2 Organization & Sponsors The following institutions are involved in the organization of the Conference: Promoting Entities Instituto Superior Técnico (IST); Direcção Geral da Saúde (DGS); Sponsors In collaboration with: Champalimaud Foundation (FC);
3 Organizing & Scientific Committees Honorary Committee Arlindo Oliveira (President of IST) Francisco George (Director General of Health) Leonor Beleza (President of Champalimaud Foundation) Carlos Varandas (vice-president of IST for the Loures Pole) Organizing Committee Pedro Vaz (IST/ITN, Conference Chair) Pedro Teles (IST/ITN) Filipa Costa (IST/ITN) Mónica Mendes (IST/ITN) Ana Pascoal (KCH, UK) Paula Madeira (HSJ) Paulo Diegues (DGS) Pedro Rosário (DGS) Bruno Martins (MC) Scientific Committee Pedro Almeida (IBEB/FCUL) Francisco Alves (ICNAS/ESTeSC) Lynne Archibald (Associação Laço) Maria C. Baptista (Grupo Campos Costa) António Campelo (ACSS) Nuno Carrilho (H. Curry Cabral) Graça Coelho (MC) Carla Conceição (HDE) Durval Costa (F. Champalimaud) Paulo Diegues (DGS) Paulo Ferreira (F. Champalimaud) Rita Ferreira (H. Luz) Miguel Sousa Ferro (FDUL/Sérvulo & Associados) Rita Figueira (H. S. João) Fernando Godinho (Atomedical) Carlos Jesus (Físico Médico) Isabel Lança (ARS-Centro) Maria do Carmo Lopes (IPOCFG, EPE) Paula Madeira (H. S. José) Bruno Martins (MC) Maria Manuel Meruje (IST) Nuno Matela (IBEB/ERISA) Amália Nogueira (H. Lusíadas) Lurdes Orvalho (H. Luz) Ana Pascoal (KCH, UK) Graciano Paulo (ESTeSC) Luís Peralta (LIP/FCUL) Helder Pereira (SPC/APIC) Maria Esmeralda Poli (CHLN/HSM) Vitor Rodrigues (LPCC) Pedro Rosário (DGS) Lucília Salgado (IPOLFG) Ana Isabel Santos (HGO) João Miranda dos Santos (IPOPFG, EPE) Jorge Simões (ERS) Paula Simãozinho (ARS- Algarve) Maria Carmen Sousa (IPOC) Nuno Teixeira (ESTeSL e FCM/UNL) Pedro Teles (IST/ITN) José Venâncio (IPOLFG) Pedro Vaz (IST/ITN) Foreign Members Ian Chell (DH, UK) Chris Clement (ICRP) Gisella Gennaro (IOV/IRCCS, Italy) Jean-Luc Godet (ASN, França) Ola Holmberg (IAEA) Augustin Janssens (European Commission) Cornelius Lewis (KCH/NHS, UK) Jim Malone (TCD, Ireland) E. Vanõ (UCM, Spain and ICRP) Wolfgang Weiss (UNSCEAR) Carlos Eduardo de Almeida, LCR (Brasil) Luiz da Rosa, IRD (Brasil) Alfredo Lopes Filho (Brasil) Steve Ebdon Jackson (PHE, UK)
4 How to get to Infarmed Bus nºs: 7, 31, 35, 83, 745, 750, 755, 767 Closest Subway Station: Alvalade (10 minutes walk) Car: GPS: 38.75, The access by car is only possible through Rua das Murtas. Where to park? A limited number of parking places is available nearby the INFARMED premises.
