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Page 1: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

RAMPS 2012

Page 2: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

OFFICERS we are here to serve the membership

• Past President: Jenghwa Chang• President: Albert Sabbas• President Elect: Michael Lovelock• Treasurer: Robert Barish• Secretary: Jussi Sillanpaa• AAPM Chapter Representative: Eugene Lief• Member-at-Large: Vishruta Dumane• Member-at-Large: Laura Happersett

Page 3: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

Issues to press on

• RAPHEX: a source of important revenue.• Communication with regulators. Help us

professionally by us being more informed with the ever-changing regulatory environment.

• Codify and standardize rules. No need for each new board to “re-invent the wheel”.

• Press on with some of Jenghwa’s initiatives.

Page 4: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

RAPHEX• Howard Amols is the new Chief Editor.• In search for Diagnostic Editor.• Challenge with preparing the Diagnostic Physics exam to

better prepare radiology residents for the “EOF”. • Would like to setup monthly meetings between the

editorial staff of Raphex and the RAMPS board, outside our scheduled board/seminar meetings. – The editoral staff will inform the board on the progress and

potential problems.– The board will offer their help in resolving issues and, if

necessary, rally the RAMPS membership to contribute and edit new questions .

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Petrone-Astarita Initiative• “This is a request to the RAMPS board to form a committee

whose purpose is to establish and implement a mechanism to communicate with the NY City Department of Health’s Office of Radiological Health. The committee would meet on a regular basis with the ORH and report the results to the RAMPS board. Issues to discuss would include all pertinent to the practice of medical physics in an environment that is regulated by ORH. These include but are not limited to regulatory, administrative, enforcement, technical standards, educational, etc. The committee should consist of representatives from each subspecialty of medical physics(i.e. diagnostic, oncology, nuclear, health physics).”

• The majority of the RAMPS membership has frequent and direct contact with the city regulators and is directly impacted by changes in the regulatory environment.

• It should be very beneficial for RAMPS to re-establish communication with ORH, inform the membership about upcoming changes in the “Bureau” and let our views known to the regulators as well.

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Communication with other AAPM Chapters – Standardizing Processes

• Recent email by Martin Fraser NEAAPM to codify and standardize operating procedures.

• Present and future board will benefit with written and standardized rules and procedures, in addition to the Bylaws, that govern more mundane questions such as structure and venue of meetings, speaker reimbursement, payment of dues, attendance to meetings and new membership requirements.

• Joint seminars with neighboring chapters (NJ, CT).

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Jenghwa’s initiatives

• Get more young members involved in the process. Delegate specific tasks to them. More staff to be done by more people.

• Rely on AAPM electronic services for posting meetings and other announcements, informing membership, collecting dues etc.

• Streamlining CAMPEP process: registering for and releasing of credits; no need for paper form distributed during meetings.

• Pre-paying for meetings as a way to register (PayPal). More exact estimate of attendance needed to budget out meetings. More efficient collection of meeting registration fees.

Page 8: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

RAMPS 2/28/2012 Scientific Seminar

“Radiochromic Film and the Multi-Channel Dosimetry Method”

by David F Lewis, Ph.D. and Andre Micke, Ph.D

Ashland Incorporated (ex-ISP)

Page 9: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

OFFICERS we are here to serve the membership

• Past President: Jenghwa Chang• President: Albert Sabbas• President Elect: Michael Lovelock• Treasurer: Robert Barish• Secretary: Jussi Sillanpaa• AAPM Chapter Representative: Eugene Lief• Member-at-Large: Vishruta Dumane• Member-at-Large: Laura Happersett

Page 10: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

History Committee

• Headed by Larry Rothenberg.• Poster outlining RAMPS activities and

other historical facts to be presented at the annual 2012 AAPM meeting in Charlotte, NC, 7/29-8/2.

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RAPHEX

• Howard Amols is the new Chief Editor.

• Deadline is fast-approaching for submitting exam to Medical Physics Publishing.

• Help needed to prepare and edit Therapy and Diagnostics questions.

Page 12: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

RAMPS-ORH Committee

• Headed by Thomas Petrone, Ph.D.

