Workshop program

17-18 MAY 2019

May 16, 2019

May 17, 2019

May 18, 2019

Nov. 15, 2019

Nov. 16, 2019

07:59 - 08:40

Session IV: Teaching Brachytherapy

Session IV: Teaching Brachytherapy

Moderator : Thu Van Nguyen, MD

Discuss innovations in brachytherapy teaching strategies

Each talk includes a 5 mn question

Show Objectives
14:25 - 14:35

Session VII: Breast Cancer

Interstitial Brachytherapy for Breast Conservation after Recurrence

Speaker: Marjory Jolicoeur, MD

Explain the subtleties of an adequate treatment

Discuss this treatment alternative with patients

Evaluate

Show Objectives

07:30 - 08:00

Breakfast

Breakfast and registration
08:00 - 08:10

Welcome Talk

Speaker: Marjory Jolicoeur, MD

Welcome to our 2019 edition of Curietherapies Workshop

Evaluate this activity

Show Objectives
08:10 - 08:30

Session I: Prostate Cancer

The Rise of HDR Brachytherapy for Prostate Cancer

Speaker: Gerard Morton, MD

Explain the history of brachytherapy for prostate cancer

Review the LDR brachytherapy era

Describe the beginnings of HDR brachytherapy

Explain the characteristics and the differences between HDR and LDR brachytherapy

Enumerate HDR brachytherapy indications

Describe the statistics of the increased use of HDR brachytherapy

Evaluate

Show Objectives
08:30 - 08:50

Session I: Prostate Cancer

Increased Use of MRI for Patient Selection

Speaker: André-Guy Martin, MD

Describe the advantages of MRI over CT-scan

Explain the use of MRI for the selection of patients for active surveillance

Identify the nodule and boost the DIL

Evaluate

Show Objectives
08:50 - 09:20

Session I: Prostate Cancer

Use of PSMA PET-CT for Patient Selection

Speaker: Stephan Probst, MD

Explain the science behind PSMA PET

Estimate the sensitivity and specificity of this exam

Define the optimal patient for PSMA PET

Use the PSMA PET to find the nodule and target the DIL

Evaluate

Show Objectives
09:20 - 09:40

Session I: Prostate Cancer

Predictive Value of Gene Expression in Localized Prostate cancer

Speaker: Dan Lin, MD

Identify the biomarkers for prostate cancer

Analyze the Predictive value of biomarkers

Explain Cell cycle progression markers targeted by radiotherapy

Explain how a genomic test may help in making a better treatment decision

Use gene expression markers for reclassification of intermediate risk prostate cancer

Evaluate

Show Objectives
09:40 - 10:00

Session I: Prostate Cancer

HDR Brachytherapy Monotherapy: Are we There Yet?

Speaker: Alvaro Martinez, MD

Review the literature

Explain the toxicities and compare them to LDR toxicities

Compare toxicities to EBRT or EBRT combined with brachytherapy

Estimate Disease control

Evaluate

Show Objectives
10:00 - 10:20

Coffee Break

Coffee break
10:20 - 10:40

Session I: Prostate Cancer

Androgen Deprivation Combined with HDR Brachytherapy: When, Why, and How?

Speaker: Carl Salembier, MD

Review the literature supporting androgen deprivation therapy in combination with brachytherapy

Explain its use in prostate volume reduction

Discuss the toxicities of this treatment

Evaluate

Show Objectives
10:40 - 10:50

Session I: Prostate Cancer

Using Hydrogel Spacers for Prostate Brachytherapy

Speaker: Aman Taggar, MD

Describe how to apply the Hydrogel spacers

Provide its indication and benefits

Explain rectal toxicity in HDR brachytherapy

Evaluate

Show Objectives
10:50 - 11:10

Session II: Skin Cancer

Where Does Skin Brachytherapy Stand in 2019

Speaker: Philip Devlin, MD

Evaluate the role of brachytherapy for skin cancer

Enumerate the different techniques that can be used

Evaluate

Show Objectives
11:10 - 11:30

Session II: Skin Cancer

Clinical Aspects of Contact Therapy with Applicators

Speaker: Tim Williams, MD

Describe the different applicators

Describe the dosimetry, advantages, and disadvantages of each applicator

Evaluate dose prescription

Evaluate

Show Objectives
11:30 - 11:40

Session II: Skin Cancer

Plesiotherapy: 3D Printers

Speaker: Ananth Ravi, Physicienne médical

Describe indications of 3-D printers for brachytherapy

Explain the technical aspects

Enumerate the steps to create an adequate applicator

Evaluate

Show Objectives
11:40 - 12:00

Session II: Skin Cancer

Peri-operative HDR Brachytherapy for Keloid Scars

Speaker: James Fotanesi, MD

Review the literature supporting this management

Enumerate the indications for this treatment

Discuss the ideal dose

Evaluate

Show Objectives
12:25 - 13:50

Lunch

Lunch and poster viewing
13:50 - 14:10

Session III: Lower Digestive Tract Cancers

HDR Endorectal Brachytherapy

Speaker: Te Vuong, MD

Enumerate the indications of such a treatment.

