Jay Douglas Department of Radiation Oncology

Radiation Oncology Multidisciplinary specialty In depth interactions with: Medical oncologists; pediatric oncologists; oncological surgeons; neurological surgeons In depth patient interactions Variety of disease processes Prostate, breast, CNS, soft tissue sarcomas, GI tumors, head and neck, lung, lymphomas, etc. Exciting new technologies Exciting new biological agents that interact with irradiation

Technologies 3-D conformal IMRT IGRT “Moving target” IGRT Adaptive IGRT/IMRT (ART) Proton radiotherapy Proton IGPT Proton IMPT/IGPT

Technologies LINAC - photons Cyclotron protons Tomotherapy Stereotactic Radiosurgery Gamma Knife Cyber knife

LINAC

Image Guided Radiotherapy

Cyclotron Protons

Protons gantry

Fixed beam protons

Protons vs. Photons

Protons vs. Photons

Prostate Photons

Prostate Protons

Prostate Protons

Prostate Photons

Protons

Protons Chondrosarcoma

Protons Chondrosarcoma

Craniospinal Protons

Craniospinal Protons vs. Photons

Posterior fossa boost

Retinoblastoma Protons

Retinoblastoma Protons

RMS Protons

RMS Protons

Stereotactic Radiosurgery Gamma Knife LINAC Cyberknife

Gamma Knife

Gamma Knife

Cyberknife

Cyberknife

Single metastases

Multiple metastases

Extracranial Stereotactic Radiotherapy

Radiation Oncology Residency Duration 1 year internship 4 years Radiation Oncology 81 programs in the US 604 residents in training (2008) 3 – 29 residents per program (most 4 – 8) Approximately 150 positions per year

Radiation Oncology Clerkships for Students Radiation Oncology 697 P 4 week rotation at the UW Rotation at another institution Radiation Oncology 697 P WWAMI Rotation at another site in the WWAMI region Radiation Oncology 499 Undergraduate Research

Radiation Oncology Want more info? Want to sign up for an elective? Contact: Jay Douglas; rad-onc 598-4121 Want to sign up for an elective? Contact: Karynne Tsursuda