RTi3 Conference Schedule

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RTi3 Conference – March 3, 2017

8:00 to 9:00
Colony Ballroom

Registration and Breakfast

9:00 – 9:05
Colony Ballroom

UTDRO Chair Welcome and Opening Remarks

Dr. Fei-Fei Liu

9:05 – 9:15

Welcome and Opening Remarks

Brian Liszewski and Kieng Tan (Co-Chairs)

RTi3 Conference Housekeeping

9:15 – 10:05
Colony Ballroom

“Innovate” Invited Keynote Speaker

Patient Education – Just K.I.S.S. and Make-Up

Jenny Soo 

10:05 – 10:35
Colony Ballroom

“Innovate” Top-Ranked Abstract

Looking Forward: Co-designing a cancer survivorship program for patients completing active treatment

Christian Boisvert-Huneault

10:35 – 11:00
Giovanni Room

Break and Poster Viewing 1

  1. Models of Care for Cervical Cancer Brachytherapy in Ontario – Kitty Chan
  2. Assessing Local and Regional Rectal Cancer Recurrence Using Primary Tumour and Lymph Node Proximity to Pelvic Structures – Rachel Pace
  3. Determining the effect of gantry rotation limits on plan quality for head and neck patients with homo-lateral disease – Julianna Pinizzotto
  4. Improving outcomes for Advanced Basal Cell Carcinoma: A Case Study – Emily Sinclair
  5. Adaptive Radiotherapy for Lung Cancer: More Questions than Answers – Andrea Shessel
  6. Radiation therapy image-guidance interventions and treatment re-planning activities – Michal Stankiewicz
  7. Tangential breast setups with one arm up vs. both arms up: A comparison of the variations in lateral table values - Laura Koo Lam Tseung

11:00 – 12:30
Armoury Room
Colony Ballroom

Proffered Paper Session 1
Armoury Room

Dosimetric Inquiry

Moderator: Mike Velec

(7 speakers x 12 minutes = 84 minutes + 6 minutes)

Real-Time Interactive Treatment Planning for Head and Neck VMAT – Lindsey Baker

Assessment of Adaptive Margins Using a Single Planning Computed Tomography Scan for Bladder Radiotherapy – Romel Canlas

Evaluating Dual Registration as an Automatic Registration Tool for Daily CBCT Localization in Lung Cancer Radiotherapy – Edwin Chan

Vaginal Brachytherapy in the Integrated MR-guided Brachytherapy Suite – Kitty Chan

Impact of Interobserver Variability in Volume Delineation on Deformable Image Registration for Prostate – Vickie Kong

Development of a Fiducial-Based Automated Treatment Technique for the Delivery of Stereotactic Body Radiotherapy for Primary and Metastatic Liver Tumours – Shannah Murland

Interobserver Variability in Structure Delineation of Organs at Risk on Cone Beam CT using Raystation TPS v4.5.2 – Olive Wong

Proffered Paper Session 2
Colony Ballroom

Patient & Supportive Care

Moderator: Merrylee McGuffin & Renate Bradley

(7 speakers x 12 minutes = 84 minutes + 6 minutes) 

Impact of Exercise on Reported Fatigue and Anxiety Levels in Early Stage Breast Cancer Patients Undergoing Radiation Therapy – Jessy Abed

The Bladder Log App: A Feasibility Study Assessing the Perceptions of Radiation Therapists and Prostate Patients – Rida Haider

Radiotherapy Patient Education: A Refocus on Value to Patients - Christine Hill

Radiation Therapy Patient Experience Survey of Early-Stage Breast Cancer Women – Grace Lee

The Perceptions of Health Care Providers and Cancer Patients on Educational Needs at the End of Radical Radiation Therapy Treatment in a Community Based Cancer Centre – Christie Wilcox

How can a seamless transition to community care be achieved in oncology? Gathering a better understanding of the jurisdictional practise across Canada – Danielle Wittal

Men’s experience of virtual simulation to aid patient education for radiation treatment to the prostate – Alannah Flockton



12:30 – 1:15
Colony Ballroom
Lombard Suite

Lunch in the Main Ballroom (Colony Ballroom)

Special Lunch & Learn session with CMRTO: QA App and the Electronic Portfolio
Presented by a member of the CMRTO Professional Staff

Grab your lunch and join us for this special presentation in the Lombard Suite.

