Presented by Ryan M. Moroose, BA, CMD, RT(R)(T)
Dosimetrist/Clinical Quality Manager
Akumin

Prostate cancer is the most common cancer among men. Approximately 1 in 8 men will be diagnosed with prostate cancer during their lifetime. Although prostate cancer can be a serious illness, most men do not die from this type of cancer. This can be primarily attributed with the early detection from PSA screenings, MRI & PET imaging, and prostate tissue biopsies. External beam radiation therapy is one of the standard treatment options to treat prostate cancer. While radiation treatment regimens vary from Physician-to-Physician, studies have shown that dose-escalated radiation therapy for prostate cancer improves disease control. However, this is not without the consequences of increasing rectal toxicity. To curtail this problem, prostate-rectal spacers have been introduced and implemented into practice to reduce rectal toxicities.

The purpose of this presentation is not only to discuss the benefits of using prostate-rectal spacers during radiation therapy treatments, but also to compare two rectal spacer products’ physical properties, procedure prep/insertion, and DVH rectal metrics for hypofractionated and conventional course of treatment.

Learner Outcomes:

1. Brief overview of prostate cancer and staging
2. Radiation Therapy Treatment Regimens & Protocols
3. Describe the physical properties of different rectal spacers
4. Describe the procedure prep/procedure insertion of each product
5. Analyze the ideal shape and placement of a rectal spacer

Presenter:
Ryan Moroose, BA, CMD, RT(R)(T), is a Dosimetrist/Clinical Quality Manager with Akumin at the CAMC Cancer Center in Charleston, WV. His duties include Dosimetry planning, managing day-to-day operations, striving to improve the overall quality of care, and maintaining department compliance and accreditation.

In his free time, Ryan enjoys spending family time with his wife and 2 children and being outdoors, hunting, and fishing. Also, Ryan volunteers with the American Association of Medical Dosimetrists and is currently serving on the Board of Directors.

Education Level: Entry Level

ARRT CQR Credit Distribution
Radiation Therapy 2017:
Procedures        
   Prescription and Dose Calculation = 0.75

Radiation Therapy 2022:
Procedures   
   Prescription and Dose Calculation = 0.75

Radiation Therapy 2017
Patient Care  
   Patient and Medical Record Management = 0.25

Radiation Therapy 2017       
Procedures    
   Treatment Sites and Tumors = 0.25
   Prescription and Dose Calculation = 0.25
   Treatments = 0.25

Registered Radiologist Assistant 2018       
Procedures    
   Abdominal Section = 0.25

Proton Therapy 2019
Procedures    
   Treatment Sites = 0.25
   Simulation = 0.25

Radiation Therapy 2022       
Patient Care   
   Patient and Medical Record Management = 0.25

Radiation Therapy 2022      
Procedures    
   Treatment Sites and Tumors = 0.25
   Prescription and Dose Calculation = 0.25
   Treatments = 0.25

Registered Radiologist Assistant 2023       
Procedures    
    Abdominal Section = 0.25