S2888
RTT - RTT education, training, and advanced practice
ESTRO 2026
oncology visit and subsequent CT planning appointment.The session provided radiotherapy information and education on: Optimising bladder and bowel preparation, psychological support, support charities/services available. Pelvic health physiotherapy and dietetic information was also included.The primary endpoint was the reduction in radiotherapy planning CT rescan rates. Patient satisfaction with the prehab session was obtained via a standardised qualitative patient feedback questionnaire. Results: Between January 2023 and May 2025, 470 men attended for a prostate radiotherapy planning CT scan with 170 pre and 300 post the introduction of the prehab clinic.At least 1 additional planning CT scan was required in 48 (28%) and 70 (23%) of the men in the pre and post prehab clinic cohorts respectively. (figure 1)We therefore observed an absolute difference of 5% points, equating to an 18% relative reduction in rescan rates following the introduction of prehab. 97% of men reported feeling well prepared for their radiotherapy treatment after attending the prehab clinic. (see figure 2) Conclusion: A prehabilitation clinic for men due to attend for radical prostate radiotherapy is widely appreciated and shows an important reduction in the need for repeat planning scans.Ongoing data collection will assess the full impact on service capacity. Patient satisfaction with the prehabilitation clinic was excellent and the target 10% relative reduction in rescans was met.
Conclusion: Although minor differences in structure delineation can lead to notable dosimetric changes, automated hippocampal contours have been shown to be reliable and clinically acceptable with minimal/no manual intervention. This study highlights the sensitivity of dosimetric outcomes over geometric metrics. Keywords: hippocampus, auto contouring References: 1. Gondi, V., et al., Preservation of memory with conformal avoidance of the hippocampal neural stem- cell compartment during whole-brain radiotherapy for brain metastases (RTOG 0933): a phase II multi- institutional trial. J Clin Oncol, 2014. 32(34): p. 3810-6. Digital Poster 4283 Title: Measuring the impact of a Radiation Therapist-led multi-modal prehabilitation clinic for patients undergoing prostate radiotherapy Sarah Jane Flynn 1 , Denise Crone 1 , Ryan Newburn 1 , Katie Henry 1 , Thamra Ayton 2 1 Radiotherapy, BHSCT, Belfast, United Kingdom. 2 Physiotherapy, BHSCT, Belfast, United Kingdom Purpose/Objective: Reproducible bowel and bladder preparation for prostate cancer radiotherapy planning and treatment is essential, helping to optimise treatment accuracy, reduce side effects by safeguarding adjacent organs and enhance long-term outcomes. Poor bowel and/or bladder preparation may require repeat planning CT scans and additional cone beam CTs on-set thereby impacting scanner/linac capacity, delaying treatment planning and contributing addition radiation dose to the patient. Some patients find this physically and emotionally challenging. We wished to assess the impact of a patient-centred prehabilitation clinic on the rate of repeat planning scans and the patient satisfaction with a multi-modal prehabilitation clinic. Material/Methods: A retrospectively review of prostate rescan rates was performed between January 2023 to May 2025.All men having radical prostate radiotherapy from March 2024 were invited to a therapy radiographer led 2hour peer group session, scheduled to occur between the initial
Keywords: prostate, prehab
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