1:15 – 2:30
Colony Ballroom
Lombard Suite

Proffered Paper Session 3
Colony Ballroom


Moderator: Grace Lee & Pauline Warden

(6 speakers x 12 minutes = 72 minutes + 3 minutes)

The Role of the Clinical Specialist Radiation Therapist in Delivering Person Centred Care Across the Cancer Continuum – Laura D’Alimonte

Quantifying the Impact of CSRTs:  The Creation and Evaluation of Workload Codes – Darby Erler

How a single case-study quality review changed treatment protocol for prophylactic whole brain radiotherapy – Mike Holwell

The RT-CRC: A unique professional development opportunity for Radiation Therapists – Zaynab Muraj

Planned vs. Delivered Lumpectomy Cavity Dose During Conformal Breast Boost Radiation Treatment – Henna Parma

Radiation Therapy for the treatment of skin Kaposi Sarcoma – Emily Sinclair

Workshop 1
Lombard Suite

Collaborative Practice

Moderator: Lauren Yesovitch

‘Surviving the Shipwreck Together’: Game-Based Learning as a Method for Teaching Core Competencies for Interprofessional Team Collaboration

Elizabeth McLaney, Karen Moline and Lisa Di Prospero

Learning Objectives:

  • Identify key benefits to using a competency framework for interprofessional education/care within Oncology
  • Describe game-based learning as a method for teaching core competencies for interprofessional team collaboration within Oncology






2:35 – 3:30
Armoury Suite
Colony Ballroom

Proffered Paper Session 4
Armoury Suite

Supporting Patients, Staff, Students as Learners

Moderator: Merrylee McGuffin

(5 speakers x 10 minutes = 50 minutes + 5 minutes)

Narrowing the Theory Practice Gap through Interprofessional Knowledge Sharing – Emily Binsell 

A Twitter journal club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century – Lisa Di Prospero

Peer-to-Peer Mentorship: An Unexpected Benefit of Journal Club Participation – Julie Kang

Patient Perceptions of Digital Displays in Radiation Therapy – Gina Kowaski

Radiation Therapy students' perspective on the use of an evaluation tool to assess safe operation practice –  Kieng Tan and Wendy Flanagan 

Proffered Paper Session 5
Colony Ballroom

Impacting Practice

Moderator: Mike Velec

(5 speakers x 10 minutes = 50 minutes + 5 minutes)

Radiation Therapists Leading Progress – Saher Ali

It only takes a Minute: The development & implementation of a patient experience survey in Radiation Therapy – Nikolaus Gregor

Assessing the Performance of Deformable Image Registration for the Pelvic Region – Vickie Kong

Comparison of image registration techniques in high-risk prostate cancer patients receiving radiotherapy to the prostate and pelvic lymph nodes - Mariam Ebady

Deep Inspiration Breath Hold (DIBH): Creating and Implementing a Pilot Protocol – David Shedden


3:30 – 3:50
Giovanni Room

Break and Poster Viewing 2

  1. Female Sexual Dysfunction Following Radiation Therapy for Anal Canal Cancer – Ashley Lau
  2. Distress Among Locally Advanced Breast Cancer Patients from Diagnosis to Follow-up: A Critical Review of Literature – Dilshad Nathoo
  3. Seminoma Patients with Retroperitoneal Disease: Does better PTV conformality make VMAT the better treatment choice? – Tony Lam
  4. From Idea to Implementation - The In-House Development of the Stereotactic Radiotherapy Board used for Identified Sites of SBRT Treatment – Parker Sheehan
  5. A comparison analysis evaluating the satisfaction of all cancer patients, receiving radiotherapy, regarding supportive care concerning relationships, body image and sexual health - Zainab Zaheer

3:50 – 4:20
Colony Ballroom

“Inspire” Top-Ranked Abstract

Certifiable: Development and piloting of a national advanced practice certification process for radiation therapists in Canada

Nicole Harnett (on behalf of Caitlin Gillan)

4:20 – 5:10
Colony Ballroom

“Inspire” Invited Keynote Speaker

Good luck with that….Making your own opportunities

Kathryn Moran 

5:10 – 5:15
Colony Ballroom

Closing Remarks

Brian Liszewski and Kieng Tan (Co-Chairs)

5:15 – 5:20

Conference Housekeeping & Social Reminders

Hart House,
Debates room

Inspire Social Event at University of Toronto, Hart House

Network, Share and Learn over great food, drink and conversation!

RTi3 Conference – March 4, 2017

8:00 to 9:00
Colony Ballroom

Registration and Breakfast

9:00 – 9:05
Colony Ballroom

Welcome and Opening Remarks

Brian Liszewski and Kieng Tan (Co-Chairs)

9:05 – 9:10
Colony Ballroom

RTi3 Conference Housekeeping

9:10 - 10:00
Colony Ballroom

“Interprofessional” Invited Speaker

Embracing complexity: finding simple solutions to malnutrition in resource-poor settings
Dr. Christopher Charles  

