the implant according to tumor geometry and localization

Analyze the feasibility of the implant

Discuss dosimetric parameters

HANDS-ON VULVAR BRACHYTHERAPY survey click HERE
Show Objectives

07:30 - 09:40

SESSION V MISCELLANEOUS SUBJECTS

Miscellaneous subjects

Moderators : André-Guy Martin, MD & Marjory Jolicoeur, MD
07:50 - 08:10

SESSION V MISCELLANEOUS SUBJECTS
Brachytherapy for Ocular tumors

Speaker: David Roberge, MD
At the end of the presentation, the participant will be able to:

List the different ocular tumors amenable to brachytherapy

Discuss the use of brachytherapy in this context

Analyze technique and dosimetric parameters

BRACHYTHERAPY FOR OCULAR TUMORS srvey clcik HERE
Show Objectives
08:10 - 08:30

SESSION V MISCELLANEOUS SUBJECTS
Brachytherapy for oral cavity cancer

Speaker: Philip Devlin, MD
At the end of the presentation, the participant will be able to:

List the different localizations amenable to brachytherapy

Discuss the use of brachytherapy in this context

Analyze technique and dosimetric parameters

BRACHYTHERAPY FOR ORAL CAVITY CANCER survey click HERE
Show Objectives
08:30 - 08:50

SESSION V MISCELLANEOUS SUBJECTS
Interstitial brachytherapy for renal cancer

Speaker: Albert Chang, MD
At the end of the presentation, the participant will be able to:

List the different renal tumors amenable to brachytherapy

Discuss the use of brachytherapy in this context

Analyze technique and dosimetric parameters

INTERSTITIAL BRACHYTHERAPY FOR RENAL CANCER survey click HERE
Show Objectives
08:50 - 09:10

SESSION V MISCELLANEOUS SUBJECTS
HDR brachytherapy for penile cancer

Speaker: Juanita Crook, MD
At the end of the presentation, the participant will be able to:

List the different localizations amenable to brachytherapy

Discuss the use of brachytherapy in this context

Analyze technique and dosimetric parameters

HDR BRACHYTHERAPY FOR PENILE CANCER survey click HERE
Show Objectives
09:10 - 09:40

SESSION V MISCELLANEOUS SUBJECTS
Brachytherapy for anal cancer

Speaker: Primoz Petric, MD
At the end of the presentation, the participant will be able to:

List the different localizations amenable to brachytherapy

Discuss the use of brachytherapy in this context

Analyze technique and dosimetric paramet

BRACHYTHERAPY FOR ANAL CANCER survey click HERE
Show Objectives
09:40 - 10:00

Discussion panel
10:00 - 10:30

Coffee break
10:29 - 11:30

SESSION IV: TOXICITY AND SUPPORTIVE CARE

Session VI: Toxicity and supportive care

Moderators : Talar Derashodian, MD & Fleur Huang, MD
10:30 - 10:50

SESSION IV: TOXICITY AND SUPPORTIVE CARE
Quality of life and sexual function after brachytherapy for gyn cancer

Speaker: Jennifer Croke, MD
At the end of this presentation, the participant will be able to:

List the toxicities of GYN brachytherapy

Discuss how these changes can affect sexual function

Explain the use of standardized questionnaires in this context

Discuss strategies to improve sexual function after treatment

QUALITY OF LIFE AND SEXUAL FUNCTION AFTER BRACHYTHERAPY FOR GYN CANCER survey click HERE
Show Objectives
10:50 - 11:00

SESSION IV: TOXICITY AND SUPPORTIVE CARE
Toxicity of breast cancer interstitial brachytherapy

Speaker: Boris Bahoric, MD
At the end of this presentation, the participant will be able to:

List the toxicities of breast brachytherapy

Discuss how these changes can affect sexual function and quality of life

Discuss strategies to improve sexual function after treatment

TOXICITY OF BREAST CANCER INTERSTITIAL BRACHYTHERAPY survey click HERE
Show Objectives
11:00 - 11:20

SESSION IV: TOXICITY AND SUPPORTIVE CARE

Discussion panel
11:20 - 13:00

Lunch break
12:59 - 16:20

Session VII: Prostate cancer

Moderators : Philip Devlin, MD & Joe Hsu, MD
13:00 - 14:20

SESSION VII: PROSTATE CANCER
How to distinguish between psa bounce vs biochemical failure

Speaker: André-Guy Martin, MD
At the end of this presentation, the participant will be able to:

Define a PSA bouce

Determine when to evaluate and treat patients after a PSA rise

Analyze the possibility of a relationship between a PSA bounce and a recurrence.