• Medical Physics Community input in the new regulations. (Particle Therapy, Fluoroscopy CBCT).

• Expeditious update of regulations to conform to those of NRC.

• New enforcement practices followed by regulators.

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YIS 2012

• Date set for 3/27/2012• Nine abstracts accepted for presentation.• Duration of session: 1.5 hour.• 10 minutes per presentation.• Judges needed on the day of the

symposium.

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Spring Symposium

• Date set for Friday afternoon 4/27/2012.• Topic: “State of the Art SBRT”.• Organized by Michael Lovelock.• Vendor interest to participate in the

meeting.

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Nominations for New Officers for RAMPS 2013

• President Elect.• Member-at-Large.• Secretary• Treasurer

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RAMPS 3/27/2012 Scientific Seminar

YIS 2012

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YIS 2012

• Nine abstracts accepted for presentation.• Duration of session: 1.5 hour.• 10 minutes per presentation.

– 8 minutes for the talk.– 2 minutes for Q&A.

• Seven judges:– H. Amols, R. Bassalow, L. Nedialkova,

R. Sheu, S. Bull, L, Happersett, E. Lief

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SPEAKERS

1. B. Biritz: “Treatment Planning with Eye Plaques”.2. O. Dzyubak: “Comparative evaluation of respiratory motion-corrected

CBCT images derived from Tx-day vs. SIM-day respiration-correlated CT.”3. L. Fanchon: “Treatment room activation after 15 MV single Fx Tx delivered

using a Varian True Beam linac.”4. R. Kincaid: “Investigation of gated CBCT to reduce respiratory motion

blurring.”5. R. Regmi: “Tracking implanted fiducials using kV projection images: A

feasibility study.”6. Z. Saleh: “ A novel method for evaluating Organ Sub-Volume sensitivity to

Irradiation by deforming 3D Dose Distributions of a patient cohort onto an arbitrarily-selected Reference Patient.”

7. M. Yan: “ Measuring uncertainty in dose delivered to the cochlea due to setup error during EBRT of patients with H&N cancer.”

8. P. Yan: “ US-based Diaphragm tracking mitigates respiratory phase variance by external Surrogate-based respiratory gating system.”

9. L. Zhou: “ Fast iterative CBCT reconstructin on GPGPU using OpenCL.”

Page 19: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

The RAMPS/VACIRCA Young Investigators Symposium

March 27, 2012 Speaker Originality Usefulness to

clinical medical physics

Merit of the scientific approach

Clarity of the presentation

Finished within the

allotted time

Quality of the audio-visual

aids

Ability to answer

questions

TOTAL

Bertrand Biritz

Oleksandr Dzyubak

Louise Fanchon

Russell Kincaid

Rajesh Regmi

Ziad Saleh

Ming Yan

Ping Yan

Lili Zhou

Score each category from 0-10 where 10 is outstanding A perfect score would be 70 Signature of judge _________________

Page 20: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

History Committee

• Headed by Larry Rothenberg.• Poster outlining RAMPS activities and other

historical facts to be presented at the annual 2012 AAPM meeting in Charlotte, NC, 7/29-8/2.

• Many thanks to L. Rothenberg, Z. Saleh, J. Sillanpaa, J. St. Germain, C. Marshall, D. Fontenla, Y. Pipman and G. Mageras for contributing to it.

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RAPHEX

• Howard Amols is the Chief Editor.

• Deadline is fast-approaching for submitting exam to Medical Physics Publishing.

• Help needed to prepare and edit Therapy and Diagnostics questions.

Page 23: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

RAMPS-ORH Committee

• Headed by Thomas Petrone, Ph.D.

• Medical Physics Community input in the new regulations. (Particle Therapy, Fluoroscopy CBCT).

• Expeditious update of regulations to conform to those of NRC.

• New enforcement practices followed by regulators.

Page 24: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue
Page 25: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

Spring Symposium

• Date set for Friday afternoon 4/27/2012.• Topic: “State of the Art SBRT”.• Organized by Michael Lovelock.• Vendor interest to participate in the

meeting.

Page 26: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

RAMPS upcoming meeting

• Date: 5/15/2012.• Speaker: Dr. Basil Hilaris.• Topic: “ Past, Present and Future of

Brachytherapy.”

