Course: Breast oncology - The Royal College of Radiologists

Course: Breast
   oncology

Live dates and on-demand between 7 May-29 June
Online                                            15
                                                 RCR CPD
Course organiser                                  Credits
                                                 awarded
Dr Anna Kirby, London

Breast Radiotherapy RCR Learning course

This modular course will be delivered online over a period of five months and will include
options to have practical experience and receive feedback on contouring cases.

Module 1: Partial breast irradiation, Friday 7 May 2021, 14:00-15:30
1.5 CPD credits

Learning Objectives
    To understand the indications for partial breast irradiation and the technical approach
      to treating the partial breast
    To understand the definition of target volumes and organs-at-risk for partial breast
      irradiation
    To understand the practical aspects of implementing and delivering partial breast
      irradiation

14:00-14:05         Welcome                                            Dr     Anna           Kirby
                    The who, when and how of partial breast
14:05-14:25         Radiotherapy                                       Dr     Charlotte      Coles
                    Contouring for external beam Partial Breast
14:25-14:40         Irradiation                                        Dr     Anna           Kirby
                    Practical aspects of delivering External beam
14:40-15:00         Partial Breast Irradiation                         Dr    Carolyn         Bedi
15:00-15:15         Q&A                                                Panel
15:15-15:30         Round up & introduction to contouring case         Dr    Anna            Kirby

Module 2: Internal Mammary Chain Radiotherapy Radiotherapy with
a focus on Volumetric Modulated Arc Therapy, Tuesday 11 May
2021, 14:00-16:00
2 CPD credits

Learning Objectives
    To understand the indications for and risks of including the internal mammary chain
      in the target volume
    To understand technical approaches to treating the Internal Mammary Chain
      Radiotherapy
    To develop a working understanding of the use of Volumetric Modulated Arc Therapy
      in this context facilitating either implementation of Volumetric Modulated Arc Therapy
      and breath-hold in the department and/or refinement of currently implemented
      Volumetric Modulated Arc Therapy pathways

14:00-14:05       Welcome                                            Dr Anna         Kirby
14:05-14:20       Latest evidence on IMC radiotherapy                Dr Carolyn      Taylor
                  Quantifying risks from modern Internal
14:20-14:35       Mammary Chain Radiotherapy                         Dr Fran         Duane
                  Introduction to VMAT for Internal Mammary
                  Chain Radiotherapy & Royal Marsden
14:35-14:55       experience                                         Dr Alison       Ranger
14:55-15:10       Portsmouth experience                              Dr Freddie      Bartlett
15:10-15:25       Oxford experience                                  Dr Sileida      Oliveros
15:25-15:45       Q&A                                                Panel
15:45-16:00       Round up & introduction to contouring case         Dr Anna         Kirby

Learning Objectives (Sessions 3-6)
    To be able to find the anatomical boundaries of the axillary and Internal Mammary
      Chain Radiotherapy nodal regions
    To be able to contour axillary level 1- 4 and internal mammary chain clinical target
      volumes in patients with lymph-node positive breast cancer
    To be able to contour breast and tumour bed clinical target volumes in patients due
      to undergo VMAT for node-positive breast cancer

Module 3: Self study - Contouring cases (1 x locoregional and 1 x
partial breast), Tuesday 11 May-Tuesday 1 June 2021
2 CPD credits

Module 4: Contouring nodes for breast Radiotherapy, Thursday 10
June 2021, 10:30-12:00
1.5 CPD credits

10:30-10:35       Welcome                                                Dr Anna      Kirby
                  Review of delegates contours (Partial Breast
                  Irradiation & Internal Mammary Chain
10:35-11:00       Radiotherapy)                                          Dr Anna      Kirby
                  Review of delegates contours (Partial Breast
                  Irradiation & Internal Mammary Chain
10:35-11:00       Radiotherapy)                                          Dr Alison    Ranger
11:00-11:25       Tips and tricks for nodal outlining in breast cancer   Dr Charlotte Coles
11:25-11:40       Q&A                                                    Panel
11:40-12:00       Round-up & intro to complex nodal contouring           Dr Anna      Kirby

