Opening remarks

Systemic therapy

(GROUQ) 

To review the recent data concercning Radium 223

To discuss Radium 223's benefits in the treatment of patients with metastatic CRPC

To discuss the pathophysiology of the radiation induced lower urinary tract symptoms

Discuss GRUO-Q's upcoming PCS-VII trial

Lear about the other upcoming trials on this subject

To review the available data

To discuss the rationale of treatment with Xgeva

To learn the pros and cons of bone health therapy with Xgeva

Review the CHAARTED results

Discuss the added value of chemotherapy in castration sensitive prostate cancer patients with metastasis

Coffe and Exhibit visit

To review the data of the PREVAIL trial

To discuss the added benefit of Xtandi in CRPC chemotherapy naïve patients

To discuss the role of the radiation oncologist, the urologist, and the medical oncologist in the management of these patients.

To Discuss and to learn the update of the 302 data that will be presented at the ESMO meeting.

To Discuss and to learn the added benefit of Zytiga in CRPC chemotherapy naive patients.

To Discuss and to learn the role of the raidation oncologist, the urologist, and the medical oncologist in the management of these patients.

Review the data of the two trials assessing the roe of intermittent vs continuous androgen deprivation therapy

Discuss the rationale behind intermittent therapy

             Lunch

Review the updated data of the PCS-IV trial.

Discuss the QOL outcome of this trial

Anatomy and Imaging

(GROUQ and Curietherapies)

Learn the different organs surrounding the prostate including nerves

Recognize the different parts of the prostate: zonal anatomy

Learn how to relate the biopsy map with the prostate's anatomy

Review male pelvic anatomy on 3-D imaging (IRM and CT Scan)

Recognize OAR and lymph nodes on 3-D imaging 

Recognize the prostate's borders and its relationship with OARs

Learn the specificity of each imaging modality (IRM, CT Scan and US)

Learn to identify the tumor and the prostate 3-D imaging (IRM, CT Scan, US)

Learn to choose the right MRI sequence for prostate and tumor identification

Review the pertinent litterature on MRI and prostate cancer

Review practical cases

Quiz

Learn the rules of delineation for OAR, GTV, CTV

Discussion and correction of pre-made contours

Break and visit of exhibit

Patient preparation

   (Curietherapies)

Learn the literature

Understand the pattern of care in Quebec's different centers

 Learn how to prep a patient for brachytherapy

 Understand how to deal with comorbidity

Comparison between the different Québec’s centers attitude

Step by step brachytherapy implant

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

Comparison of the different types of anesthesia

Comparison of the Quebec’s different brachytherapy rooms' set up 

Androgen deprivation

  (Curietherapies)

Comparison of  the pattern of care in Quebec's different centres

Understand the reason for this pattern of care

Review the literature about androgen deprivation with brachytherapy

Discuss the use of androgen deprivation with brachytherapy

Understand the toxicity of this pattern of care

Quiz

Quality Of Life

 (Curietherapies)

Understand the mechanism of PSA bounce

Learn the incidence, timing and management

Understand the psychological implications

Understand the mechanism of erectile dysfunction

Learn the incidence of erectile dysfunction after brachytherapy

Review the litterature

Learn the possibility of prevention

Review the mangement

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Only do so if you do not intend to praticipate tomorrow

Dinner