5 Find your way around INFARMED Parque da Saúde de Lisboa Car entrance INFARMED
6 Conference "Proteção Radiológica na Saúde 2013" Sessions Wednesday, Sep 18 Thursday, Sep 19 Friday, Sep 20 08:30-09:15 Opening and Welcome Refresher course 1 All you need to know about your personal dosemeter Refresher course 2 Principal Basis of CT Dosimetry Refresher course 3 Dosimetry in digital mammography Refresher course 4 A Pragmatic Approach to Radiation Protection in Diagnostic Radiology 09:15-10:45 Justification Optimization Advances in Digital Mammography 10:45-11:15 Coffee break 11:15-12:45 Radiotherapy 2 Nuclear Medicine 1 Radiotherapy 3 Computed Tomography Brachytherapy Nuclear Medicine 2 12:45-14:00 Lunch break 14:00-15:30 Break-out session 1 - Horizon 2020 Break-out session 2 - The EU Basic Safety Standards Break-out session 3 - Medical exposure data (UNSCEAR, DDM2, etc.) 15:30-15:50 Coffee break 15:50-17:20 17:20-18:30 Interventional Radiology and Interventional Cardiology Radiotherapy 1 (panel discussion) Panel 1 - Legal framework of Radiological Protection in Healthcare Color code: Yellow (Auditorium), Blue (Room A) Paediatric Exposures Mammography in cancer screening and diagnosis - views from stakeholders Panel 2 - The future system of Radiological Protection Qualification, E&T in Radiological Protection Closing remarks Radiation Safety Culture
7 Scientific Program 08:30 08:35 Wednesday, Morning September 18 th Opening and Welcome by Honorary and Organizing Committee members, IST, DGS & FC representatives 08:35 08:45 Welcome address by the IST 08:45 08:55 Welcome address by the DGS 08:55 09:05 Introductory remarks by the Champalimaud Foundation 09:05 09:15 Introductory remarks by the Organizing and Scientific Committee 09:15 09:40 09:40 10:05 10:05 10:25 10:25 10:45 Session title: Justification Co chairs: J. Malone, J. Venâncio Justification of Medical Exposures in Diagnostic Imaging (invited talk) J. Malone Justification (invited talk) J. Venâncio The Principle of Justification and its relation with Radiological Informed Consent in the Context of EU Law (invited talk) M. Meruje Justification in support of a new approach (invited talk) C. Lewis 10:45 11:15 Coffee break
8 11:15 11:40 11:40 11:55 11:55 12:10 12:10 12:25 12:25 12:40 Session title: Radiotherapy 2 Co-chairs: D. Costa, P. Ferreira Real-time tumor tracking for SF-IGRT: around dosimetric considerations (invited talk) C. Greco Wednesday, Morning September 18 th (continuation) High Dose Rate therapy beams from a flattening filter free (FFF) linac - new challenges in radioprotection? P. Ferreira et al. Assessment of whole-breast radiotherapy (RT) treatments using Pencil Beam Convolution and Monte Carlo algorithms: dosimetric consequences C. Borges et al. Orthogonal ray imaging: from dose monitoring in external beam therapy to low-dose morphologic imaging with scanned megavoltage X-rays P. Crespo et al. Metabolic Radiotherapy Planning Does it Matter to Radiotherapy Technologists (RTT) Professional Exposure? M. Coelho et al. 12:40 12:45 General discussion 11:15 11:35 11:35 11:55 11:55 12:15 12:15 12:35 12:35 12:40 12:40 12:45 12:45 12:50 12:50 12:55 12:45 14:00 Lunch break ROOM A Session title: Nuclear Medicine 1 Co-chairs: A. I. Santos, J. Santos, P. Almeida Evaluation of dose exposure of family members involved in treatment with 131I-MIBG of pediatric patients with Neuroblastoma M.T. Rezio et al. New Methodologies in Internal Radiation Dosimetry A. Nunes Dosimetry of the professionals involved in SLN technique A. Barreto et al. Practice profile among Nuclear Medicine Technologists in Portugal: findings from a nationwide survey D. Neves et al. Occupational Radiation Exposure of Professionals - Historic Analysis of a Nuclear Medicine Department (poster presentation) P. Gil et al. Individual dose equivalent evaluation of healthcare professionals in pulmonary ventilation and perfusion scintigraphy (poster presentation) A. Manuel et al. Dosimetry and renal toxicity for [90Y-DOTA]-D-Phe1Tyr3octreotide therapy (poster presentation) A. Amaro et al. Estimating absorbed doses in pediatric renal patients, using Monte Carlo simulations, in vivo measurements and biokinetic models (poster presentation) V. Sousa et al.
