18-19 MAY 2018

Brachytherapy for Cervix and Breast Cancer

May 18, 2018

May 19, 2018

07:30 - 08:00

Breakfast

Breaskfast and registration
07:55 - 08:00

Welcome Talk

Speaker: Marjory Jolicoeur, MD

Welcome talk

Evaluate activity

Show Objectives
07:59 - 12:10

Session I

Session I

Moderators:

Luis Souhami, MD

Dany Truchon, Medical Physicist

Show Objectives
08:00 - 08:20

Session I

Staging and Anatomy of Cervical Cancer

Speaker: Lorraine Portelance, MD

Analyse the female reproductive system's anatomy

Explain the lymphatic drainage of the cervix

Identify the risk of recurrence at each station

Evaluate

Show Objectives
08:20 - 08:50

Session I

Female Pelvic Imaging: CT-scan and MRI

Speaker: Vincent Pelsser, MD

Analyse female pelvic anatomy on 3D imaging (MRI and CT-scan)

Specify organs at risk

Choose the appropriate MRI sequences to identify the tumor

Differentiate between tumor, fibrosis, and normal tissue

Evaluate

Show Objectives
08:50 - 09:10

Session I

Surgical treatment for early stage cervical cancer

Speaker: Vanessa Samouelian, MD

Define the different surgical techniques used to treat early stage cervical cancer

Discuss the clinical results of these techniques

Analyse the toxicity related to each technique

Evaluate

Show Objectives
09:10 - 09:40

Session I

Chemoradiation and Brachytherapy for Cervical Cancer

Speaker: Marie Lynn Racine, MD

Review the litterature supporting combined radiotherapy and chemotherapy

Discuss the role of IMRT in cervical cancer treatment

Evaluate

Show Objectives
09:40 - 10:00

Session I

Intracavitary Brachytherapy Techniques: Influence of Applicator Choice on Dose Coverage

Speaker: Lorraine Portelance, MD

Review the steps for a successful implant

Recognize the difficulties related to the choice of applicator

Evaluate

Show Objectives
10:00 - 10:30

Coffee Break

Coffee Break
10:30 - 11:00

Session I

Interstitial Brachytherapy in Cervical Cancer

Speaker: Alvaro Martinez, MD

Explain the difference between the different techniques for interstitial brachytherapy

Identify patients benefiting from interstitial brachytherapy

Review the steps for a successful implant

Prescribe the adequate dose

Evaluate

Show Objectives
11:00 - 11:20

Session I

Cervix Brachytherapy and Imaging

Speaker: Deidre Batchelar, Physicienne médical

Recognize the necessity of 3D imaging for brachytherapy planning

Discuss the role of MRI and CT-scan for endocavitary brachytherapy as well as the combination of endocavitary and interstitial brachytherapy

Evaluate

Show Objectives
11:20 - 11:40

Session I

Treatment planning for Interstitial and Endocavitary Brachytherapy

Speaker: Sandrine David, Physicienne médical

Explain the planning step by step

Explain the difference between volumetric dosimetry and point calculation

Define the subtilities of dosimetry for each type of implant

Evaluate

Show Objectives
11:40 - 12:10

Session I

3-D Image Guided Brachytherapy: ICRU and GEC-ESTRO Recommendations

Speaker: Joanne Alfieri, MD

Review the litterature supporting the use of 3D imaging

Illustrate the benefits of 3D planning according to stage

Identify the indications and benefits of MRI

Review GEC-ESTRO recommendations

Discuss the progress of the EMBRACE protocole

Evaluate

Show Objectives
12:10 - 13:30

Lunch

Lunch break
13:29 - 17:00

Session II

Moderators:

Thu Van Nguyen, MD

Lorraine Portelance, MD

Show Objectives
13:30 - 13:50

Session II

Combining Doses: EBRT and Brachytherapy

Speaker: David D'Souza, MD

Recognize the necessity of this combination

Explain how to combine the doses

Determine which tool can be used for this combination

Evaluate

Show Objectives
13:50 - 14:20

Session II

Disease Control and Survival in Cervical Cancer

Speaker: Luis Souhami, MD

Explain the results of treatment for cervical cancer

Discuss these results according to type of treatment received

Evaluate

Show Objectives
14:20 - 14:40

Session II

Brachytherapy for Locally Recurrent Disease

Speaker: David D'Souza, MD

Identify the indications and benefits of retreatment in cervical cancer

Explain the difficulties and side effects of this treatment

Comment on the results of retreatment

Evaluate

Show Objectives
14:40 - 15:00

Dosimetric and Radiobiologic Evaluation of an HDR Implant

Speaker: Deidre Batchelar, Physicienne médical

Explain the dose rate effect

Analyze the dose rate distribution between fractions

Comment on adding EBRT to HDR or PDR dosimetry

Evaluate

Show Objectives
15:00 - 15:30

Coffee Break

Coffee break
15:30 - 16:00

Session II

New Avenues for Systemic Treatment in Cervical Cancer

Speaker: Vanessa Samouelian, MD

Explain the new avenues

Discuss the importance of the new systemic treatments

Analyze the results of these treatments

Evaluate

Show Objectives

16:05 - 17:30

Session II

Mini workshops

Speakers: Talar Derashodian, MD & Marjory Jolicoeur, MD & Thu Van Nguyen, MD & Maroie Barkati, MD & Joanne Alfieri, MD & Alvaro Martinez, MD & Sandrine David, Physicienne médical & Lorraine Portelance, MD & Deidre Batchelar, Physicienne médical

Show Objectives

18:30 - 21:30

Dinner

Dinner

07:45 - 08:00

Breakfast

Breakfast and registration
07:59 - 08:30

Session III

Moderators

David D'Souza, MD

Thu Van Nguyen, MD

General Evaluation

Show Objectives
08:00 - 08:15

Session III

Management of Toxicity due to Cervical Cancer Treatment

Speaker: Eric Leung, MD

To recognize toxicities

To treat toxicities

Management of prescription and dose to avoid toxicities

Evaluate

Show Objectives
08:15 - 08:30

Session III

QOL and Sexuality after Cervical Cancer Treatment

Speaker: Anabelle Marsan, Sexologue

Recognize the impact of toxicities on sexuality and quality of life

Evaluate

Show Objectives
08:29 - 11:40

Session IV

Moderators

Tarek Hijal, MD

Marjory Jolicoeur, MD

Show Objectives
08:30 - 08:50

Session IV

Conservative Treatment for breast Cancer: Surgical Considerations

Speaker: Renée Simon, MD

Identify the steps of conservative surgery for breast cancer

Collaborate with the surgeon for breast conserving therapy

Evaluate

Show Objectives
08:50 - 09:10

Session IV

Partial Breast Irradiation: Literature Review

Speaker: Marie Lynn Racine, MD

Review the literature concerning partial breast irradiation

Manage the indications for partial breast irradiation

Master the results of the treatment

Evaluate

Show Objectives
09:10 - 09:20

Session IV

Target Definition and OAR in Partial Breast Irradiation

Speaker: Michael Yassa, MD

Identify the target for partial breast irradiation

Identify organs at risk

Prescribe the treatment

Evaluate

Show Objectives
09:20 - 09:40

Session IV

Cosmetic Outcomes of Partial Breast Irradiation

Speaker: Michael Yassa, MD

Describe the cosmetic results of partial breast irradiation

Indentify factors that can influence the cosmetic outcome

Evaluate

Show Objectives
09:40 - 10:00

Session IV

Oncoplastic Surgery: Where is the Cavity?

