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Honoured to have been nominated to run for ESTRO President. Grateful for the advice and support of many colleagues, past and present. Regardless of the outcome, it is a pleasure being part of TeamRT.

Just days to go to#ESTRO2020. What better way to spend a lockdown winter weekend than connecting with long-lost colleagues & listening to a heavenly host of international experts update you on all that’s new and evolving in radiotherapy. All from the comfort of your home. Enjoy!

Very much enjoyed today’s “young” #ESTRO2020 lunch symposium and now back to hear Matthias Guckenberger in the ESTRO-EORTC session. See you there.

Most illuminating talk I have ever heard on Equity and Diversity from ⁦Julianne Pollard-Larkin, PhD⁩ “The table is not ours to give access to, it belongs to all of us”. Catch up with it on #youngtrack #ESTRO2021 if you can.

#ESTRO2021#Breur#Yolande Lievens: Great lecture and very well deserved award 🥇

Re T2: Dose effect relationship described for mean heart dose but not yet LAD. LAD also difficult to outline. So OAR is whole myocardium

As low as achievable. We autocontour heart in all left breast affected and in right breast patients undergoing IMC RT #radonc

We have found DIBH to be more straightforward than prone. Voluntary breath hold as effective and reproducible as ABC (and cheaper!) #radonc

Occasional patient can't tolerate it (maybe 1 in 100). Voluntary breath hold technique difficult in deaf patients. #radonc

Coaching adds around 5 mins to CT planning slot. VBH adds around 3mins to treatment slot (last audit showed 12min average on linac). #radonc

We still use ABC for VMAT patients (moving light field) and where bolus required (can't see light field on skin). #radonc

My personal view is that protons will help in a minority of patients with unusual anatomy and requiring IMC RT. #radonc

IMC RT approx. doubles mean heart dose. We have been using wide tangents and voluntary breath hold for most. MHD<3Gy in majority. #radonc

We have used VMAT in a few patients requiring bolus. Also capable of getting MHD<3Gy but it's a day or so's work for physics! #radonc

Successful prone centres seem to have longer average treatment slots. You need 20-30mins to set them up and CBCT to verify. #radonc

T4: How can we identify the women at greatest risk of developing radiation-induced cardiac event (beyond MHD & known risk factors)? #radonc

T4: UK needs to overcome reticence to treat IMC for fear of radiation-induced heart disease. Simple heart-sparing techniques key. #radonc