10:00 – 10:30
Giovanni Room

Break and Poster Viewing 3

  1. Building Research Capacity in RT: A retrospective review – Chris Zeller (presented by Gina Kowaski)
  2. Staff Perception on Delegation and Role Expansion in Radiation Therapy and Brachytherapy – Tessy Vattaparambil
  3. Social/Online Media use for MRT Professional Development in Australia and Canada – Lisa Di Prospero and Kieng Tan
  4. Tell us how you really feel: The development and implementation of an online evaluation survey in the setting of an REB approved study – Merrylee McGuffin
  5. Clarifying the Purpose of Visit within a Multidisciplinary Cancer Clinic – Emily Sinclair
  6. A vision of care: Knowledge, skills and comfort level of the interprofessional oncology team when caring for patients with visual impairment – Sze Kei Yeung

10:30 – 11:45
Lombard Suite
Colony Ballroom

Workshop 2
Lombard Suite

Patient and Supportive Care

Moderator: Lauren Yesovitch

Practice C.A.L.M! Coaching Anxiety Lessening Methods for Radiation Therapists

Helen Butlin, M.Div. PhD (Candidate)
Specialist in Spiritual Care (CASC)
Registered Psychotherapist (CRPO)

This workshop is designed to offer a taster of the Practice C.A.L.M. training program. This program was designed in 2010 and implemented in the London RCC with 36 RT’s trained and ‘practicing calm’ in their lives and with patients experiencing treatment related anxiety. Benefits are both personal and clinical. This workshop will give the key principles of the training and ‘taster’ exercises to try them out. The three principles that will be taught are:

  1. Foundations of mindfulness practices – the research, the benefits, the applications.
  2. Be the “Alpha Mare” – what horses can teach us about anxiety management, our own…and others…including colleagues!
  3. Reflective Practice + ‘phronesis’ (practical wisdom) : Using wise judgement in difficult situations and having the confidence to do so.

Simple techniques taught in the PracticeCALM training program will be learned through experiential role-plays to familiarize you and become comfortable with trying them out in your personal and clinical life.

Workshop 3
Colony Ballroom

CPQR Patient Engagement

Moderator: Brian Liszewski

More Than Just Lip Service: Meaningful Ways to Improve Patient Engagement using the CPQR Patient Engagement Guidelines for Canadian Radiation Treatment Programs Document

The release of CPQR’s Patient Engagement Guidelines for Canadian Radiation Treatment Programs (PEG) document at the joint Quality and Safety Summit in 2016 was met with enthusiasm.  But providing a model for what appropriate patient engagement looks like is not enough.  Join patients, patient engagement leaders, administrators and radiation treatment professionals to discuss what model patient engagement looks like, learn what is working at other radiation treatment centres across the country and how a patient engagement community of practice can help drive continued improvement.


By the end of the workshop participants will:

  1. Understand the scope of the CPQR Patient Engagement Guidelines for Canadian Radiation Treatment Programs document
  2. Understand the scope of patient engagement activity across the country and what “best practices” may be adopted at their centres
  3. Join like-minded professionals in an ongoing community of practice around patient engagement





11:45 – 12:30
Colony Ballroom


12:30 -1:00
Colony Ballroom

“Inquire” Top-Ranked Abstract

The Implementation of the Active Breathing Coordinator (Gating/Response) System at the Stronach Regional Cancer Centre
Gulaid Mohamoud

1:00 -1:50

“Inquire” Invited Keynote Speaker

Think Outside the Bunker
Ruby Bola 

1:55 – 3:10
Giovanni Room
Colony Ballroom

Moderated Poster Session 1
Giovanni Room

Moderator: Renate Bradley and Kieng Tan

(10 speakers x 7 minutes = 70 minutes + 5 minutes)

Improving Ergonomics in Radiation Therapy – Carol Burnie

A process evaluation of The Odette Cancer Centre’s head and neck adaptive radiotherapy workflow – Joseph Kung

Assessing Preference of Nasogastric vs. Gastrostomy Feeding Tubes in Chemoradiation Patients with Oropharyngeal Cancer – Cici Liang

Design and Implementation of a Novel MRI Room Design for Image Guided Brachytherapy – Stephen Russell

Radiation therapists' perceptions of the emotional impact of providing care to palliative cancer patient – Alex Sarra

Shining a light on 2 years of Photodynamic Therapy – Emily Sinclair

MRI guided Focal Boost Integrated with HDR Brachytherapy for Prostate Cancer Patients: A Dosimetric Analysis – Mackenzie Smith

Towards Evidence-Based Planning Dose Constraints for Stereotactic-Body Radiotherapy of Hepatocellular Carcinoma – Michael Velec

Patient Assessment:  A Look at Documentation Compliance in a Radiation Therapy Department – Tara Volpatti

Pain Palliation with Hypofractionated Radiotherapy in Unresectable Pancreatic Cancer – Ya Wang

