S2818
RTT - RTT education, training, and advanced practice
ESTRO 2026
quantify the frequency of follow-up consultations. Material/Methods: A prospective, single-center study was conducted between January and April 2024. Thirty consecutive patients receiving palliative RT for painful bone metastases were included, regardless of primary tumor type. All patients were treated using non- stereotactic RT protocols. Irradiated sites were categorized into three anatomical groups: upper limbs, lower limbs, and axial skeleton. Fractionation schedules included 30 Gy in 10 fractions, 20 Gy in 5 fractions, 8 Gy in 1 fraction, and other regimens. Follow-up consultations were assessed at five timepoints: during RT, on the last day of treatment, and at one, two, and three months post-treatment. Data analysis was descriptive. Results: The median age was 70 years (range: 40–100), and 18 patients (60%) were female. RT was delivered to the axial skeleton in 18 patients (60%), lower limbs in 7 patients (23.3%), and upper limbs in 5 patients (16.7%). Fractionation protocols included 30 Gy in 10 fractions (n = 14, 46.7%), 20 Gy in 5 fractions (n = 9, 30%), 8 Gy in 1 fraction (n = 5, 16.7%), and other regimens (n = 2, 6.7%). Only 3 patients (10%) had a medical consultation during RT. Post-treatment consultations were recorded in 2 patients (6.7%) on the last day of RT, 7 patients (23.3%) at one month, 5 patients (16.7%) at two months, and 1 patient (3.3%) at three months. No follow-up consultation within the department was documented for 15 patients (50%). Conclusion: This prospective evaluation highlights a limited number of medical consultations during and after palliative RT for bone metastases. These findings support the need to define structured follow-up pathways in this setting. The integration of radiation therapists in advanced practice roles, particularly for symptom assessment and follow-up coordination, could contribute to improving continuity of care and patient monitoring. Keywords: radiotherapy, advanced practice, bone metastasis Maintaining the Human Connection: Generative AI Dialogue Simulations for RTT Communication Skills Training Ingrid T. Kuijper 1 , Jelle S. Scheurleer 2 , Marieke Dijkman 1 , Harmen Bijwaard 2 1 Education of Medical Imaging and Radiation Oncology, Inholland University of Applied Sciences, Haarlem, Netherlands. 2 Medical Technology Research Group, Inholland University of Applied Sciences, Haarlem, Netherlands Proffered Paper 1290
A decision support tool was developed, using physician defined patient-specific focus organs for plan guidance (Figure 2).A total of 30 RTT-only fractions were evaluated: 15 consensus cases and 15 non-consensus cases. Overall concordance between RTT and physician plan selection was 90% (27/30). For consensus cases the concordance was 100% (15/15) for non-consensus cases concordance was 80% (12/15). Conclusion: An RTT-only oART workflow for HNC can be successfully implemented, enabling safe treatment delivery while achieving high (90%) concordance to physician-selected plans. This approach has the potential to reduce the resource burden and improve
workflow efficiency in clinical practice. Keywords: Adaption, HNC, workflow
Digital Poster 1123 Patient follow-up during and after palliative radiation therapy for painful bone metastases: a prospective monocentric evaluation Jérôme Cuadras 1 , Nicolas Leduc 2 , Simon Corbin 3 , Jeanne Billard 1 , Magalie Mollet 1 , Mauro Rodrigues 1 , Philippe Guilbert 1 , Guillaume Louvel 3 , Arnaud Beddok 1 1 Radiation Oncology, Institut Godinot, Reims, France. 2 Radiation Oncology, Centre Catalan d’Oncologie, Perpignan, France. 3 Radiation Oncology, Institut Gustave Roussy, Villejuif, France Purpose/Objective: Radiation therapy (RT) is a well-established treatment for the relief of pain related to bone metastases. However, the organization of follow-up consultations during and after palliative RT remains insufficiently documented. The objective of this study was to describe the characteristics of patients treated with palliative RT for painful bone metastases and to
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