9 14:00 14:30 14:30 15:00 15:00 15:30 Wednesday, Afternoon September 18 th Break-out-session 1 Horizon 2020 Co-chairs: M. E. Monteiro, P. Vaz The Horizon 2020 Program - Medical applications of ionizing radiation (invited talk) A. Jouve Portuguese participation in the Horizon 2020 views from the GPPQ (invited talk) M. J. Fernandes Discussion: How to boost the Portuguese participation in Horizon 2020 A. Jouve (EC), P. Vaz (FP7 EURATOM national delegate), M.E. Monteiro (Horizon 2020 national expert), J. Pedroso Lima (Horizon 2020 national expert) 15:30 15:50 Coffee Break ROOM A Session title: Interventional radiology and interventional cardiology Co-chairs: G. Paulo, H. Pereira Interventional cardiology: can we do more with less? (invited talk) 15:50 16:15 H. Vinhas Establishing the Greek National Reference Levels for Interventional 16:15 16:30 Cardiology procedures G. Simantirakis et al. The interventional cardiology team who gets the most exposure in 16:30 16:45 percutaneous recanalization of total chronic occlusions procedures? A. Pascoal et al. Radiation Exposure in Neurointerventional Procedures 16:45 17:00 I. Fragata Study of the spatial variation of the dose-rate distribution in an 17:00 17:15 interventional cardiology room using Monte Carlo calculations M. Baptista et al. 17:15 17:20 General discussion Session title: Radiotherapy 1 - Panel Discussion Moderators: M. C. Lopes, E. Poli Radiotherapy: what can be done to prevent serious incidents from happening in Portugal? Panelists: C. Rousse (ASN), M. C. Lopes (DFM_SPF), A. Coelho (DGS), L. Trigo, (SPRO), J. O. Martins (APA), P. Vaz (IST/ITN) 17:20 18:00 Panel 1 - Legal framework of Radiological Protection in Healthcare Moderators: M. Meruje Panelists: F. Alves, M.S. Ferro, J. Rebelo Discussion with the audience
10 08:30 09:15 09:15 09:35 09:35 09:55 09:55 10:15 10:15 10:35 Thursday, Morning September 19 th ROOM A Refresher course 1: All you need to know about your personal dosemeter Lecturer M. Oliveira Session title: Optimization Co-chairs: O. Holmberg, E. Vañó The role of Diagnostic Reference Levels in Optimization (invited talk) E. Vañó IAEA perspectives on optimization of protection and safety in radiotherapy (invited talk) O. Holmberg Standards as a key player in Radiation Protection of the Patient (invited talk) J. Malone CARE Right - Committed to the Right Dose in CT A. Domingues 10:35 10:45 General discussion 10:45 11:15 Coffee break ROOM A 11:15 11:33 11:33 11:51 11:51 12:09 12:09 12:27 12:27 12:45 Session Title: Radiotherapy 3 Co-chairs: R. Figueira, L. Peralta Safety culture assessment at a Radiotherapy Department M. Eiras IAEA TPS audit project The Portuguese results M. C. Lopes Patient quality assurance in radiotherapy using an electronic portal imaging device (EPID) N. Rodrigues et al. Characteristics of a flattening filter-free photon beam for radiotherapy D. Mateus al. Infra-red radioluminescent fiber probes for brachytherapy and external radiotherapy A. Correia et al. 11:15-11:45 11:45 12:00 12:00 12:15 12:15 12:30 12:30 12:45 12:45 14:00 Lunch break Refresher course 2: Principal Basis of CT Dosimetry Lecturer M. Lewis Session title: Computed Tomography Co-chairs: R. Carneiro, N. Matela, P. Santos CT Protocol Optimisation - Balancing Image Quality and Dose (invited talk) M. Lewis Simulations of scattered radiation in radiographic installations J. Sampaio et al. The role of a metrology laboratory for reliable dosimetry of patients undergoing computed tomography examinations T. Silva et al. Dose optimization in TC related with the image noise, while maintaining diagnostic confidence R. Cabral et al. Study of the adequation of the radiation shielding barriers of a room after the substitution of an axial Computed Tomography unit by a multislice Computed Tomography unit M. Sousa et al.
