Methods and Techniques in Radiotherapy I

Teaching Methodologies

In this Curricular Unit (CU) content related to the techniques of external radiotherapy and brachytherapy treatment available in aradiotherapy service will be taught.
The use of the expositive-active method, with direct intervention by the students, with the use of multimedia content as aids tothe exhibition. Student participation will be encouraged in order to understand the contents taught.
The theoretical-practical aspect will appeal to reasoning regarding the contents of the CU, in this sense, a critical analysis ofcases will be made, in addition to the simulation in class of clinical problems / examples that aim to awaken technical-professional awareness.
In the periodic evaluation, two written tests will be carried out using open, closed and multiple choice questions, discounting,37.5% each written test (with a minimum of 9.5 values each) and 25% for the continuous evaluation in the from classes to finalgrade (with a minimum grade of 10).

Learning Results

The student must acquire knowledge of:
􀀀Types of treatment;
􀀀External Radiotherapy and Brachytherapy techniques
skills:
􀀀Recognize the treatment techniques regarding their therapeutic indication;
􀀀Identify, choose and build means of positioning and immobilization
􀀀Describe quality control protocols in treatment;
􀀀Identify and recognize signs and symptoms associated with specific treatment effects;
􀀀Know the radiation sources used in each technique and their main applications and areas of action;
Competências
􀀀Apply and reproduce treatment techniques;
􀀀Use the appropriate means of positioning and immobilization;
􀀀Use treatment verification systems through the use of imaging systems;
􀀀Apply the concepts, to localize the tumor, planning, treatment, verification and surveillance of treatment;
􀀀Analyze and criticize the adequacy of equipment to different types of tumors taking into account immobilization, positioning;
􀀀Apply the concepts of radioprotection to the patient and professional.

Program

Theoretical classes:
􀀀 Evolution of Radiotherapy (1 hour);
􀀀 Radiotherapy modalities: EXTERNAL and BQRT (4 hours);
􀀀 Conformational External 3D-3DCRT Modulated Intensity -IMRT Guided Image -IGRT Stereotactic -SBRT (5 hours);
􀀀 Intracavitary and Endoluminal Brachytherapy Plasiotherapy Episcleral Brachytherapy (5 hours);
􀀀 Special RT techniques with Protons (4 hours);
􀀀 Heavy ion beam therapy (3 hours);
􀀀 Intraoperative radiotherapy (2 hours);
􀀀 Extracranial Stereotactic RT (2 hours);
􀀀 Internal organ mobility control (gating, active breathing control, diaphragm compression, bite blocks, markers and trackingsystem) (4 hours).
Theoretical / Practical classes:
􀀀 Planning CT (Lasers, tatoos, positioning accessories, immobilizations) (8 hours);
􀀀 Virtual Simulation (4 hours);
􀀀 Linear accelerators (image modalities for verification: image Portal / EPID; CBCT; Image protocols: Matching online / offline)(10 hours);
􀀀 3D Conformational RT (3-DCRT) (4 hours);
􀀀 After loading in BQRT (4 hours).

Internship(s)

NAO

Bibliography

MEALHA, J. Conceição – Física e tecnologia dos equipamentos de diagnóstico e de radioterapia. Lisboa: Universitária, 2000. 338p. ISBN 972-700-264-1
LIMA, J. J. Pedroso de – Biofísica médica. Coimbra: Imprensa da Universidade de Coimbra, cop. 2005. 855 p. ISBN 972-8704-56-9
EIRAS, Margarida; CUNHA, Gilda; TEIXEIRA, Nuno – Radioterapia: fundamentos e aplicações clínicas. Loures: Lusodidacta,2015. XVIII, 269 p. ISBN 978-989-8075-52-9
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