ICRP Task Group 116 has prepared a report that describes the Radiological Protection Aspects of Imaging in Radiotherapy. The report is available for public consultation until 30 May 2025. This workshop addresses important points of the report through presentations by Task Group members. Attendees will have an opportunity to participate through a moderated Q&A session.
Participants who attend at least 50% of the workshop will receive a Certificate of Attendance via email within 48 hours of the event.
Dramatic improvements in delivery of patient radiation therapy enable radiation treatment fields to be conformed to any shape of tumour, a trend that began in the latter stages of the twentieth century. External beam radiotherapy linear accelerators (linacs) can potentially limit irradiation induced cell death to the tumour and spare surrounding normal tissue. However, this can only be achieved if the patient is in a position on the treatment couch that corresponds precisely to the treatment plan. This can often only be accomplished through imaging at many, if not all, of the fractions in which treatment is delivered. This process is often referred to as image guided radiation therapy (IGRT). Treatments are given to patients on the basis of clinically approved radiation distributions calculated on planning computers using computed tomography (CT) x-ray images. When the patient is set-up for treatment, further images, planar or cone-beam CT, are taken and compared to the planning images. The comparison ensures that differences in patient position, patient anatomy and tumour location between the planning images and those taken on the day of treatment, are clinically insignificant. Image guidance enables changes in patient anatomy to be monitored and modifications made to treatment plans daily. Imaging during treatment planning and delivery can also be used to account for motion, with the recording of multiple images through breathing or other motion cycles. However, increased x-ray imaging exposes patients to radiation doses that carry a risk of inducing second primary cancers in tissues surrounding the target volume. This is important because of improvement in long term patient survival with the success of modern therapies and is crucial for paediatric patients. Therefore, reductions in treatment margins and alignment errors that can be realised from IGRT need to be balanced against detriments from higher doses from more frequent imaging. Less effort has been put into optimisation of imaging doses in radiotherapy as they are much lower than those from therapeutic radiation, but imaging irradiates more normal tissues than the treatment beams and the frequency of scanning is much higher than in diagnostic radiology. This report considers all aspects of optimisation for imaging, starting with options available for both planning and delivery, including alternatives using non-ionising radiations, and the frequency with which imaging is carried out during treatment. The optimisation of radiological protection requires teams comprising radiation oncologists, therapy radiographers / radiation technologists and medical physicists and vendors to work together on improving imaging protocols. Consulting colleagues from Diagnostic Radiology departments can be beneficial for reducing dose and improving image quality. Considerable progress has been made in optimisation of radiological protection for diagnostic imaging, based on surveys of patient doses, but few radiotherapy centres record imaging doses. The awareness of imaging doses needs to be raised, and improvements made in the display of the dose quantities on imaging equipment in radiotherapy to allow calibration and assessment to be performed more readily. Recommendations are included for users, managers, equipment vendors, professional bodies and regulators to facilitate improvements in the application and optimisation of imaging in radiotherapy.
12:00
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Imaging Practices in RadiotherapyColin Martin (ICRP & University of Glasgow, UK) |
12:10
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Doses from Imaging Procedures in Radiation TherapyJenia Vassileva (IAEA, Austria) |
12:20
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Application of Justification and Optimisation Principles to Imaging in RadiotherapyWilliam Small Jr. (ICRP, USA) |
12:30
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Dose Audits and Dose Reference Levels in Radiotherapy Imaging: The UK ExperienceTim Wood (ICRP & Hull University Teaching Hospitals, UK) |
12:50
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Experiences in Optimisation of Radiological Protection for Imaging in RadiotherapySebastien Gros (ICRP & Loyola University Medical Center, USA) |
13:10
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Tackling Imaging for Paediatric RadiotherapyThomas Merchant (ICRP, USA) |
13:20
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Getting It Right: Errors Resulting from ImagingAurelie Isambert (ICRP & ASNR, France) |
