Abstract book - ESTRO meets Asia

S110 ESTRO meets Asia 2018

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2.Evaluate the patients’ skin condition and oral mucosal inflammation Degree. 3.Evaluate the patients understanding about the treatment and skincare. 6.Re-evaluate the patients’ skin condition and Oral mucosal inflammation Degree suggest different ointment or further medication/dressing if necessary. Results The most common reasons for treatment interruption are Radiotherapy side effects (26%). Personal issues (23%), such as refuse to treat today, not feeling well, etc. The more days the patients rests or delayed, the less likely he or she will return to the treatment (p < 0.05) The more days the patients rests or delayed, the less likely he or she will complete the treatment (p < 0.05) Conclusion Common side effects of radiotherapy for head and neck cancer are inflammation of the oral mucosa, skin inflammation, painful swallowing, and taste changes, which often lead to poor intake and malnutrition. During the treatment, radiotherapy also affects mental health and social adaptability which are the causes of the treatment interruption. To carry out early intervention, to improve assessment of complications, and to instruct patients by complete self-care and health education procedure with the full-time nutritionists and the tumor psychologists, these preventive measures alleviate discomfort of general side effects, moreover, decrease the rate of treatment interruption. PO-268 National Training program for Radiation Oncology with IAEA support: Experience of Bangladesh A. Kamal Uddin 1 , M. Aziz 2 , S. Afroz 3 1 National Institute of ENT, Radiation Oncology, Dhaka, Bangladesh 2 Kurmiltola General Hospital, Oncology, Dhaka, Bangladesh 3 Bangladesh Atomic Energy Regulatory Authority, Regulatory Affairs, Dhaka, Bangladesh Purpose or Objective In the year 2012 total 14.1 million new cases were reported worldwide and 8.2 million death cancer death were recorded. Adequate access to radiation therapy is a crucial component of modern multidisciplinary cancer care. Scarcity of trained manpower poses a major challenge for low and middle-income countries like Bangladesh. As per Datta et al published in IJROBP Red journal there are deficit of 151 Radiation therapy machines, 282 radiation oncologists (RO),165 medical physicists (MP) and 487 radiation therapy technologists (RTT) in Bangladesh. Existing manpower are unable to provide quality services not only due to inadequacy of number but also due to insufficient training owing to lack of facilities. National Training Program (NTP) for Radiation Oncology is a project initiated by Bangladesh with the technical support of International Atomic Energy Agency (IAEA) to meet the demand of trained manpower in the field of Radiation oncology. Material and Methods Record review of the NTP for Radiation Oncology program from 2013 to 2017 was done. Results NTP for Radiation Oncology was designed with the following objectives: • To meet the demand of trained manpower in the field of Radiation Oncology. • To train RO, MP and RTT the basic about the 3DCRT with preliminary idea about about IMRT. 4.Repeat skin-care education if necessary 5.Schedule next appointment (Day 25)

To ensure optimum utilisation of the resources and also to train more people at a time in home environment rather sending them abroad. To create a team who will act as trainer for future trainees. To create collaboration between different organisations (both local and foreign).

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IAEA provided the experts under their TC project and Oncology Club, Bangladesh an NGO forum for Oncologists made the local arrangement and Bangladesh Atomic Energy Commission acted as the liaison between these two organisations. Trainees from both government and private organisation were selected for the NTP. Out of the total 45 experts most of them were from India. However, experts from USA, UK, Australia, Italy, Turkey, Egypt, Ireland, Austria, Pakistan, Kuwait, Jordan and Thailand also attended. These training program had many unique features . This was the first initiative in Bangladesh under IAEA support for this type NTP for Radiation Oncology. Dedicated training program for MP and RTT and also training on Peadiatric Radiation Oncology was arranged under this program which is first of its kind in the country. Live demonstration of brachytherapy in two workshops was also a unique addition to this program. Conclusion National Training Program for Radiation Oncology has proven as a very effective program causing improvement of overall radiation treatment quality both in government and private sectors. This program created immense enthusiasm among the participants specially the young oncologists who could use the result of international networking for their career development. Other limited resource country could follow this model for their manpower development. PO-269 Beyond the basic! Adaptive radiotherapy- Initial Experience at tertiary care hospital in Pakistan Q. Badar 1 , H. Nazim 2 1 Ziauddin University & Hospital- Karachi- Pakistan, Radiation Oncology, Karachi, Pakistan 2 Ziauddin University & Hospital- Karachi- Pakistan, Medical Physics, Karachi, Pakistan Purpose or Objective Adaptive radiotherapy (ART) is defined as all processes leading to the modification of a treatment plan due to treatment response or change in patient contour secondary to weight loss observed during the course of a treatment. Because of the greater conformity of 3-DCRT and IMRT, these changes can have more severe dosimetric impact especially for patients receiving curative radiotherapy over 6–7 weeks because it is based on a single anatomical snapshot acquired during the planning CT scan. This issue can be overcome by applying ART which requires the availability of image-guidance using on-board imaging such as kilovoltage (kV) or megavoltage (MV) cone beam CT (CBCT). Image Guidance is commonly referred to a process to re-position the patient without modifying the initial treatment plan, whereas adaptive RT requires that a new radiation plan be made for the patient, and can occur at three different timescales, i.e. offline, Retrospective analysis was done for 110 patients who were treated with curative intent from March, 2016 to Feb, 2018 at our institute on a newly installed TRILOGY. On board imaging with kv cone beam CT (KV-CBCT) was done approximately three times during the course of treatment. Image registration with original planning CT, contours propagation and evaluation of cumulative doses were Clinical: Communication online and in real time Material and Methods