Course Material
Overview
This exercise consists of participants reading a short clinical vignette about the breast cancer case. Then they will prepare by contouring specified volumes on certain specified CT slices.
During the webinar, Dr. Michael Stauder will go over the specified volumes and slices, discuss about various breast contouring guidelines, talk about why he contoured the way he did, and then compare the teachers’ contours with the participants and offer suggestions.
Audience
This program is designed to meet the interest of radiation oncologists and radiation oncology residents.
Program
Each of the workshop sessions will last for two hours. The session will cover the following areas:
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(Pre-course) Access to platform and hands-on contouring by participants
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Short talks each by sub-site surgeon, radiation oncologist and radiologist
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Presentation of the case and delineation guidelines used
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Breakout session to review participants’ contours in comparison to the reference contours
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Summary of key points by expert panel
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Discussion between participants and experts
Learning Objectives
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Describe clinical and anatomical rationale for the selection of clinical target volume and organs at risk delineation
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To be aware of the common pitfalls in delineation
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To be familiar with surgical approaches, including oncoplastic techniques.
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Learn about various imaging modalities used in pre- and post-neoadjuvant chemotherapy
Faculty
Dr Veronique Tan
Clin. Assoc Professor and Senior Consultant
Head, Department of Breast Surgery
Singapore General Hospital
Clin Assoc Prof Dr. Tan is a Senior Consultant and Chief of Breast Surgery at National Cancer Centre Singapore and Singapore General Hospital. She also Heads the SingHealth Duke-NUS Breast Centre. As one of the few breast surgeons in Singapore formally trained in oncoplastic breast surgery, A/Prof Tan believes that the appearance of the breast after cancer resection is important, and that every patient should have a tailored, individualized surgical solution.
Active in research and teaching, A/Prof Tan has published numerous articles in peer-reviewed journals and contributed several book chapters on oncoplastic and reconstructive breast surgery
Dr Lester Leong
Adj Associate Professor
Senior Consultant Radiologist
Singapore General Hospital
Adj Assoc Prof Dr. Leong is a Senior Consultant in the Department of Diagnostic & Interventional Imaging at the KK Women’s and Children’s Hospital, Singapore. Dr. Leong published many articles in peer-reviewed journals and he is also involved in resident training.
Dr Michael Stauder
Associate Professor
Radiation Oncologist
MD Anderson Cancer Center
Dr. Stauder is an Associate Professor of Radiation Oncology and a member of the Morgan Welch Inflammatory Breast Cancer Research Program and Clinic at MD Anderson Cancer Center in Houston, Texas. Dr. Stauder’s research focus centers on the design and development of prospective clinical trials for evaluation of immunotherapy in combination with radiotherapy.
Dr. Stauder has authored many articles, editorials, abstracts and book chapters. He has been involved with several educational and mentorship activities including resident training and global academic programs
Moderators
Dr Grace Kusumawidjaja
Consultant Radiation Oncologist
National Cancer Centre Singapore
Dr Ivy Ng
Associate Consultant Radiation Oncologist
National University Cancer Institute Singapore
Facilitators
Dr Leong Yiat Horng
Consultant Radiation Oncologist
National University Cancer Institute Singapore
Dr Michelle Tseng
Consultant Radiation Oncologist
National University Cancer Institute Singapore
Dr Ooi Kiat Huat
Consultant Radiation Oncologist
National University Cancer Institute Singapore
Dr Tan Teng Hwee
Associate Consultant Radiation Oncologist
National University Cancer Institute Singapore
Dr Faye Lim
Senior Consultant Radiation Oncologist
National Cancer Centre Singapore
Dr Gail Chua
Associate Consultant Radiation Oncologist
National Cancer Centre Singapore
Dr Bryan Ho
Associate Consultant Radiation Oncologist
National Cancer Centre Singapore
References
DBCG:
Nielsen MH, Berg M, Pedersen AN et al. Delineation of target volumes and organs at risk in adjuvant radiotherapy of early breast cancer: national guidelines and contouring atlas by the Danish Breast Cancer Cooperative Group. Acta Oncol 2013; 52: 703–10.
ESTRO:
Offersen BV, Boersma LJ, Kirkove C et al. ESTRO consensus guideline on target volume delineation for elective radiation therapy of early stage breast cancer. Radiother Oncol 2015; 114: 3–10.
Offersen BV, Boersma LJ, Kirkove C et al. ESTRO consensus guideline on target volume delineation for elective radiation therapy of early stage breast cancer, version 1.1. Radiother Oncol 2016; 118: 205–8.
RADCOMP:
Bekelman J, Cahlon O, McDonald S. Pragmatic Randomized Trial of Proton vs. Photon Therapy for Patients With Non-Metastatic Breast Cancer: A Radiotherapy Comparative Effectiveness (RADCOMP) Consortium Trial.
RTOG:
White JT, Arthur D, Buchholz T et al. Breast Cancer Atlas for Radiation Therapy Planning: Consensus Definitions.
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