P ROTON T HERAPY C O- O PERATIVE G ROUP

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P ROTON T HERAPY C O- O PERATIVE G ROUP Chair Secretary James Slater Michael Goitein Loma Linda University Medical Center Dept. of Radiation Medicine P. O. Box 2000 Massachusetts General Hospital 11234 Anderson Street Boston MA 02114 Loma Linda CA 92354 (714) 824-4644 (617) 726-8153 FINAL ANNOUNCEMENT of PTCOG VIII MEETING TO BE HELD IN VANCOUVER, B.C. ON April 7 th (Thursday) and 8 th, 1988 This is the final announcement of the eighth PTCOG meeting which will be held at TRIUMF in, British Columbia, Canada on Thursday, April 7 th and Friday, April 8 th, 1988. Meeting Arrangements The meeting will be held in the auditorium of the administrative building of the TRIUMF facility of the University of British Columbia. The meeting will start at 8:30 am on the morning of the 7 th and last all day on the 8 th. In addition, the Cancer Control Agency of British Columbia, in conjunction with TRIUMF, are sponsoring a Clinical Day on Saturday, April 9 th to be held at the Four Seasons Hotel in downtown all PTCOG members are cordially invited to attend. The orientation of the Clinical Day is to acquaint practicing clinicians with the potential of proton therapy and the possibilities for it at TRIUMF. A preliminary agenda is attached. The agenda for the PTCOG meeting is attached it features the more traditional PTCOG format of generally open discussions on a few selected topics. An extensive session on patient positioning is planned. Since the last meeting, a very successful workshop on beam scanning has been held at LBL under PTCOG auspices, and a discussion of that topic will be continued. There will also be another in the ongoing series of clinical sessions on comparative treatment planning. A time has been set aside for reporting progress or discussing areas of interest not otherwise included in the schedule by any member who wishes one precisely one (1) member has requested air time so far. This is a potentially valuable opportunity for discussion of members projects or concerns and we want to encourage everyone to take full advantage of the chance to pick the brains of the assembled talent. Please contact the secretary with any requests for time in the progress report/discussion session. There are plans for a buffet dinner on the evening of Thursday, April 7 th. It would be greatly appreciated if you would use the form below to let us know the likelihood of your attending this affair. - 1 -

Hotel Arrangements & Travel A block of rooms has been held at the Four Seasons Hotel, 791 West Georgia Street,, B.C. V6C 2T4 in the name of PTCOG. The deadline for making reservations is March 7 th. This being the case, if you haven t yet reserved your room, you would do well to telephone the hotel whose number is (604) 689-9333 rather promptly. The airport is approximately 15 miles from the Four Seasons Hotel. An airport bus and taxis are available. Bus transportation twixt hotel and meeting site will be provided without additional charge. Maps of the big lecture and of the downtown area are enclosed. Financial Details Registration will be held on Thursday morning at TRIUMF. As usual, there will be a modest registration fee, of $60 (US), which will defray incidental costs of the host institution (including the Thursday evening dinner). Members who stay for the Saturday clinical session will be asked to pay and additional $17.50 (US) to defray the cost of lunch and snacks. Establishing your intentions It would greatly help our planning if those of you who will be attending any part of the meeting would fill in the following form (not included in this version) and /or contact Mrs. Koric. - 2 -

Thursday April 7 th, 1988 8:30 am registration 8:45 Welcome and Introduction P ROTON T HERAPY C O- O PERATIVE G ROUP Agenda For the VIIIth meeting of PTCOG April 7 th & 8 th, 1988, Canada All meetings in the auditorium of the administrative building at TRIUMF 8:50 11:00 Patient Positioning: support devices [arranged by Lynn Verhey] HCL experience LBL experience TRIUMF experience Other experience Discussion: Needed range of motions Needed accuracy, precision Desirability of separated function rooms Special problems associated with gantries 11:00 11:30 coffee break 11:30 12:30 Patient positioning: immobilization of the patient [arranged by Lynn Verhey] 12:30 1:30 lunch 1:30 2:30 Tour of TRIUMF clinical facilities 2:30 3:00 Plans for Treatment Planning [M. Goitein] Eye therapy Larger-than-eye therapy 3:00 5:30 Beam Scanning [arranged by Jose Alonso] report on LBL workshop held in January, 1988 discussion of issues raised at the workshop 4:00 4:30 coffee break 4:30 5:30 Beam scanning (contd.) dinner arrangements will be announced at the meeting - 3 -