Module 5: Self study – Contouring cases resubmitting, Thursday 10
June-Thursday 24 June 2021
2 CPD credits

Optional module 6: Self-Study: Post-mastectomy contouring case
Thursday 10 June-Thursday 24 June 2021
2 CPD credits

Learning Objectives (Sessions 7-8)
    To be able to find the anatomical boundaries of the axillary and Internal Mammary
      Chain Radiotherapy nodal regions and/or to be able to infer these in a patient with
      more complex anatomy
    To understand target volume definitions in patients who have undergone mastectomy
      with or without reconstruction
    To understand the rationale for proton beam therapy (PBT) and issues specific to
      breast PBT planning and treatment

Optional module 7: Target volume delineation following
mastectomy, and proton beam therapy Tuesday 29 June 2021,
11:00-12:30
2 CPD credits

11:00-11:05     Welcome                                                     Dr   Anna   Kirby
                The ins and outs of post-mastectomy target volumes
11:05-11:35     (including feedback on complex contouring cases)            Dr Anna     Kirby
11:35-11:55     The rationale for proton beam therapy in breast cancer      Dr Sarah    Settatree
11:55-12:15     Planning and treating breast cancer patients with protons   Dr Sarah    Gulliford
12:15-12:30     Q&A                                                         Panel

Module 8: Self study – Contouring cases resubmitting, Tuesday 29
June-Monday 19 July 2021
2 CPD credits

Course faculty

 Dr Anna Kirby           Royal Marsden Hospital
 Dr Freddie Bartlett     Portsmouth NHS Trust
 Dr Carolyn Bedi         Edinburgh Cancer Centre
 Dr Charlotte Coles      Addenbrookes Hospital
 Dr Fran Duane           St. Luke’s Hospital, Dublin, Ireland
 Dr Sarah Gulliford      University College Hospital, London
 Dr Marjory Maclennan NHS Lothian, Edinburgh
 Dr Sileida Oliveros     Southend Hospital
 Dr Alison Ranger        Royal Marsden Hospital
 Dr Sarah Settatree      Royal Marsden Hospital
 Dr Carolyn Taylor       Churchill Hospital

Pricing structure

                                                    Associate       Allied health
                                      Member/Fellow member/senior   professional
Module type             Member/Fellow in training   fellow          (AHP)           Non-member
Single Breast           £30           £20           £20             £20             £35
bitesize session
Breast outlining        £200             £150             £150      £150            £350
sessions only – 4
cases (sessions 3,
4, 5, 6, optional 7
and 8)
Full Breast outlining   £250             £180             £180      £180            £410
RCR Learning
course

CPD credits
15 for the whole course.

Investigators successfully completing the appropriate modules of this
course will be eligible for streamlining of the outlining RT QA for clinical
trial participation through the Radiotherapy Trials Quality Assurance
(RTTQA) Group. Evidence should be provided by the individual
investigator to the RTTQA Group. The RT QA requirements may vary
between trials depending on the protocol specification. For any queries
please contact rttrialsqa.enh-tr@nhs.net.

Attendance

All sessions will be recorded. You will have access to these recordings
for three months from the live date. Not attending the live sessions will
mean there will be no direct interaction with the course faculty.

The full course discount price is only available when you book at the
outset.

Technical requirements

All sessions will be delivered online, so you will need to be able to
access the internet using a web browser.

For the contouring we will be using AQUILAB’s online Share Place
platform. You do not need to install any software, however, for the
platform to work, please make sure you have:
    a Windows or Mac laptop with an up to date operating system (for
      Windows, at least Windows 7)
    an up to date web browser (Google Chrome, Mozilla Firefox are
      recommended.)
    a mouse with a scroll wheel