13:30
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Potential Impact of RecommendationsTomas Kron (ICRP & Peter MacCallum Cancer Centre, Australia) |
13:40
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Panel Discussion and Q&APanellists: Colin Martin, William Small Jr., Daniel Berger, Sebastien Gros, Auriele Isamert, Stine Korreman, Tomas Kron, Chooksik Lee, Thomas Merchant, N.M. Ung, Jenia Vassileva, Tim Wood |
Time
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Day 1: Empowering the Next Generation of Radiological Protection Professionals |
Moderator: Ämilie Degenhardt (BfS, Germany) |
12:00 - 12:15 |
Welcome and Introduction to ICRPKelsey Cloutier (ICRP, Canada) |
12:15 - 13:15 |
The Diverse World of Radiological Protection CareersBeyond the Lab: Creating Communities and Opportunities in Early Career ScienceÄmilie Degenhardt (BfS, Germany) From Myanmar to Japan: A Researcher’s Journey in Radiation Protection and BeyondWin Thu Zar (Nagasaki University, Japan) There is Still Much to be Done - Opportunities for Personal Development and a Career in Radiological Protection From a Personal PerspectivePiotr Pankowski (University of Lodz, Poland) Softening the Science: Laying Foundational Knowledge of Radiation Protection Principles for Future GenerationsHafsa Essop (University of Pretoria, South Africa) My Experience as an ICRP MenteeDavid Sibenaler (ARPANSA, Australia) Toward the Development of Future Radiation Protection Field Through Activities of IRPA Young Generation NetworkTakahiko Kono (NRA Japan & IRPA YGN Leadership Committee, Japan) |
13:15 - 13:45 |
Navigating Career Pathways and Building a Future in Radiological Protection
Exploring RP Career Options in Academia, Industry, and GovernmentNicole Martinez (Clemson University, USA) Education of Radiation Professionals for the FutureTomas Kron (Peter MacCallum Cancer Centre, Australia) The ICRP Mentorship Programme and Other OpportunitiesSimon Bouffler (UK Health Security Agency, UK) |
13:45 - 14:30 |
Panel Discussion & Q&A: Advice for the Next Generation |
Time
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Day 2: Collaborating for the Future, an Organizational Approaches to Strengthening Radiological Protection |
Moderator: Lorenzo Mazzoni (AUSL Toscana Centro & EFOMP, Italy) |
12:00 - 12:15 |
Opening Remarks: Why a Unified Effort is EssentialLorenzo Nicola Mazzoni (AUSL Toscana Centro & EFOMP, Italy) |
12:15 - 12:55 |
Organizational Initiatives: What's Being Done Today
Attracting, Educating, Developing and Maintaining the Next Generation of RP ProfessionalsJosep Zic (McMaster University, Canada) IAEA Initiatives for Supporting the Growth of the Radiological Protection WorkforceJasminka Joksic (IAEA, Austria) The Future of Radiation Protection in Germany, Europe, and BeyondAchim Neuhäuser (BfS, Germany) China’s Good Practice in Getting Young People Involved Into RP RolesHua Li (CIRP & CSRP, China) EUTERP - The European Foundation for Training & Education in RPHielke Freerk Boersma (University of Groningen & EUTERP, Netherlands) |
12:55 - 13:25 |
What Needs to Change: Creating a Sustainable Talent PipelineDeveloping the RP Workforce of the FuturePete Bryant (WNTI & University of Liverpool, UK) Aspiring to InspireJulie Burtt (CNSC, Canada) |
13:25 - 14:30 |
Panel Discussion & Q&A: How Organizations Can Lead the Charge |
14:30 |
Closing Remarks |
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Kelsey CloutierICRP Head of Stakeholder Engagement and Communications, CanadaKelsey Cloutier has worked in stakeholder engagement and communications for over 10 years, bringing a collaborative, people-focused approach to everything he does. Since joining the International Commission on Radiological Protection (ICRP) in 2016, he has taken on a wide range of responsibilities, including fundraising, event planning, communications, and general organisational support. A true jack-of-all-trades, he is passionate about building global partnerships that empower the radiological protection community. While not a technical expert, he is a dedicated supporter of the field, committed to helping the incredible people who make up the RP world thrive and succeed. |
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Ämilie DegenhardtICRP Task Group 121 Mentee & BfS, GermanyÄmilie Degenhardt is currently a postdoctoral fellow at the German Federal Office for Radiation Protection (Bundesamt für Strahlenschutz, BfS) and a Mentee of Task Group 121. She is passionate about connecting early career scientists and making sure Capitu, her dog, gets enough belly rubs. |
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Win Thu ZarPhD Student in Advanced Preventive Medical Sciences, Nagasaki University, JapanWin Thu Zar is bridging the gap between science and society, connecting cultures, and learning from real-world experiences — whether in the lab, the field, or through conversations that spark new ideas. |
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