ESTRO 2020 Abstract book

S304 ESTRO 2020

3.Canadian Partnership for Quality Radiotherapy, Patient Engagement Guidelines for Canadian Radiation Treatment Programs. June 8, 2016. www.cpqr.ca . 4.Bolderston A, Lewis D, Chai M (2010) The concept of caring: Perceptions of radiation therapists. Radiography; 16, 198-208. 5.Coyle J, (1999) Exploring the meaning of dissatisfaction with health care: The importance of personal identity threat. Social Health & Illness; 21, 95-123. 6.Strudwick R, Newton- Hughes A et al (2018) Values-based Practice in Diagnostic and Therapeutic Radiography. A Training Template. College of Radiographers SP-0515 Individualised treatment with Percussion Assisted RadioTherapy , a tool to stop respiratory motion. F. Duclos 1 1 centre Hospitalier Universitaire Vaudois, Radiooncology, Lausanne Vaud, Switzerland Abstract text Percussion Assisted RadioTherapy (PART) was first implemented in our department in 2015. It consists in assisting the patient with a percussive ventilation device to inflate lungs so that thoracic motion is stopped long enough to deliver complex RT treatments. The main advantage of this innovative technique is the reduction in toxicity to the heart and lungs with a smaller irradiated volume. Indications are limited by the capability of the patient to bear this device. Patients have to be informed, tested and trained. All the aspects of PART implementation steps will be described from the RTT point of view, particularly material, procedure, multidisciplinary team training and dosimetric results. SP-0516 Describing and characterizing the effect of brachytherapy in cervical cancer patients from radiomic feature dynamics C. Tenconi 1,2 , P. Fontaine 3 1 fondazione Irccs Istituto Nazionale Dei Tumori, Radiation Oncology 1, Milan, Italy ; 2 university Of Milan, Department Of Oncology And Haemato-Oncology, Milan, Italy ; 3 univ Rennes - Clcc Eugne Marquis-, Inserm- Ltsi – Umr 1099- F-35000, Rennes, France Abstract text Quantitative radiomic features (RFs) extracted from multimodal medical images are increasingly combined with clinical and genetic parameters to develop diagnosis or prognosis models that may serve as tools for personalized treatment and clinical decision support systems. To enhance intelligibility and applicability of radiomics studies to the clinical routine, our team is interested in studying methods for the selection of the most informative RFs in order to achieve a deeper understanding of the meaning of the individual radiomic parameters and the interpretation of the underlying biological/physical process. A fortuitous and fruitful dialogue at the last ESTRO Annual Congress gave the opportunity to set up a collaboration on this topic with French colleagues from the LTSI in Rennes who, besides having assessed unsupervised and supervised clustering methods for RFs selection, also developed a dedicated framework for image pre-processing (i.e.: resampling, normalization…) and feature extraction. Thanks to the Symposium: Mobility grants report back

SP-0514 The role of the RTT in individualised patient centric care H. Nisbet 1 1 Oxford University Hospitals NHS Foundation Trust, Radiotherapy Department, Oxford, United Kingdom Abstract text Since Sir William Osler (1849-1919) postulated that “the good physician treats the disease; the great physician treats the patient who has the disease” it has been recognised that the patient is an individual and so how we care for each patient should be centred on the person, not the disease. The UK NHS Five Year Forward View 1 advocates a shift in power to patients stating that “The NHS is of the people, by the people and for the people” and that we need to involve them directly in decisions about their care. This is echoed across Europe with the Danish Health Authority describing the focus of quality as “treatment with the patient in the centre” 2 ; and across the world with the Patient Engagement Guidelines for Canadian Radiation Treatment Programs 3 promoting patient engagement and participation at individual, program and agency levels to integrate information and professional advice with the patient’s needs, preferences and abilities. In modern radiotherapy settings this concept is more important than ever as advances and improvements in radiotherapy techniques allow for the production of a highly complex, individualised treatment plan but one that is created remotely, without the patient present. The delivery of these complex plans and advanced techniques can result in a disconnect from the patient and their individual values, wants and needs as staff strive to provide safe, accurate and time efficient treatments. This dissonance between high technology with little or no patient contact 4 and the concept of caring for the patient where there is direct interaction and support creates a difficult dichotomy for RTTs to resolve. Attending for radiotherapy treatment can cause significant distress and anxiety for the patient and the RTT’s objective to provide specific treatment and side effects related information may exacerbate this anxiety if they are not also responsive to the patient’s preferences and values. Patients express dissatisfaction with their care as threats to personal identity including perceptions of being dehumanised, objectified, stereotyped, disempowered and devalued 5 . The RTT is the human interface between the patient and this dehumanising effect of unfamiliar, complex treatments and technology and, as such, can help to demystify and moderate the experience. Individualised person-centred care can lead to improved outcomes and patient satisfaction and can provide improved job satisfaction for the RTT. This talk seeks to examine the ways in which RTTs can provide individualised person-centred care in highly pressured, technological environments. It will present different tools such as Holistic Needs Assessments (HNAs), Patient Recorded Outcome Measures (PROMs) and consultation models that can assist the RTT to achieve this when providing patient education and information sessions. Finally it will present the concept of values-based practice 6 as a key skill for person-centred care that should underpin patient interactions and communication at all points of care. References: 1.NHS England, Public Health England, Health Education England, Monitor, Care Quality Commission, NHS Trust Development Authority (2014) Five Year Forward View. 2.Ministeriet for Sunhed og Forebyggelse, 2015 cited in Moller L (2016) Radiography with the Patient in the Centre; Journal of Radiology Nursing:35; 309-314.