HOW TO DISTINGUISH BETWEEN PSA BOUNCE VS BIOCHEMICAL FAILURE survey click HERE
Show Objectives
13:20 - 13:40

SESSION VII: PROSTATE CANCER
Predictive value of psa nadir after brachytherapy

Speaker: Juanita Crook, MD
At the end of this presentation, the participant will be able to:

Discuss the kinetics of PSA values post-brachytherapy

Determine the optimal lowest PSA value after prostate brachytherapy

Analyze the relationship between PSA nadir and prostate cancer recurrence

PREDICTIVE VALUE OF PSA NADIR AFTER BRACHYTHERAPY survey click HERE
Show Objectives
13:40 - 14:00

SESSION VII: PROSTATE CANCER
Role of functional imaging in prostate cancer brachytherapy and SBRT

Speaker: Stephane Supiot, MD
At the end of this presentation, the participant will be able to:

List the different functional imaging modalities available

Explain the clinical added value of such mdalities

ROLE OF FUNCTIONAL IMAGING IN PROSTATE CANCER BRACHYTHERAPY AND SBRT survey click HERE
Show Objectives
14:00 - 14:20

SESSION VII: PROSTATE CANCER
Is brachytherapy the best sbrt?

Speaker: Gerard Morton, MD
At the end of this presentation, the participant will be able to:

Compare brachytherapy and SBRT techniques in regards to toxicity, cost, and clinical results

IS BRACHYTHERAPY THE BEST SBRT? survey click HERE
Show Objectives
14:20 - 14:40

SESSION VII: PROSTATE CANCER
Acceleration of post implant planning by automation of target contouring

Speaker: Tonghe Wang, Medical Physicist
At the end of this presentation, the participant will be able to:

Explain the planning steps for an intra-op prostate HDR implant

Discuss the different ways to achieve contouring automation

Analyze the gain of introducing automation of target contouring

ACCELERATION OF POST IMPLANT PLANNING BY AUTOMATION OF TARGET CONTOURING survey click HERE
Show Objectives
14:40 - 15:00

SESSION VII: CANCER DE LA PROSTATE

Debate: Will brachytherapy be only driven by AI in the future

Speakers: Gerard Morton, MD & Luc Beaulieu, Medical Physicist

Score Keeper and referee: Marjory Jolicoeur

Debating against the motion: Luc Beaulieu

Debating for the motion: Gerard Morton

7 minutes to presente each motion

5 minutes rebuttal each

DEBATE: WILL BRACHYTHERAPY BE ONLY DRIVEN BY AI IN THE FUTURE survey click HERE

Show Objectives
15:00 - 16:00

Plenary session

Moderator : Marjory Jolicoeur, MD

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15:30 - 16:30

MINI-WORKSHOP PART 1

Hands on breast implant (part 1)

15:30 - 16:30

MINI-WORKSHOP PART 1

LDR prostate brachytherapy

15:30 - 16:30

MINI-WORKSHOP PART 1

Non-Cancerous Skin tumor Brachytherapy

07:30 - 08:00

Welcome

07:59 - 10:00

Session I: GYN

08:00 - 08:20

SESSION I: GYN

Adaptive personalised brachytherapy for gyn cancer

08:20 - 08:30

SESSION I: GYN

3D printed personalized applicators for gyn brachytherapy

08:30 - 08:50

SESSION I: GYN

Limiting treatment toxicity

08:50 - 09:10

SESSION I: GYN

Brachytherapy workflow for cervical cancer

09:10 - 09:30

SESSION I: GYN

Brachytherapy for vulvar cancer

09:30 - 09:35

SESSION I: GYN

Patient insight in gyn brachytherapy

09:35 - 09:50

SESSION I: GYN

gyn Q&A interactive

09:50 - 10:10

Coffee break

10:09 - 11:40

Session II: STARTING A BRACHYTHERAPY PROGRAM ?

10:10 - 10:25

SESSION II: STARTING A BRACHYTHERAPY PROGRAM

guiding principles for program implantation

10:25 - 10:40

SESSION II: STARTING A BRACHYTHERAPY PROGRAM

Step by step program implantation

10:40 - 10:55

SESSION II: STARTING A BRACHYTHERAPY PROGRAM

Brachytherapy QA: How To Avoid Incidents

10:55 - 11:10

SESSION II: STARTING A BRACHYTHERAPY PROGRAM

First Years of a Brachytherapy Program

11:10 - 11:20

SESSION V MISCELLANEOUS SUBJECTS

How expensive is hdr brachytherapy?

11:20 - 11:35

SESSION I: GYN

Q&A

11:35 - 11:40

Discussion panel

11:40 - 13:00

Lunch

13:00 - 14:10

SESSION III: YOUNG INVESTITAGORS

Session III: Young Investigators

14:09 - 15:40

Session IV: Physic's corner

14:10 - 14:30

SESSION IV: PHYSIC'S CORNER

Brachytherapy QA using scintillators

14:30 - 14:50

SESSION IV: PHYSIC'S CORNER

Acceleration of post-implant planning by automation of target contouring in gyn brachytherapy

14:50 - 15:10

SESSION IV: PHYSIC'S CORNER

Is automated brachytherapy ready for clinical practice?

15:10 - 15:30

SESSION IV: PHYSIC'S CORNER

Radiobiological parameters for HDR brachytherapy doses estimations

15:30 - 15:40

Discussion panel

15:40 - 16:00