Page 27: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

Accepting nominations for New Officers for RAMPS 2013

deadline: end of May

• President Elect.• Member-at-Large.• Secretary• Treasurer

Page 28: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

Many thanks to Jussi Sillanpaa for his dedicated service to RAMPS. Jussi is

resigning his position as Secretary of RAMPS to accept a position in California.

Good Luck Jussi.

Sandra Fontenla has gracefully volunteered to finish Jussi’s term.

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Accepting nominations for New  Officers for RAMPS 2013

deadline: end of May

• President Elect.• Member‐at‐Large. (one nomination in place)• Secretary.• Treasurer. (one nomination in place)

Please come and work for RAMPS, we are nice folks!

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RAMPS upcoming meeting

• Date: 5/15/2012.• Speaker: Dr. Basil Hilaris.• Topic: “ Evolution of Brachytherapy: Past and 

Present.”

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RAMPS 4/27/2012 Annual Spring Symposium

“SBRT: The State of the Art”

organized by our President‐Elect Michael Lovelock

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1:10‐1:50

New Paradigms of SBRT ResponseJosh Yamada, MD, Memorial Sloan‐Kettering Cancer Center, New York, NY

1:50‐2:30 

Animals vs

Humans: A Comparison of Spinal Cord Tolerance 

to SBRT

Paul Medin, Ph.D.  UT Southwestern, Dallas TX

2:30‐3:10

SBRT Lung at  M.D. Anderson Cancer Center Peter Balter, Ph.D., MD Anderson Cancer Center, Houston, TX

3:10‐3:50

SBRT ProstateMatthew Witten, Ph.D., Winthrop University Hospital, Mineola, NY

3:50‐4:10

Coffee Break

4:10‐4:40

SBRT LiverMichael Lovelock, Ph.D., Memorial Sloan‐Kettering Cancer Center, New York, NY

4:40‐5:20

Quality Assurance Considerations for SBRTFang‐Fang Yin, Ph.D., Duke University Medical Center, Durham, NC.

5:20‐6:00

Panel Discussion: QA, Physics Responsibilities, Patient specific

QA, 

TG142 Challenges.

Panel.

Page 34: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

We appreciate the presence and support from the following 

vendors:

• Philips• Civco• Velocity Medical• Vision RT• Accuray• IBA• PTW• Elekta• Varian

Page 35: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

Philips in Radiation Oncology

CT BB

MR PET/CT BB

Page 36: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

• Robust product line including products to  accommodate FULL needs of any radiotherapy clinic

– Positioning Consumables• Thermoplastics

• Vac‐Lok

Cushions

• Redi‐Foam, AccuForm

Cushions 

• Skin and Anatomical markers

• And more…

– Positioning Hardware• Body Pro‐Lok

for SBRT

• Breastboards

• Bellyboards

• Headrests

• Type‐S overlays and extensions

• And more…

CIVCO - Integrated Immobilization

Page 37: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

• Accuracy– Virtual pivot point matched to 

isocenter

– Sub‐millimeter precision on the 

most advanced robotic system

– 0.1 mm; 0.1°

resolution

• Integration – Integrates to available IGRT 

systems 

– Only validated 6‐DOF robotic 

couchtop

for Varian 21EX, iX

Trilogy

• Efficiency– No need for external vision system 

to align the patient

– Remote positioning at console

– Direct integrated interfaces

Integrated Alignment: Protura 6DOF Robotic Patient Positioning System

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• Multimodality deformable image  registration

• Adaptive RT Toolkit • Multimodality dose summation

• Oncology PACS• Response Assessment

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Vision RT

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Accuray:  Our TechnologiesCyberKnife®

•Gold standard for Full-Body Radiosurgery•Unique image-guided robotic system stays on target when tumor or patient moves•Unsurpassed accuracy and 3- dimensional treatment delivery

TomoTherapy®

•Daily CT guidance capabilities•Unique helical delivery of IMRT•Highly conformal dose distributions for simple & complex targets•Enhanced platform versatility with TomoDirect™, TomoHD™ & TomoMobile™