Friday, April 8 th, 1988 7:30 am Breakfast meeting of the PTCOG steering committee at the Four Seasons Hotel 8:45 am Clinical Applications session [arranged by Joseph Castro, Mary Austin-Seymour] Comparative treatment planning: Ca of the Ethmoid Sinus [M. Decker, LBL] Rectal Ca [H. Tatsuzaki, MGH] Study of scanned beam modulation vs fixed modulation for patients With chordoma/chondrosarcoma treated at MGH/HCL [Marcia Urie] Pion therapy Case presentation illustrating planning & verification at TRIUMF Dose-equivalent modeling [G. Lam] Loma Linda contribution 10:30 coffee break 11:00 12:30 Clinical applications session (continued0 12:30 1:30 lunch 1:30 3:30 Progress of the Loma Linda Facility [arranged by J Slater] accelerator control system design gantry design nozzle design facility 3:30 coffee break 3:45 5:00 Progress Reports: Topics of Interest Dose flatness monitoring: multiple scattering [B. Gottschalk, 20 mins] 5:00 pm Organizational matters Future meetings Location Content Other business 5:30 adjourn - 4 -

CLINICAL ASPECTS OF PROTON THERAPY AND STEREOTACTIC RADIOSURGERY FOUR SEASONS HOTEL VANCOUVER 9 APRIL 1988 PROGRAM Session chairman: Dr. S. M. Jackson 8:30 Welcome D. Klaassen CCABC, 8:35 Introductory Remarks G.B. Goodman CCABC, 8:45 The Development of Proton Therapy E. Blackmore Medical Beam Lines at TRIUMF TRIUMF/UBC, 9:15 The Potential of Proton Beam Therapy in H. Suit Cancer Treatment Harvard Cyclotron Boston, USA Experience 9:45 The General Aspects of Optimizing M. Goitein Dose-Delivery and its Distribution in Boston, USA Radiotherapy Emphasizing the Use of Proton Beams COFFEE 10:15 10:45 Session Chairman: Dr. J. Rootman 10:45 The Clinical Results of Treating Ocular J. Castro Melanoma with Light Ions Berkeley, USA 11:15 The Treatment of Ocular Melanoma C. Perret with Protons at SIN SIN, Switzerland 11:45 Surgical Limitations in Treatment of F. Durity AVMs and the General Clinical Problem LUNCH 12:15 1:30 Session Chairman: Dr. G. Thompson 1:30 The Treatment of AVMs in Radiosurgery L. Steiner Charlottsville, USA 2:15 Stereotactic Radiosurgery with Charged J. Fabrikant Particles for AVMs Berkeley, USA COFFEE 2:45 3:00 03:00 Dynamic Stereotactic Radiosurgery with E. B. Podgorsak Photon Beams Montreal, Canada 03:30 The Potential Contributions of Imaging P. E. Valk Techniques to the Detection of Berkeley, USA CNS damage - 5 -

CLINICAL ASPECTS OF PROTON THERAPY AND STEREOTACTIC RADIOSURGERY FOUR SEASONS HOTEL VANCOUVER 9 APRIL 1988 GUEST SPEAKERS Dr. Herman D. Suit: Dr. Michael Goitein: Dr. Joseph R. Castro: Dr. Charles Perret: Dr. L: Steiner: Dr. Jacob I. Fabrikant Dr. E. B. Podgorsak Dr. Peter E. Valk Chairman and Professor, Dept. of Radiation Therapy, Harvard Medical School at Massachusetts General Hospital, Boston, Massachusetts, USA Associate Physicist and Professor, Dept. of Radiation Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA Professor and Vice Chairman, Dept. of Radiation Oncolgy, UCSF; Director, Radiotherapy Dept., LBL, Calif., USA Physicist, Swiss Institute of Nuclear Research (SIN), Villigen, Switzerland Professor of Neurosurgery, University of Virginia, Charlottesville, USA Professor of Radiology, UCSF, Lawrence Berkeley Laboratory, California, USA Professor and Director, Medical Radiation Physics, McGill Univ., Montreal General Hospital, Montreal, Quebec Research Physician, LBL, Berkeley, California, USA SPEAKERS Dr. David J. Klaassen: Dr. George B. Goodman: Dr. E. Blackmore: Dr. Felix A Durity: Director, CCABC and Clinical Professor, Dept. of Medicine, Univ. of B.C., Head, Developmental Radiotherapy, CCABC; Director TRIUMF Clinical Program; Clinical Professor Surgery, Univ. of B.C., Head, Experimental Facilities Division and Assistant Director TRIUMF, Univ. of B.C., Associate Professor, Dept. of Neurosurgery, Faculty of Medicine, UBC, SESSION CHAIRMEN Dr. S. M. Jackson: Dr. Jack Rootman: Dr. Gordon B. Thompson Head, Division Radiation Oncology, CCABC & Clinical Professor, UBC, Professor of Ophthalmology, UBC & Eye Care Center, VGH, Chief & Head Division of Neurosurgery, VGH & Professor of Neurosurgery UBC, - 6 -