Gynecological Cancer

PV QA 4 - Poster Viewing Q&A 4

TU_17_3485 - Results of a Web-based Seminar for Indian Radiation Oncologists to Improve Quality of Cervical Cancer Brachytherapy

Tuesday, October 23
2:45 PM - 4:15 PM
Location: Innovation Hub, Exhibit Hall 3

Results of a Web-based Seminar for Indian Radiation Oncologists to Improve Quality of Cervical Cancer Brachytherapy
T. P. Robin1, U. M. Mahantshetty2, C. M. Fisher1, V. A. P. Reddy3, K. Bhattacharya3, S. Sastri (Chopra)2, A. N. Viswanathan IV4, P. H. Hardenbergh1,5, and S. Grover6; 1Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, 2Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, India, 3Department of Radiation Oncology, Apollo Cancer Hospital, Hyderabad, India, 4Johns Hopkins Hospital, Department of Radiation Oncology and Molecular Radiation Sciences, Baltimore, MD, 5Shaw Regional Cancer Center, Edwards, CO, 6Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA

Purpose/Objective(s): Cervical cancer is the second most common cancer among women in India. Brachytherapy is a key component of treatment for locally advanced cervical cancer, and three-dimensional image-guided brachytherapy (3D-IGBT) results in improved oncologic outcomes and less toxicity compared to 2D techniques. Nevertheless, implementation of 3D-IGBT varies widely throughout India. We utilized the Chartrounds web-based conferencing platform to host an educational seminar on 3D-IGBT for radiation oncologists throughout India, led by an Indian gynecologic brachytherapy expert. We surveyed participants to measure the impact of this initiative.

Materials/Methods: Chartrounds (www.chartrounds.com) is a free web-based virtual conferencing platform to connect radiation oncologists with leading disease-site experts. Chartrounds was founded in the US in 2010, and in 2017 Chartrounds India (ind.chartrounds.com) was launched. Two sessions titled “MR Guided Brachytherapy in Cervical Cancer” and “Alternatives to MR Imaging for Image Guided Brachytherapy in Cervical Cancer”, were held one week apart. The sessions were led by one of the authors (UM). Following the second session an anonymous survey was sent to each registered participant via email.

Results: Both sessions were completed in November 2017. 72 physicians participated in the first session and 56 in the second session. Thirty-five participants completed the post session survey (60% attended both sessions). The majority of survey respondents (71%) practice in private oncology centers. Nineteen respondents (19/35, 54%) reported treating over 50 cervical cancer patients annually. Eighteen respondents (18/35, 51%) reported that they currently utilize 2D techniques. Following the session, 15 of 18 (83%) participants currently using 2D techniques planned to implement 3D-IGBT; 6 of 15 (40%) planned to use CT because MRI is not available or too complicated to implement, 9 of 15 (60%) planned to utilize MRI. Seventeen respondents (17/35, 49%) currently utilize 3D-IGBT [4 of 17 (24%) already use MRI, 13 of 17 (76%) use CT]; following the session, 6 of 13 (46%) currently using CT planned to utilize MRI. 97% of respondents rated the sessions as high or very high quality. 94% and 97% agreed or strongly agreed that the time was used effectively and that the sessions were relevant to daily practice, respectively. 89% agreed or strongly agreed that the sessions will result in a change in their practice.

Conclusion: Uptake of 3D-IGBT has been limited in India. We conducted a free focused educational seminar on 3D-IGBT through the Chartrounds India platform. The overwhelming majority of participants reported they were planning to make a change in their practice as a result of this seminar and implement 3D-IGBT. Our experience suggests web-based seminars led by local experts can be one effective tool to improve brachytherapy quality in India.

Author Disclosure: T.P. Robin: None. U.M. Mahantshetty: None. C.M. Fisher: None. K. Bhattacharya: None. S. Sastri (Chopra): Research Grant; Varian. A.N. Viswanathan: None. P.H. Hardenbergh: Oral Board Examiner/ Written Board Question Review; American Board of Radiology. S. Grover: None.

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