Accuray Confidential

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Radiation Therapy

Relative and Absolute Dosimetry

Plan Delivery

Machine QA, in‐Vivo, PT 

Physics &Commissioning Service

IBA DosimetryProduct Groups 

VISICOIL

Fiducial markers for IGRT and SBRT

Prostate, Lung, Liver, Breast …

Medical Imaging

Quality Assurance and imaging dose safety for patients

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Relative Dosimetry

Blue Phantom 2

Blue Phantom 2 Helix

RFA‐200

Patient Plan QA

Compass

Matrixx

Evolution

Diagnostics Medical Dosimetry

MagicMaX

Universal

Primus L

ETR‐1

IBA ProductsProduct Groups 

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PTW

Page 44: RAMPS 2012 - American Association of Physicists in Medicinechapter.aapm.org/ramps/documents/Presentations_by_Albert... · 2012-12-20 · • RAPHEX: a source of important revenue

Per AAPM TG101 (2010):

“The major feature that separates SBRT from conventional radiation 

treatment is the delivery of large doses in a few fractions, which results in

a high biological effective dose BED.  In order to minimizethe normal tissue toxicity, conformation of high doses to thetarget and rapid fall‐off doses away from the target is critical.The practice of SBRT therefore requires a high level of confidencein the accuracy of the entire treatment delivery process.

In SBRT, confidence in this accuracy is accomplishedby the integration of modern imaging, simulation, treatmentplanning, and delivery technologies into all phases of thetreatment process; from treatment simulation and planning,and continuing throughout beam delivery.”

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Why StereotacticBRT?

– Because in the PAST:

• Use was made of  a Stereotactic

Body Frame which acted as a  

reference system  external to the patient’s body , which when 

imaged with the patient in place, made it possible for the 

three stereotactic

coordinates of the  target to be precisely 

calculated.

• The SBF then acted as an effective immobilization device, as 

well as a stereotactic

localizer and setup/targeting frame.

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VERT

AP

LAT

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• Image guidance has rendered the use of Stereotactic

Frames 

obsolete.

• A good immobilization is used that is indexed reproducibly to 

the linac’s

couch in conjunction with integrated  imaging 

before, during and after the treatment delivery.

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Accepting nominations for New Officers  for RAMPS 2013

Election results to AAPM headquarters  before the Annual Meeting (end of July)

• President Elect.• Member‐at‐Large. (one nomination in place)• Secretary.• Treasurer. (one nomination in place)

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RAMPS/ORH Committee “Maintain a meaningful dialogue between 

regulators and the Physics community”

• Last meeting held at the NYC‐DOH Bureau on April 25th, 

2012.• Presenter: Dr. Steve Balter.• Topic: NCRP 168‐

Radiation Dose Management for 

Fluoroscopically Guided Interventional Medical Procedures.• Aspects of the report covered:

– An insight into the Federal VA standards under 

development which will become a national standard.– Equipment standards.– The development of skin dose mapping.– Trigger levels for reporting & recording.– Significant Radiation Dose Levels (SRDL ‐3Gy).– Training recommendations.        

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Positive feedback from Assistant  Commissioner

Christopher Boyd

“The issues raised at our April 25th meeting were echoed 

repeatedly at the Conference of Radiation Program Control 

Director’s annual meeting this past May by accrediting 

organizations, medical physicists and regulators from multiple 

states. I encourage RAMPS to continue to discuss the issues 

raised at the April 25th meeting with its broader membership. 

There appears to be a clear need for leadership on how to 

achieve best practices.”

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YOUNG INVESTIGATORS SYMPOSIUM 3/27/2012 – 9 presenters

• First Place: Ziad

Saleh.– A Novel Method for Evaluating Organ Sub‐Volume 

Sensitivity to Irradiation by Deforming 3D Dose 

Distributions of a Patient Cohort onto an Arbitrarily‐

Selected “Reference Patient”.

• Second Place: Russell Kincaid.– Investigation of gated cone‐beam CT to reduce respiratory 

motion blurring.

• Third Place: Lili

Zhou.– Fast Iterative Cone Beam CT Reconstruction on GPGPU 

using OpenCL.