11 Thursday, Afternoon September 19 th Break-out session 2 The EU Basic Safety Standards Co-chairs: A. Janssens, I. Chell 14:00 14:20 Medical exposures in the new consolidated Basic Safety Standards Directive (invited talk) A. Janssens 14:20 14:40 Protection of patients in the revised Euratom Basic Safety Standards Directive (invited talk) G. Simeonov 14:40 15:00 Negotiations of the Basic Safety Standard Directive a Member State s perspective (invited talk) S. Ebdon-Jackson 15:00 15:20 UK Implementation of the Basic Safety Standard Directive (invited talk) I. Chell 15:20 15:35 The impact of the new eu bss in the portuguese legal infrastructure (invited talk) M. Meruje 15:30 15:50 Coffee break ROOM A Session title: Paediatric Exposure Co-chairs: C. Conceição, F. Godinho Session title: Mammography in cancer screening and diagnosisviews from stakeholders Co-chairs: G. Gennaro, L. Archibald 15:50 16:10 16:10 16:25 16:25-16:40 16:40 16:55 16:55 17:05 17:05 17:15 17:15 17:25 Paediatric CT scan - where are we, do we really know the risks and which way to follow? C. Conceição The paediatrician role in paediatric radiological protection M. Conde Minimising ionising radiation exposure in paediatric radiology A. Ferreira 15:50-16:05 16:05-16:20 16:20-16:35 Dose values in eye lens in paediatric head computed tomography: influence of different protocols 16:35-16:50 C. Carriço et al. Low dose head CT for monitoring hydrocephalus in pediatric patients J. Casimiro et al. Establishment of computed tomography diagnostic reference levels in Portugal and paediatric CT imaging parameter optimisation 16:50-17:25 J. Santos et al. Radiological examinations in pediatric patients of childbearing age J. Coimbra et al. Panel 2 The Future System of Radiological Protection Stakeholders and Radiology: what keeps Laço awake at night? (invited talk) L. Archibald Quality of mammography and early detection of breast pathology (invited talk) M. Pereira Quality Assurance in LPCC Breast Cancer Screening Program - Technical Image Quality and Radiation Doses (invited talk) F. Carvalho First national digital mammography survey in Portugal findings and recommendations A. Pascoal General discussion All speakers with participation of the audience Moderators: C. Clement, E. Vañó 17:25 18:30 Panelists: C. Clement, E. Vañó, W. Weiss, J. Rueff - Discussion with audience
12 Friday, Morning September 20 th 08:30 09:15 09:15 09:40 ROOM A Refresher course 3 Refresher course 4 Dosimetry in digital mammography A pragmatic approach to Radiation Protection in Diagnostic Radiology Lecturer: G. Gennaro Lecturer: C. Lewis Session title: Advances in Digital Mammography Co-chairs: L. Orvalho, A. Pascoal Advances in digital mammography (invited talk) G. Gennaro 09:40 10:05 10:05 10:15 10:15 10:25 10:25 10:35 10:35 11:45 Breast tomosynthesis at Hospital da Luz (invited talk) M. Lurdes Orvalho Comparison of breast dose distribution in tomosynthesis and standard digital mammography M. Oliveira et al. Effect of non-homogeneous breast tissue on mean glandular dose assessment in digital tomosynthesis M. Baptista et al. A survey of radiation dose and clinical image quality criteria for digital mammography examinations C. Reis et al. Diagnostic reference levels in mammography at a national level J. Fatana et al. 10:45 11:15 Coffee break
13 11:15 11:40 11:40 12:05 12:05 12: 15 12:15 12:25 12:25 12:35 ROOM A Friday, Morning September 20 th (continuation) Session title: Nuclear Medicine 2 Co-chairs: A. Nogueira, L. Salgado Dose optimization on a GE Discovery PET/CT 600 (invited talk) A. Nogueira et al. Biological effects of radiations Therapeutical applications in Nuclear Medicine(invited talk) A. Silva Dose Rate from Patients after Bone Scintigraphy, Myocardial Perfusion Scintigraphy and Multigated Radionuclide Angiography D. Dantas et al. Evaluation of an automated dose delivery system (ADDS) within a routine clinical PET service workflow D. Faria et al. Therapy of thyroid cancer and benign thyroid disease using iodine-131: assessment of the exposure of the family members after patients discharge M. Carapinha et al. 11:15 11:40 11:40 12:05 12:05 12: 15 12:15: - 12:25 12:25 12:35 Session title: Brachytherapy Co-chairs: C. Jesus, N. Pimentel Tbd(invited talk) N. Pimentel Radioprotection in Modern Brachytherapy (invited talk) C. Jesus A Model for composite tumor control probabilities for fractionated brachytherapy F. Henriquez et al. Brachytherapy risks prevention I. Lança 12:35 12:45 General discussion 12:35 12:45 General discussion 12:45 14:00 Lunch break Dosimetry and Uncertainty Analysis in Gynecologic Brachytherapy M. Coelho et al.