Review the side effects and complications of endorectal brachytherapy.

Discuss the technique and the steps involved in endorectal brachytherapy.

Analyse the dose prescription and fractionation of endorectal brachytherapy

Evaluate

Show Objectives
14:10 - 14:30

Session III: Lower Digestive Tract Cancers

Dose Escalation for Rectal Cancer or Papillon Technique 2.0

Speaker: Rajaram Sripadam, MD

Analyse the technique and the steps involved for Papillon Technique.

Enumerate the indications of such a treatment.

Analyse the dose prescription and fractionation

Explain the results of such a treatment

Evaluate

Show Objectives
14:30 - 14:50

Session III: Lower Digestive Tract Cancers

Dosimetry for Endorectal Brachytherapy

Speaker: Slobodan Devic, Physicien médical

Explain the steps for dosimetry in endorectal brachytherapy and Papillon technique

Analyse the optimization process.

Describe the steps for quality assurance.

Evaluate

Show Objectives
14:50 - 15:20

Coffee Break

16:15 - 17:45

Mini- Workshops

Show Objectives

18:30 - 20:30

Dinner

07:45 - 08:00

Breakfast

Breakfast and registration
08:00 - 08:05

Opening Talk

Speaker: Marjory Jolicoeur, MD

Evaluate this activity

Show Objectives
08:05 - 08:20

Session IV: Teaching Brachytherapy

Setting Up a Brachytherapy Teaching Program

Speaker: Gerard Morton, MD

Describe the importance of brachytherapy training

Explain the CARO initiative

Evaluate

Show Objectives
08:20 - 08:40

Session IV: Teaching Brachytherapy

Teaching Prostate Implantation by Simulation

Speaker: Marjory Jolicoeur, MD

Review the literature about virtual teaching by simulation in the medical field

Establish possible pplications in brachytherapy teaching

Evaluate

Show Objectives
08:40 - 09:00

Session V: Technical Innovations

Pseudo-CT (pCT) Images for Precise Reconstruction of Brachytherapy Catheters

Speaker: Jean-Charles Côte, Physicien médical

Explain the basic principles

Identify the advantages in radiation oncology

Evaluate

Show Objectives
09:00 - 09:30

Session V: Technical Innovations

Intensity Modulated Brachytherapy

Speaker: Shirin Enger, Physicienne médical

Explain the basic principles

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
09:30 - 09:40

Session V: Technical Innovations

Robotic Needle Insertion or Adaptive MR-Guided HDR Prostate Brachytherapy

Speaker: Luc Beaulieu, Physicien médical

robotic brachytherapy systems

needle MR-compatible robotic system

Task Group AAPM

Discuss Robot-assisted needles insertion under magnetic resonance imaging (MRI) guidance

Evaluate

Show Objectives
09:40 - 09:50

Session V: Technical Innovations

3D-TRUS-EMT Image Guided HDR prostate Brachytherapy: System Integration and Validation

Speaker: Luc Beaulieu, Physicien médical

Discuss real time ultrasound image guidance

Discuss pointers intraoperative vs postimplant dosimetry

Accuracy of MRI/ultrasound-guided

Discuss deformable versus rigid image fusion

Evaluate

Show Objectives
09:50 - 10:20

Session V: Technical Innovations

Targeting Tumors with Alpha Emitters: AlphaDaRT

Speaker: Jean-Francois Carrier, Physicien médical

Explain the basic principles

Explain the subtleties of dosimetry

Explain the behavior of alpha emitters

Explain the possible clinical applications

Evaluate

Show Objectives
10:20 - 10:50

Coffee Break

Coffee Break
10:50 - 11:10

Session VI: Gynecological Cancers

Brachytherapy in Medically Inoperable Endometrial Cancer

Speaker: Luis Souhami, MD

Review the literature

Identify the indications and benefits of brachytherapy in these clinical situations