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RAMPS 4/27/2012 Annual Spring Symposium SBRT: The State of the Art”

Attendance Statistics

• 70 individual paid attendees.• About twelve student attendees.• Eight participating companies.• So, a total attendance of close to 100!• We grossed about $8,400 after the PayPal

fees came 

off.• As per our treasurer, Rob Barish: “for the first time, I 

think we came out ahead on money, in no small part due to 

the corporate support.”

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Upcoming RAMPS presentation• WHEN: Tuesday, September 11th, 2012 at 6:00 pm.

• TOPIC: “IGRT applications using Optical Surface  Imaging”.

– By Dr. Guang

(George) Li.

The John Laughlin Annual Memorial Lecture will  be delivered by Jim Purdy on 5/21/2012

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Gafchromic

Workshop by  Ashland (ISP)

• A follow‐up of the RAMPS talks by Drs. David  Lewis and Andre Micke

on 2/28/2012.

• Dosimetry

for the medical physicist using  radiochromic

film and triple channnel

dosimetry

protocol.

• Kenilworth  Inn, Kenilworth, NJ• Tuesday June 19th, 2012 from 4:00 to 8:30 pm

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IAEA  International Conference on Radiation 

Protection in Medicine• Date: 3‐7 December 2012• Location: Bonn, Germany (former German 

Bundestag)• No registration fee.• Deadline for submission of papers: June 30, 2012• http://www‐

pub.iaea.org/iaeameetings/41578/International‐ Conference‐on‐Radiation‐Protection‐in‐Medicine‐ Setting‐the‐Scene‐for‐the‐Next‐Decade

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AAPM DUES INCREASE PROPOSALDues Voting Process– May 9, 2012 – Voting Members receive notification of 

proposed dues increase – comments solicited and 

forwarded to Secretary – August 1, 2012 ‐

Secretary presents the proposal at the 

Annual Business Meeting and reports on the comments 

received. Open discussion is encouraged.– August 22, 2012 – The electronic voting system opens for 

all Voting Members– September 19 – Deadline for submission of votes

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“Evolution of Brachytherapy: Past and Present”SPEAKER: 

Dr. Basil Hilaris, M.D.Professor Emeritus 

New York Medical College

Educational Objectives: 

Review the evolution of Brachytherapy

as a radiation treatment 

modality. Review the medical and technical aspects of LDR and HDR implants.Review more recent developments in Brachytherapy, including HDR 

partial breast irradiation and the use of miniaturized soft X‐ray 

sources.

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CONGRATULATIONS TO THE NEWLY‐ ELECTED RAMPS OFFICERS!

• Gil Cohen of MSKCC –

President Elect• Sandra Fontenla of MSKCC ‐‐

Treasurer

• Licheng Kuo of MSKCC ‐‐

Secretary.• Lucy Nedialkova of NYP –Board Member‐at‐

Large

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RAMPS would like to thank our departing  treasurer :

Dr.  Rob BarishFor his LONG and EXCEPTIONAL service to our 

organization. Rob has worked tirelessly for as  long as we all remember and used his skills 

and know‐how on financial matters to keep  RAMPS finances sound. 

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RAPHEX Congratulations to Howard Amols, William O’

Connell, 

Cheng‐Shie Wuu and their team for a job well done!

• Both Therapy and Diagnostic 2012 RAPHEX have  been completed and submitted to Medical Physics 

Publishing.

• Over 250 residents have taken the proctored  therapy exam.

• Total sale for both exams is over 600 copies.

• Copies available to RAMPS members in good  standing in this meeting who have emailed Howard 

Amols before hand. 

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RAMPS/ORH Committee “Maintain a meaningful dialogue between 

regulators and the Physics community” Members:  S. Wagner, G. Miskin, C. Boyd, J. Kamen, H. Ching, V. Parisi, J. 

Burgos, T. Petrone, K. Strining

• Last meeting held at the NYC‐DOH Bureau on June 27th, 

2012.• Topics discussed:

– Protons in NYC –

amendment of Article 175.– Compatibility of NYC and NRC regulations.– Fluoroscopic Safety. (NCRP 168, ICRP 113)– Cone Beam CT QA programs based on manufacturers guidelines.– Revision of Part 16 (NYS) –CT focus.– Broad X‐Ray Permit.

