Session Invited Program TH- External Beam- Photons

Next-Generation Radiation Therapy: Exploring FLASH-RT, SFRT, and ART Innovations

Description

Radiation oncology is undergoing a transformative shift with the emergence of novel modalities that challenge traditional paradigms of dose delivery and biological response. This symposium will explore three cutting-edge approaches—Spatially Fractionated Radiation Therapy (SFRT), FLASH Radiation Therapy (FLASH-RT), and Proton Arc Therapy—each offering unique advantages in treating complex and resistant tumors while minimizing toxicity. The session will begin with SFRT, including techniques such as GRID, LATTICE, and minibeams. These methods deliver non-uniform dose distributions that stimulate immune responses and vascular remodeling, offering promising results for bulky and hypoxic tumors. Discussion will focus on clinical applications and ongoing efforts to standardize dosimetry and treatment protocols. Next, FLASH-RT will be examined as a groundbreaking modality that delivers ultra-high dose rates in milliseconds. This approach has demonstrated the potential to spare normal tissues while maintaining tumor control, with mechanisms involving oxygen depletion and immune modulation. The session will highlight current technological platforms, recent preclinical research, updates from clinical trials, and safety and challenges in implementation. The symposium will conclude with Proton Arc Therapy, an innovative advancement in proton delivery that enables superior dose conformity, organ-at-risk sparing, and enhanced robustness. Recent research findings, planning strategies, and early clinical experiences will be presented, along with the technological developments enabling dynamic arc delivery. This session will provide attendees with a comprehensive overview of these emerging modalities and their potential to reshape the future of radiation therapy.

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