14 14:00 14:25 14:25 14:45 14:45 15:00 15:00 15:15 15:15 15:30 Friday, Afternoon September 20 th Break-out-session 3 - Medical Exposures Data Co-chairs: M. C. Sousa, W. Weiss Medical exposures data long-term trends and future developments (invited talk) W. Weiss Dose Datamed II Collective dose in the European population due to medical exposures P. Teles et al. Incidence of radiation-induced cancers in the human lung acinus and the microdosimetric perspective L. Peralta Estimation of the collective dose in the Portuguese population, due to nuclear medicine exams for the years 2011 and 2012 F. Costa et al. Exposure of the medical staff in Portugal in 2009 and 2010 Y. Romanets et al. 15:30 15:50 Coffee break Session title: Qualification, E&T in radiological protection Co-chairs: C. Lewis, N. Teixeira 15: :10 16:30 16:30 16:45 16:45-17: 05 17:05 17:20 Education, Training and Certification of Medical Physicists and Other Healthcare Professionals (invited talk) C. Lewis RATeS: A Master with emphasis on radiation protection education and training N. Teixeira et al. Portugal facing the new European Guidelines for the Medical Physics Expert A.R. Figueira MEDRAPET: An Overview of an European Commission DG ENER Project G.Paulo et al. Education and training in radiation protection in medicine at IRD / CNEN, Brazil L. Rosa 15:50 16:10 16:10 16:30 16:30: 16:50 16:50 17:05 17:05 17:20 17:20 17:35 Closing remarks ROOM A Session title: Radiation safety culture Co-chairs: M. C. Baptista, P. Diegues Implementation of the Individual Dose Bulletin (IDB) project in the Algarve, Portugal: a method to assess and control medical exposure on its resident population P. Simãozinho et al. Thinking about buying hand-held dental X-ray equipment online? Ensure it is safe to use. A. Pascoal et al. Dosewatch A. Martinez et al. An overview of equivalent doses in eye lens of occupational radiation workers in medical, industrial and nuclear areas A. Lima et al. An approach for Portuguese Diagnostic Reference Levels for bedside chest radiography A. Sousa et al.
15 List of Posters Session title: Radiotherapy V. Batel et al. Strategies for the prevention of accidental exposures in Radiotherapy Â. Clemente et al. Adaptive Radiotherapy: Availability of CBCT for use with TPS C. Coelho et al. Comparison of inverse planning systems based on biological or physical factors: Pinnacle, Corvus and Monaco C. Coelho et al. Statistical analysis of quality control measurements in IMRT for head and neck and prostate cancer J. Galhardas et al. Optimizing image quality in radiotherapy taking into account imaging dose J. Ghassoun et al. Neutron Dose Equivalent Calculated in Patient and in the Maze of Radiotherapy Rooms for High-Energy Photons in Radiotherapy C. Lança Implementation of proton therapy in the context of radiotherapy in Portugal M. Lopes et al. An internal incident reporting system at IPOCFG eight years of experience L. Louro et al. Assessing the viability of using automatic deformable registration to more accurately calculate dose to organs at risk, in prostate cancer radiotherapy patients M. Rodrigues et al. Comparison of shielding design for a radiotherapy bunker with respect to the treatment techniques: 3D-CRT and IMRT A. Sá et al. Comparison of the Pencil Beam Convolution Algorithm and Analytical Anisotropic Algorithm in Breast Tumors A. Sá et al. Helical tomotherapy versus 3D conformal radiotherapy in dosimetric planning for patients with localized prostate cancer N. Senhou et al. The implementation of in vivo dosimetry and Verification of Dose Calculations with a Clinical Treatment Planning System in a Radiotherapy Center in Nouakchott S. Vieira et al. Prone versus dorsal position in breast cancer patients treated with Intensity Modulated Radiotherapy: a dosimetric study M. Zarza-Moreno et al. A Monte Carlo-based dosimetric evaluation of the perturbation caused by metallic artifacts in breast CT images for Treatment Planning in External Radiotherapy