• ORH will monitor compliance on two circulated documents 

on Testing Lead Aprons and AEC Phototimers.   

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Upcoming RAMPS meeting• WHEN: Tuesday, October 9th, 2012 at 6:00 pm.

• Annual Business Meeting. 

• AAPM state of affairs by John Hazle, AAPM  President‐Elect.

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Future RAMPS meetings

• 11/6/2012: “Clinical and pre‐clinical  applications of functional MRI”

by Dr. 

Henning Voss.

• 12/11/2012: “Appropriate radiation level for  evacuations”

by Dr. Jerry Cuttler.

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IAEA  International Conference on Radiation 

Protection in Medicine• Date: 3‐7 December 2012• Location: Bonn, Germany (former German 

Bundestag)• No registration fee.• Deadline for submission of papers: June 30, 2012• http://www‐

pub.iaea.org/iaeameetings/41578/International‐ Conference‐on‐Radiation‐Protection‐in‐Medicine‐ Setting‐the‐Scene‐for‐the‐Next‐Decade

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AAPM DUES INCREASE STATUSDues Voting Process– May 9, 2012 – Voting Members receive notification of 

proposed dues increase – comments solicited and 

forwarded to Secretary – August 1, 2012 ‐

Secretary presents the proposal at the 

Annual Business Meeting and reports on the comments 

received. Open discussion is encouraged.– August 22, 2012 – The electronic voting system opens for 

all Voting Members– September 19 – Deadline for submission of votes

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“IGRT Applications using Optical Surface  Imaging”

SPEAKER: Guang

(George) Li, Ph.D.

Assistant Attending PhysicistDepartment of Medical PhysicsMemorial Sloan‐Kettering Cancer Center

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RAPHEX

• Total sale for both exams is over 600 copies.

• As per Bobbett

Shaub, GM Medical Physics  Publishing, as of 9/14/12 we have surpassed last 

year sales on the exams by 10%.

• Possible lag between MPP sales and RAMPS  income.

• RAPHEX Therapy committee is already at work on  the 2013 exam and is asking for new questions 

from the RAMPS membership.

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RAMPS/ORH Committee “Maintain a meaningful dialogue between 

regulators and the Physics community” Members:  S. Wagner, G. Miskin, C. Boyd, J. Kamen, H. Ching, V. Parisi, J. 

Burgos, T. Petrone, K. Strining

• New meeting scheduled on 10/10/2012.

• Two ORH guidance documents on Testing  Lead Aprons and AEC Phototimers

have been 

posted on the RAMPS website and RAMPS  membership was invited to offer comments. 

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Future RAMPS meetings

• 11/7/2012: “Clinical and pre‐clinical  applications of functional MRI”

by Dr. 

Henning Voss.

• 12/11/2012: “Appropriate radiation level for  evacuations”

by Dr. Jerry Cuttler.

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IAEA  International Conference on Radiation 

Protection in Medicine• Date: 3‐7 December 2012• Location: Bonn, Germany (former German 

Bundestag)• No registration fee.• Deadline for submission of papers: June 30, 2012• http://www‐

pub.iaea.org/iaeameetings/41578/International‐ Conference‐on‐Radiation‐Protection‐in‐Medicine‐ Setting‐the‐Scene‐for‐the‐Next‐Decade

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“Current Issues and Future Directions of the  AAPM”

byJohn Hazle, Ph.D., AAPM President Elect

Professor and Chairman, The University of Texas Graduate 

School of Biomedical  Sciences, Houston, TX, USA

Educational Objectives:

Describe the AAPM strategic initiatives that are underway; 

describe future directions of AAPM; offer suggestions for chapter activities to 

support the initiatives. 

Following the presentation those of us who have preregistered

with PayPal

(24 registrants) will meet for dinner at Café

Greco, Second Avenue between 

71+72 Street.

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RAPHEX• RAPHEX Therapy committee is already at work on the 2013 

exam and is asking for new questions from the RAMPS 

membership.

