Brachytherapy for vulva, cervix and breast cancers

Welcome Talk

Review of APBI literature

Learn to identify APBI indications

Learn this approach’s results and toxicity 

Each centers' indications, and implant material

Understand the indications of LDR breast brachytherapy

Understand every step of an LDR breast implant

Learn this approach’s results and toxicity 

Understand the indications of Mammosite

Understand the steps of a Mammosite breast implant

Learn this approach’s results and toxicity 

Understand the indications of multi-catheter brachytherapy

Understand the steps of a multi-catheter breast implant

Learn this approach’s results and toxicity 

Coffee Break

Implant technique

Imaging

Doses for boost or APBI

Implant QA

Understand all steps of the dosimetry for a multi catheter implant

OAR doses limitations, point dose and 3-D dosimetry

Panel:

Dr Jean-Philippe Pignol

Dr David Donath

Dr Anne Dagnault

Moderator: Dr Marjory Jolicoeur

Interactive session

Lunch

Dosimetry and imaging

Review the literature  about chemoradiation

Discuss the use of IMRT

Review female pelvis anatomy on 3-D imaging (IRM et CT Scan)

Recognize OAR, lymph nodes

Learn to choose the right MRI sequence for tumor identification

Learn to differentiate between tumor, fibrosis and normal tissue

Hands on session

Delineation of OAR, GTV, CTV

Coffe Break

Step by step brachytherapy implant

Recognize the difficulty to have access to optimal 3-D imaging

Comparison of the different Québec brachytherapy suites set up 

Implant technique, Imaging, doses stage by stage and Implant QA

Comparison the attitude of Québec's different radiotherapy centers

Panel:

Dr Mélanie Gionet

Dr Marie Lynn Racine

Dr François Vincent

Moderator:Dr Talar Derashodian

Dinner