16 Session title: Nuclear Medicine A. Amaro et al. Dosimetry and renal toxicity for [90Y-DOTA]-D-Phe1Tyr3octreotide therapy A. Canudo et al. PET/CT scan with 18F-DG and 18F-Ch: dose rate from patients when leaving department P. Gil et al. Occupational Radiation Exposure of Professionals - Historic Analysis of a Nuclear Medicine Department A. Manuel et al. Individual dose equivalent evaluation of healthcare professionals in pulmonary ventilation and perfusion scintigraphy M. Marques et al. Informed Consenti in Nuclear Medicine J. Pereira et al. Managing Radiopharmaceuticals - Since the beginning to the end A. Ruzzarin et al. Radiation Protection of Patients In Brazilian Nuclear Medicine V. Sousa et al. Estimating absorbed doses in pediatric renal patients, using Monte Carlo simulations, in vivo measurements and biokinetic models Session title: Computed Tomography R. Cabral et al. Diagnostic Reference Levels in Computed Tomography in the Centro Hospitalar Lisboa Norte A. Fernandes et al. Dose Reduction and Optimization of Protection of Radiosensitive Organs in CT scans using a Bismuth Shielding C. Figueira et al. Reference Dose Levels in Head CT: From Theory to Practice in Educational Environment C. S. Figueira et al. A computational study on medical staff dose reduction through angular beam optimisation technique in CT-Fluoroscopy guided procedures R. Silva et al Computed Tomography s statistics in Portugal
17 Session title: Digital Radiography and Mammography A. Fausto et al. Optimization study of image quality and patient dose in digital mammography M. Félix et al. Dose and image quality evaluation in breast tomosynthesis a comparative study with mammography L. Fernandes Influence of image plates usage in the quality of mammography C. Reis et al. Image quality and dose performance of digital mammography systems in Portugal Session title: Radiobiology A. Antunes et al. Use of Biological Dosimetry for Dose estimate using cytokinesis-blocked micronucleus assay study of the effect of age and gender A. Costa et al. Radiobiology and safety against radiation in therapy with 90Y-microspheres in hepatic tumors P. Costa et al. Modern Radiobiology: Study of Ionizing Radiation Biological Effects using Three-Dimensional Cell Cultures A. Duarte et al. Characterization of the VUV radiation effect on lipid emulsions J. Lemos et al. Assessing Radiobiological Effects of Low Doses of Ionizing Radiation on Zebrafish by Bidimensional Gel Electrophoresis A. Louro et al. Microdosimetric perspective of human lung acinus cancer prevalence V. Martins et al. Comparison of dose-response relationship using three different endpoints: dicentric chromosomes, micronuclei and g-h2ax foci L. Peralta et al. Fast alpha particle transport Monte Carlo code Session title: Interventional Radiology and Interventional Cardiology R. Barros et al. Importance of Individual Radiation Protection in Interventional Cardiology R. Barros et al. Optimization of the Radiological Protection of Patients in Interventional Cardiology - Their Implications for Professional Exposure G. Coutinho et al. Image Quality and Radiation Exposure Rates in Fluoroscopy: A National Statistical View and a Comparative Study
18 Session title: Educational Training C. Gomes et al. Occupational risk perception: a case study of radiographers in the Azores (Portugal) L. Peralta et al. Low cost silicon radiation monitor C. Almeida et al. Dose Management in Radiology Session title: Safety Culture M. Costa et al. Decommissioning Study of Molecular Imaging and Radioisotope Production Facilities C. Lima Medical SisRadiologia A New Software Tool for Analysis of Radiological Accidents and Incidents in Medical Radiology M. Manzano et al. Centro Hospitalar Lisboa Central s Occupational Radiological Protection Program A. Silva et al. Occupational exposure to radon in thermal spas H. Trindade et al. Radiology Quality Control in Portugal a Company Perspective A. Vaz et al. Radiation Protection Garments Beyond Lead
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