• Medical Physics Publishing is in the process of preparing an 

Index for both diagnostic and therapy exams for the period 

2009‐2012.

• Contract between MPP and RAMPS for the 2013 exam to be 

finalized soon.

• In 2013 a proctored exam in both therapy and diagnostic will 

be given.

– As per ABR website, therapy exam to be held 7/11‐12/2013 

and diagnostic exam to be held 9/9‐10/2013.

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RAMPS/ORH Committee “Maintain a meaningful dialogue between 

regulators and the Physics community” Members:  S. Wagner, G. Miskin, C. Boyd, J. Kamen, H. Ching, V. Parisi, J. 

Burgos, T. Petrone, K. Strining

• Last meeting held on   10/10/2012.

• Two ORH guidance documents on Testing  Lead Aprons and AEC Phototimers

have been 

posted on the RAMPS website and RAMPS  membership was invited to offer comments. 

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RAMPS/ORH Meeting  Minutes ‐

October 10, 2012

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RAMPS/ORH Meeting  Minutes ‐

October 10, 2012

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New Professional SubCommittee

(NPSC) of  the AAPM 

Justin Keener, Chair   

• Explore outreach initiatives for new members in  collaboration with the local chapters.

• More participation by young members in various  chapter educational meetings, like the Young 

Investigators Symposia.

• Placement opportunities for residencies and jobs.

• Involve young members in chapter activities like  CAMPEP accreditation of scheduled meetings.

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Future RAMPS meetings

• 12/11/2012: “Appropriate radiation level for  evacuations”

by Dr. Jerry Cuttler.

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IAEA  International Conference on Radiation 

Protection in Medicine• Date: 3‐7 December 2012

• Location: Bonn, Germany (former German  Bundestag)

• No registration fee.• http://www‐

pub.iaea.org/iaeameetings/41578/International‐ Conference‐on‐Radiation‐Protection‐in‐Medicine‐ Setting‐the‐Scene‐for‐the‐Next‐Decade

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Failla

2013

• GNYCHPS has selected Dr. Antone

Brooks, a  long‐term radiobiologist who has been 

extremely active in the DOE low dose program  and the NCRP and other related radiation 

protection and radiobiology organizations. 

• Possible dates for the meeting: 1/22/2013 or  2/19/2013.

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“Clinical and pre‐clinical applications of fMRI”by

Henning U. Voss, Ph.D.

Associate Professor of Physics in Radiology,Weill

Cornell Medical College, NY, NY

Educational Objectives:

1.

To learn how functional MRI works

2.

To learn what one can and cannot do with it

3.

To learn what clinical applications might be on the horizon

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RAPHEX•Contract between MPP and RAMPS for the 2013 exam 

in the process of being reviewed.

– MPP is asking RAMPS to share more in the  expenses for printing and publishing the exam.

– RAMPS is in the opinion that sharing the marketing   expenses is enough as our net profit is way down 

compared to previous years.

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Failla

2013

• GNYCHPS has selected Dr. Antone

Brooks, a  long‐term radiobiologist who has been 

extremely active in the DOE low dose program  and the NCRP and other related radiation 

protection and radiobiology organizations. 

• Date: 2/26/2013 at the Griffis

Faculty Club of  Cornell.

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“Appropriate Radiation Level for Evacuations”by

Jerry Cuttler, D.Sc., PEng.

Cuttler

& Associates Inc.

Educational Objectives: 1.To describe the tsunami‐induced damage to the Fukushima‐Daiichi 

NPP and the radioactivity that was released.2.To quantify the radiation levels in the evacuated area.3.To discuss the ICRP recommendations on acceptable radiation levels 

in the context of the LNT assumption.4.To present evidence demonstrating the effect of radiation on the

biological defenses along with an explanation of the radiation hormesis

model.5.To suggest what the appropriate radiation level for evacuations 

should be in light of the radiobiological evidence.

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9:00-9:50 Keynote lectureDr. Jerry Cuttler, Canada. Radiation hormesis and criteria for evacuation in case of nuclear accidents

Risk assessment of nuclear accidentsJames H. (Jimmy) Belfer Memorial SymposiumTechnion, Butler Auditorium October 29, 2012