SBRT/SRS Curriculum

Physics and Radiobiology 

1. Radiobiology of high dose per fraction

 

2. Introduction to ProKnow

 

3. Physics of small fields (Hypofractionation)

a. Physics of high dose per fraction (SBRT/SRS)

b. Measurements

c. Technical factors (Detectors, correction factors, etc.)

d. clinical applications (separate lecture perhaps)

 

Simulation

4. Intracranial and spine

a. Patient immobilization and CT acquisition

5. Extracranial and body sites

a. (e.g. lung, liver, management and motion) 

Patient immobilization and CT acquisition

 

Case-Based Learning

6. Brain

Dosimetry and Treatment Planning

7. Extracranial SBRT physics considerations

a. Extracranial Clinical applications

b. Treatment planning and dose calculation (motion management, single iso, multiple iso, IMRT, Rapid Arc, etc.)

c. Plan evaluation

d. Challenges

 

8. Intracranial SRS physics considerations

a. Intracranial Clinical applications

b. Treatment planning and dose calculation (single iso, multiple iso, IMRT, Rapid Arc, etc.)

c. Plan evaluation

d. Challenges

IGRT and Treatment Delivery

9. Intracranial and Spine

a. immobilization (framed vs. frameless, etc.)

b. delivery techniques (Gamma-Knife, Cyber-Knife, Linac-based)

c. setup uncertainties

d. image guided techniques

 

Case Based Learning

10. Clinical pearls of Hypofractionation

 

11. Extracranial and body (Part 1 – Lung)

a. immobilization

b. delivery techniques (Gamma-Knife, Cyber-Knife, Linac-based)

 

12. Extracranial and body (Part 2 – Liver and Pancreas)

b. setup uncertainties

c. image guided techniques

 

Case Based Learning

13. Prostate

 

14. Question-based review and explanations

 

Intra- and Extra-Cranial Quality Assurance

15. QA: Simulation, Treatment planning, Treatment Delivery, and Image Guidance

16. QA: IGRT

Case-Based Learning*

*Participating centers will be invited to upload and share their own cases

- can review protocols, contours, planning considerations, and more during calls

Physics of Hypofractionation

Dr. Jose Garcia-Ramirez, M.S.

Assitant Professor in Radiation Oncology 

Washington University School of Medicine in St. Louis

Radiobiology of Hypofractionation

Dr. Stephen Brown, Ph.D.

Medical Bio-Physicist

Henry Ford Cancer Institute

Simulation - Intracranial

Dr. Manuel Morales, Ph.D.

Assistant Professor in Radiation Oncology 

Vanderbilt University Medical Cencer

Simulation - Extracranial

John Michael Briceño

Specialist in Radiotherapy Equipments

Elekta

Extracranial SBRT: physics considerations

Dr. Indrin Chetty, Ph.D.

Medical Physicist

Henry Ford Health Systems

Intracranial SRS: physics considerations

Dr. Kamil Yenice, Ph.D.

Chief of Clinical Physics

University of Chicago Medical Center

SBRT/SRS Review 

Dr. Dante Roa, PhD

University of California, Irvine

Dr. Hiram Gay, MD

Washington University in St. Louis

Pancreas SBRT Case Review

Dr. Dante Roa, PhD

Dr. Javier Cifuentes Quin, MD

University of California, Irvine

Hospital Internacional de Colombia

Intra- and Extra-Cranial Simulation, Treatment Planning/Delivery, and Image Guidance QA)

Dr. Peter Sandwall, PhD

Medical Physicist

OhioHealth

IGRT/Tx delivery - intracranial

John Freddy Giraldo Palacio

Medical Physicist

Instituto Neurológico, Medellin, Colombia 

IGRT/Tx delivery - extracranial I (Immobilization and Delivery Techniques) 

Dr. Karen Bernstein, MD

Director of Radiation Oncology 

Massachusetts General Hospital

IGRT/Tx delivery - extracranial II ( Setup Uncertainties and Image-Guided Techniques)

Hannah Zajicek, MS

Medical Physicist

MD Anderson Cancer Center

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