Discuss the US Guidelines for Brachytherapy

Discuss the results of this treatment

Evaluate

Show Objectives
11:10 - 11:30

Session VI: Gynecological Cancers

3D Transrecal Ultrasound for Intersitial HDR Brachytherapy

Speaker: Eric Leung, MD

Identify indications and advantages of the US guidance

Master needle placement in interstitial Brachytherapy

Explain the technique for US guidance

Evaluate

Show Objectives
11:30 - 11:50

MRI for 3-D Image Guided Cervix Brachytherapy

Speaker: Nicole Nesvacil, Physicien médical

Identify the indications and advantages of MRI use in this clinical situation

Review GEC-ESTRO recommendations

Discuss the progress of the EMBRACE protocol

Evaluate

Show Objectives
11:50 - 12:00

Session VI: Gynecological Cancers

Organ Preservation: Brachytherapy for Vulvar Cancer

Speaker: Marjory Jolicoeur, MD

Identify the localizations which will benefit the most from organ preservation

Review the literature

Discuss the results of such a treatment

Evaluate

Show Objectives
12:00 - 13:10

Lunch
13:10 - 13:30

Session VII: Breast Cancer

In Vivo Dosimetry

Speaker: Nicole Nesvacil, Physicien médical

Recognize the necessity of in vivo dosimetry in a breast implant

Identify the steps for in vivo dosimetry

Identify the most useful situations for in vivo dosimetry

Evaluate

Show Objectives
13:30 - 13:50

Session VII: Breast Cancer

Electronic Brachytherapy

Speaker: Marija Popovic, Physicienne médical

Explain the basic principles of electronic brachytherapy

Explain the subtleties of dosimetry

Identify the advantages of electronic brachytherapy

Evaluate

Show Objectives
13:50 - 14:10

Session VII: Breast Cancer

Intra-operative Brachytherapy

Speaker: Tarek Hijal, MD

Review the literature

Explain the indications and the results of this treatment

Identify the toxicities of this treatment

Evaluate

Show Objectives
14:10 - 14:25

Session VII: Breast Cancer

Interstitial Brachytherapy for partial breast irradiation

Speaker: Marie Lynn Racine, MD

Review the literature concerning partial breast irradiation

Explain the results of this treatment

Evaluate

Show Objectives
14:35 - 14:55

Session VII: Breast Cancer

Breast Brachytherapy with Mobetron

Speaker: Kathleen Horst, MD

Explain the basic principles of Mobetron

Explain the subtleties of dosimetry for Mobetron

Identify the indications and the advantages of this treatment

Review the literature results

Evaluate

Show Objectives
14:55 - 15:55

Session VII: Breast Cancer

Discussion

Moderator : Marjory Jolicoeur, MD

Discuss controversil topics about brachytherapy

Question period

08:09 - 10:49

Session I: Prostate Cancer

Session I: Prostate Cancer

Moderator : Tamim Niazi, MD

Discuss current standards and future innovations in prostate cancer brachytherapy

Each Talk include a 5 mn question period

Show Objectives
08:39 - 10:20

Session V: Technical Innovations

Session V: Technical Innovations

Moderator : Dany Truchon, Physicien médical

Discuss technical innovations in brachytherapy

Each talk includes a 5mn question period

Show Objectives
10:49 - 12:00

Session VI: Gynecological Cancers

Session VI: Gynaecological Cancers

Moderator : Thu Van Nguyen, MD

Discuss innovations in gynaecological brachytherapy

Each talk includes a 5mn question period

Show Objectives
10:49 - 12:25

Session II: Skin Cancer

Session II: Skin Cancer

Moderator : Boris Bahoric, MD

Discuss brachytherapy in cutaneous tumors

Question period at the end of the session

Show Objectives
12:00 - 12:25

Session II: Skin Cancer

Difficult skin cases

Speaker: Talar Derashodian, MD

Discuss the management of selected difficult cases

Discussion (duration 20 mn). Quiz 3mn

Evaluate

Show Objectives
13:49 - 14:50

Session III: Lower Digestive Tract Cancers

Session III: Lower Digestive Tract Cancers

Moderator : David Donath, MD

Discuss the use of brachytherapy in rectal and anal cancer

Each talk include a 5 mn question period

Show Objectives
15:20 - 16:00

Session IV: Young Investigators

Abstracts selected for oral presentation

Each talk includes a 3 mn question period

15:20 - 16:10

Session IVa: Young investigator

Oral presentations

Moderators : Dany Truchon, Physicien médical & Alvaro Martinez, MD & Luis Souhami, MD