Proffered Paper Session 6
Colony Ballroom

Quality Improvement

Moderator: Laura D’Alimonte & Natalie Rozanec

(7 speakers x 10 minutes = 70 minutes + 5 minutes) 

A Needs Assessment to Evaluate the Gap Between Treatment and Follow-up Care for Stereotactic Radiosurgery Patients – Ruby Bola

Cone beam vs. stick method: A retrospective analysis comparing the accuracy of cone beam gap measurements to conventional stick measurements for head and neck patients undergoing radiation therapy – Steven Brown

Assessing the Impact of Radiation Oncology Care Plans on Workflow Management within a Large Radiation Oncology Department – Jency Jose

Improving Same Day Simulation and Treatment in Radiation Therapy – Carrie Lavergne

Better Safe, but “OK” to be Sorry: Incident Disclosure and Patient Engagement – Brian Liszewski

Risk Management and Incident Report Factors Contributing to Errors In Radiation Therapy – Gillian Long

The Road to Improvement – Implementing Continuous Improvement (CI) at the Durham Regional Cancer Centre (DRCC) – Pauline Warden








3:10 – 3:30
Giovanni Room

Break and Poster Viewing

Last Chance to Vote for Best Podium and Best Poster

3:30 – 4:30
Armoury Suite
Colony Ballroom

Proffered Paper Session 7
Armoury Suite

Outcomes & Toxicities

Moderator: Laura D’Alimonte & Jennifer Thompson

(5 speakers x 11 minutes = 55 minutes + 5 minutes)

Investigation into Delivered Doses for Hepatocellular Carcinoma Patients Treated with Concurrent Sorafenib and Stereotactic-Body Radiotherapy (SBRT) – Jasmine Chen

Associating pre-treatment pain intensity and functional interference with the mobility category of vertebral metastasis in patients receiving palliative radiotherapy – Devin Hindle

Acute Toxicity and Early Patient Reported Outcomes in a Randomized Phase II Trial of High Dose-Rate Brachytherapy as Monotherapy in Low and Intermediate Risk Prostate Cancer – Merrylee McGuffin

Patient-reported adverse events following trans-rectal ultrasound-guided intra-prostatic marker insertion – Tara Rosewall

Gastrostomy Tube Dependence in Patients with Oropharyngeal Cancer Treated with Chemoradiation Therapy – Anishka Saldanha




Innovation Snapshot

Moderator: Pauline Warden & Rachel Zhou

Showcasing innovations from across Canada and Internationally to foster a community of practice, networking and collaboration.

Intra-Operative Radiation Therapy for Breast Cancer – Gary Chaulk (Princess Margaret Cancer Centre)

Making Breath Hold Treatment More Accessible – Tiffany Chiu (Grand River Regional Cancer Centre)

Clinical use of the Aktina immobilzation system in the treatment of brain lesions – Kim Crawford (London Regional Cancer Centre)

A Collaborative Approach to Creating a Document Database - Kim Crawford (London Regional Cancer Centre)

Building an MRI Safety Culture: A collaboration between Medical Imaging, Radiation Therapy, Sunnybrook Research Institute, Cardiology, and Organizational Leadership and Development – Krista Dawdy (Odette Cancer Centre)

Who, What, Where and Whiteboards: Improving Continuity of Care – Nikolaus Gregor and Fatima Hashmi (Odette Cancer Centre)

The sky’s the limit: planning within the cloud - Alannah Flockton (New Zealand)

Oligomets Program at SRCC – Ken Le (Stronach Regional Cancer Centre)  

Improving the management of RT consumables: Implementing the use of a Kanban system and utilizing MosaiQ for automated supply code capture – Brian Leung (R.S. McLaughlin Durham Regional Cancer Centre)

4:30-4:35 Transit Time
4:35 – 4:40
Colony Ballroom
4:40 – 4:45

Closing Remarks

Brian Liszewski and Kieng Tan (Co-Chairs)


End of RTi3 Conference 2017


The transition towards personalized medicine in radiation therapy requires high precision imaging at all stages: simulation, treatment planning, and treatment delivery. The introduction and integration of Magnetic Resonance Imaging (MRI) as a tool to assist in soft-tissue definition has greatly impacted and will continue to improve radiation therapy practice. The half-day RTi3 Post-Conference on “MRI Guided Radiation Therapy” will introduce participants to:  

Back to Basics – What is MRI?

  • Describe the physics of Magnetic Resonance Imaging
  • Understand the process of standard image acquisition
  • Discuss safety concerns with the use of MR

Interpreting MRI Images in Radiation Therapy

  • Explore the role of MR Imaging in the context of radiation therapy treatment planning
  • Examine and critique MR Imaging for key oncology sites 

Application of MR in Radiation Therapy Treatment

  • Understand the potential benefits of an integrated MRI and linear accelerator
  • Address practice challenges of the MRI Linac
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