Session

Overview: Brief background literature instigating the use of rectal preparation, rectal preparation methods, their effectiveness, and patient experience The patient group we stopped rectal preparation for, supporting patient information, documentation, and training Application of and results from a clinical audit of rectal volume and prostate motion without rectal preparation Development of and results from a patient’s experience preparing for prostate cancer radiotherapy survey. Discussion on stopping rectal preparation, personalising preparation, and clinical impact Background-Historical standards for immobilisation of head and neck cancer with a brief explainer of PTV expansions (Van Herk) and toxicities associated with head and neck RT Summary of Head and Neck Immobilisation-Literature Review Table Discussion of the OPEN Trial-this study was discussed at ESTRO plenary last year, however we now have full results which I can discuss. A discussion point from the OPEN Trial results-the potential for personalised margins through recognising patients who move less than the anticipated population based PTV expansion Discuss the feasibility study currently being run in SLRON exploring personalised margins A discussion of qualitative research I conducted with Head and Neck cancer patients on the open trial, highlighting the patient voice-need for shared decision making and how immobilisation and margins may be a time point where patients can be involved in treatment related decisions. Importance of respiratory motion reduction and overview of existing motion management techniques The Mechanically Assisted Non-Invasive Ventilation (MANIV) technique: Principles and implementations Clinical indications and contraindications IGRT image comparison: with and without MANIV Staff training and workflow adaptation Staff feedback and experience Patient experience and feedback Future developments and perspectives