Speaker: Renée Simon, MD

Identify the steps for an oncoplastic conservative surgery of the breast

Measure the impact of conservative surgery on cavity localisation

Measure the impact of oncoplastic surgery on partial irradiation of the breast

Evaluate

Show Objectives
10:00 - 10:30

Coffee Break

Coffee break
10:30 - 11:00

Session IV

Low Dose Rate Brachytherapy: Planning, Imaging, and Dosimetric Considerations

Speaker: Deidre Batchelar, Physicienne médical

Identify the steps for a successful implant

Understand the planning process and the dosimetry

Evaluate

Show Objectives
11:00 - 11:20

Session IV

Partial Breast Irradiation using Interstitial Brachytherapy

Speaker: Marie Lynn Racine, MD

Review the literature

Master the results of the European protocol

Evaluate

Show Objectives
11:20 - 11:45

Session IV

Interstitial Multi-Catheter Breast Brachytherapy Techniques

Speaker: Alvaro Martinez, MD

Review the literature

Understand the steps for a successful implant

Master the results and toxicities of this treatment

Evaluate

Show Objectives
11:45 - 13:15

Lunch

Lunch break
13:14 - 15:00

Session V

Moderators

Deidre Batchelar, Medical Physicist

Marie-Lynn Racine, MD

Show Objectives
13:20 - 13:40

Session IV

New Avenue: AIMBrachy, an intensity modulated brachytherapy technology

Speaker: Shirin Enger, Physicienne médical

Explain the basic principles of AIMBrachy

Explain the subtleties of dosimetry for IMBT

Explain the behavior of Ytterbium

Identify the advantages of the different isotopes used in HDR brachytherapy

Evaluate

Show Objectives
13:40 - 14:00

Session IV

Interstitial Brachytherapy for Local Recurrence of Breast Cancer: Results and Cosmetic Outcomes

Speaker: Marjory Jolicoeur, MD

Understand the subtleties of an adequate treatment

Discuss this treatment alternative with patients

Evaluate

Show Objectives
14:00 - 14:20

Session IV

Dosimetry for Breast Brachytherapy

Speaker: Dany Truchon, Physicien médical

Explaint the steps necessary for a good dosimetry: reconstruction, and optimisation

Recognize the necessity of 3D imaging

Understand the subtleties of an adequate dosimetry for a multi-catheter implant

Evaluate

Show Objectives
14:20 - 15:00

Session IV

Breast Brachytherapy: Discussion

Discussion and question period

Evaluate

Show Objectives

Contouring and Imaging
Master OAR and target delineation	Talar Derashodian & Maroie Barkati
Issues in Dose Reporting
Recognize the different ways to report the dose Discuss the advantages of volumetric dose reporting Discuss the necessity of point doses	Lorraine Portelance & Johanne Alfieri
Implant Safety Issues
Describe the steps for a cervical implant Recognize the need for interstitial brachytherapy Explain how imaging can help make a good implant, and avoid major complications	Marjory Jolicoeur & Alvaro Martinez
Applicator Reconstruction and Dosimetric Limitations of Standard Loading
Analyse the subtilities of dosimetry for each type of implant	Sandrine David & Deidre Batchelar

Brachytherapy for Cervix and Breast Cancer

07:30 - 08:00

Breakfast

07:55 - 08:00

Welcome Talk

07:59 - 12:10

Session I

Session I

08:00 - 08:20

Session I

Staging and Anatomy of Cervical Cancer

08:20 - 08:50

Session I

Female Pelvic Imaging: CT-scan and MRI

08:50 - 09:10

Session I

Surgical treatment for early stage cervical cancer

09:10 - 09:40

Session I

Chemoradiation and Brachytherapy for Cervical Cancer

09:40 - 10:00

Session I

Intracavitary Brachytherapy Techniques: Influence of Applicator Choice on Dose Coverage

10:00 - 10:30

Coffee Break

10:30 - 11:00

Session I

Interstitial Brachytherapy in Cervical Cancer

11:00 - 11:20

Session I

Cervix Brachytherapy and Imaging

11:20 - 11:40

Session I

Treatment planning for Interstitial and Endocavitary Brachytherapy

11:40 - 12:10

Session I

3-D Image Guided Brachytherapy: ICRU and GEC-ESTRO Recommendations

12:10 - 13:30

Lunch

13:29 - 17:00

Session II

13:30 - 13:50

Session II

Combining Doses: EBRT and Brachytherapy

13:50 - 14:20

Session II

Disease Control and Survival in Cervical Cancer

14:20 - 14:40

Session II

Brachytherapy for Locally Recurrent Disease

14:40 - 15:00

Dosimetric and Radiobiologic Evaluation of an HDR Implant

15:00 - 15:30

Coffee Break

15:30 - 16:00

Session II

New Avenues for Systemic Treatment in Cervical Cancer

16:05 - 17:30

Session II

Mini workshops

18:30 - 21:30

Dinner

07:45 - 08:00

Breakfast

07:59 - 08:30

Session III

08:00 - 08:15

Session III

Management of Toxicity due to Cervical Cancer Treatment

08:15 - 08:30

Session III

QOL and Sexuality after Cervical Cancer Treatment

08:29 - 11:40

Session IV

08:30 - 08:50

Session IV

Conservative Treatment for breast Cancer: Surgical Considerations

08:50 - 09:10

Session IV

Partial Breast Irradiation: Literature Review