WE-A-19A-01: SRT I: Comparison of SRT Techniques

Within the past several years, the field of radiosurgery has seen numerous technological enhancements, including new dedicated devices for stereotactic delivery, the use of re-locatable frames to facilitate fractionated delivery and the image guided frameless approaches. The goal of this symposium is to compare and contrast competing technologies for cranial SRS/SRT. The symposium will open with a review of the general concept of cranial SRS/SRT procedures as well as describe the key differences from conventional radiotherapy. The speakers will then review each of the delivery technique (Gamma Knife, CyberKnife and Conventional linear accelerator) in turn. The focus of each speaker will be to describe the general workflow of each SRS modality, indications and counterindications for treatment. To compare and contrast different technologies, 2–3 cases examples demonstrating interesting treatment situations and expected outcomes, a sample treatment plan (either live or pre-recorded with live commentary) demonstrating the treatment planning technique, and machine and patient-specific QA required for treatment (if applicable). Additionally, workflows and data describing the use of immobilization devices or tracking/monitoring during SRS/SRT delivery will also be discussed. The session will close with a roundtable discussion of methods to evaluate plan quality, and achievable technical and clinical goals for intracranial SRS. Learning Objectives: Understand the key differences between cranial SRS/SRT and conventional treatments. Review Gamma Knife, CyberKnife and Conventional Linac-based radiosurgery delivery techniques and quality assurance Compare and contrast treatment plans, treatment planning strategy and and quality assurance procedures for each technology. Be able to establish cranial SRS/SRT procedure with optimized quality assurance program for each technology