Show Objectives

13:09 - 15:55

Session VII: Breast Cancer

Session VII: Breast Cancer

Moderator : Boris Bahoric, MD

Discuss current standards and coming innovations in breast brachytherapy

Question period at the end

Show Objectives

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Post TURP prostate implant
When is it safe to do brachytherapy? Discuss prebrachytherapy imaging What to be aware of? Evaluate	G. Morton, C .Salembier, A. G. Martin
Dosimetry for intraoperative brachytherapy and contact therapy
Recognize the different ways in dosimetry Discuss the advantages of volumetric dosimetry Discuss pointers Evaluate	S. Enger, S. David, S. Devic
Skin Applicators
How to use the different applicators Discuss Dosimetry What to be aware of Evaluate	P. Devlin, T. Williams, T. Derashodian
Hand on prostate implant
Discuss the different steps Discuss Number of needles in HDR Evaluate	A. Martinez, M. Jolicoeur,

15:20	7-24	Urethra-Sparing with Intensity Modulated Brachytherapy for Prostate Cancer
		Gabriel Famulari Mcgill University
15:30	7-20	MR-Compatible Intensity Modulated Brachytherapy for the Treatment of Locally Advanced Cervical Cancer
		Marc Morcos, & Shirin A. Enger Mcgill University
15:40	7-23	TRUS/MRI-Guided Tumor-Targeted Salvaged HDR brachytherapy for Recurrent Prostate Cancer Early Experience at CHUM
		Christian Arias, Guila Delouya, Daniel Taussky, Maroie Barkati, Marie-Claude Beauchemin, Samuel Kadoury, Dominic Béliveau-Nadeau, Yannick Hervieux, Jean-Francois Carrier, Cynthia Ménard. Montreal University
15:50	7-15	Isodose surface volumes in cervix brachytherapy: dependence on image guided adaptation and applicator
		Monica Serban1,2, Christian Kirisits, Karen Nkiwane, Isabelle Dumas, Jamema Swamidas, Astrid de Leeuw, Robert Hudej, Gerry Lowe, Nicole Nesvacil, Richard Pötter, Jacob Lindegaard, Kari Tanderup Mcgill University, Aarhus University Hospital Denmark, Medical University of Vienna

07:59 - 08:40

Session IV: Teaching Brachytherapy

Session IV: Teaching Brachytherapy

14:25 - 14:35

Session VII: Breast Cancer

Interstitial Brachytherapy for Breast Conservation after Recurrence

07:30 - 08:00

Breakfast

08:00 - 08:10

Welcome Talk

08:10 - 08:30

Session I: Prostate Cancer

The Rise of HDR Brachytherapy for Prostate Cancer

08:30 - 08:50

Session I: Prostate Cancer

Increased Use of MRI for Patient Selection

08:50 - 09:20

Session I: Prostate Cancer

Use of PSMA PET-CT for Patient Selection

09:20 - 09:40

Session I: Prostate Cancer

Predictive Value of Gene Expression in Localized Prostate cancer

09:40 - 10:00

Session I: Prostate Cancer

HDR Brachytherapy Monotherapy: Are we There Yet?

10:00 - 10:20

Coffee Break

10:20 - 10:40

Session I: Prostate Cancer

Androgen Deprivation Combined with HDR Brachytherapy: When, Why, and How?

10:40 - 10:50

Session I: Prostate Cancer

Using Hydrogel Spacers for Prostate Brachytherapy

10:50 - 11:10

Session II: Skin Cancer

Where Does Skin Brachytherapy Stand in 2019

11:10 - 11:30

Session II: Skin Cancer

Clinical Aspects of Contact Therapy with Applicators

11:30 - 11:40

Session II: Skin Cancer

Plesiotherapy: 3D Printers

11:40 - 12:00

Session II: Skin Cancer

Peri-operative HDR Brachytherapy for Keloid Scars

12:25 - 13:50

Lunch

13:50 - 14:10

Session III: Lower Digestive Tract Cancers

HDR Endorectal Brachytherapy

14:10 - 14:30

Session III: Lower Digestive Tract Cancers

Dose Escalation for Rectal Cancer or Papillon Technique 2.0

14:30 - 14:50

Session III: Lower Digestive Tract Cancers

Dosimetry for Endorectal Brachytherapy

14:50 - 15:20

Coffee Break

16:15 - 17:45

Mini- Workshops

18:30 - 20:30

Dinner

07:45 - 08:00

Breakfast

08:00 - 08:05

Opening Talk

08:05 - 08:20

Session IV: Teaching Brachytherapy

Setting Up a Brachytherapy Teaching Program

08:20 - 08:40

Session IV: Teaching Brachytherapy

Teaching Prostate Implantation by Simulation

08:40 - 09:00

Session V: Technical Innovations

Pseudo-CT (pCT) Images for Precise Reconstruction of Brachytherapy Catheters

09:00 - 09:30

Session V: Technical Innovations

Intensity Modulated Brachytherapy

09:30 - 09:40

Session V: Technical Innovations