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Programme Book IGRT March 2021

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Published by wannurelizawanaziz, 2021-03-25 19:29:22

Programme Book IGRT 2021

Programme Book IGRT March 2021


27th – 28th 08.00 AM
March 2021 -

05.15 PM



“Empowering the Future of Radiation Therapy Together”


1.1 Improving knowledge in IGRT Head & Neck in line with the
continuous learning process.

1.2 Provide an integrated IGRT Head & Neck learning platform through
workshops that serve as a platform for discussion and sharing ideas
among participants, speakers and academics.

1.3 Provide a platform for students and related professions to get the
latest information from various disciplines involving IGRT Head &



In collaboration with



MARCH 2021


Deputy Vice-Chancellor (Industry, Alumni & Community Partnerships), Universiti Kebangsaan Malaysia

Prof. Dato’ Dr. Imran Ho Abdullah

Distinguished Organizing Committee Members, Honorable Speakers and fellow

It is my great pleasure to welcome you on behalf of the IGRT Head and
Neck Workshop Organizing Committee, and to invite you to attend the IGRT Head
and Neck Workshop held on March 27th & 28th 2021 with the theme “Empowering
the Future of Radiation Therapy Together”.

This workshop is proudly hosted by Universiti Kebangsaan Malaysia
Kuala Lumpur in collaboration with University Malaya, Universiti Sains Malaysia,
Management and Science University, Ministry of Health Training Institute Sungai
Buloh, and supported by Malaysian Society of Radiographers and Malaysian
Association of Medical Physics. My sincere thanks to our main sponsor Varian
Medical Systems for supporting our mission and making the workshop possible.

This workshop features highly respected internationally renowned
speakers, Medical Physicist, Prof Ben Heijmen from Cancer Institute of the
Erasmus University Medical Centre, Netherlands, Medical Dosimetrist, Mr Kim
Tae Yoon from Korea National Cancer Centre, South Korea, and esteemed
Radiation Therapists, Madam Tan Chek Wee and Madam Sarahatul Bahiah
Yusoff both from National University Hospital, Singapore who will share, discuss
and dissect significant new developments and scientific advancements that will
impact the future of head and neck image guided radiotherapy. I would like to
extend our deepest gratitude to distinguished oncologist, medical physicist and
radiation therapist for their invaluable sharing on local practice and case studies
on head and neck cancer, and we are looking forward for live demo sessions by
Varian Specialists on Velocity - Multi-Modality Image Registration, Contouring
Software and the ARIA® Oncology Information System.

The IGRT Head and Neck Workshop 2021 have prepared extensive
insights to strengthen clinical practice with multiple sharing sessions of real
practice and protocols for different clinical experiences. I believe this IGRT Head
and Neck Workshop provides a unique and unmissable platform of opportunity to
meet virtually with colleagues from different parts of the world. I hope all of the
participants will have two most productive days of interesting and stimulating
discussions. This workshop will be a great platform not only as a chance to share
knowledge and clinical experience in cancer treatment.

Thank you very much.


Sr. Managing Director, Southeast Asia, Korea, Hong Kong & Macau Varian Medical Systems

Dr. Kevin Lo, DHSc, MBA, MSc, MIET, FCIM, CMktr

Distinguished Organizing Committee Members, Honorable Speakers and fellow

Firstly, thank you for inviting me and I am honoured to be able to be part of this
first ever IGRT Head and Neck workshop where five of the largest academic
institutions in Malaysia have come together to host this event.

Cancer is one of the most complex diseases to manage from a clinical
perspective. That’s why the theme “Empowering the Future of Radiation Therapy
Together” resonates with me so much as I believe we have to work as one to
tackle the challenges we face to live in a world without fear of cancer.

As we know, the burden of cancer is rising globally and in Malaysia, new
cancer cases are set to increase to nearly 90,000 by 2040 – that’s almost a 50%
increase from where we were at in 2018.

Nasopharyngeal cancers are currently in the top five most common
cancers in Malaysia and are projected to increase by over 150% by 2040. We
need to ensure that patients have access to high quality and cost-effective cancer
treatment. And this is achievable.

Workshops such as these are crucial in the fight against cancer
because while the fundamentals of radiation oncology remain the same,
advances in technology and clinical solutions are revolutionizing the way that
radiotherapy is delivered and significantly improving patient outcomes and

At Varian, we strive for precision and accuracy in radiation therapy
treatments. For example, IGRT provides high resolution, 3D images to visualize
tumour sites during the course of treatment, allowing for better targeting with
advanced techniques such as IMRT and VMAT.

This workshop promises to establish a deep understanding of the
principles of IGRT and the sharing of knowledge from both local and international
participants. We at Varian are grateful to be part of this endeavor. Through these
types of events, we can all really make a change and clinical progress can be
made which will directly impact the lives of patients.

As we continue to innovate and equip you with advanced radiation
therapy technology in cancer care, we are confident that you, as the front-liners in
radiation treatment planning and delivery will continue to execute and deliver the
best form of treatments and services to all cancer patients out there.

I wish you a fruitful meeting and thank you once again.


Director of Allied Health Sciences Division, Ministry of Health Malaysia

Puan Hajah Farina binti Zulkernain

Distinguished Organizing Committee Members, Honorable Speakers and fellow

It is indeed an honor and a pleasure taking part in the opening of “IGRT Head
and Neck Workshop 2021” with the theme “Empowering the Future of Radiation
Therapy Together”. I would like to extend my warmest welcome to all our
speakers and participants, especially our overseas experts from the Netherlands,
Korea and Singapore.

The theme “Empowering the Future of Radiation Therapy Together” is
very apt and supportive of the Vision of the Ministry of Health which is “A Nation
Working Together for Better Health” as we know that the search for excellence
can seldom be achieved alone. This event is a collaborative effort of
academicians, oncologists, medical physicists and radiation therapists from the
higher learning institutions and various cancer treatment centers. I admire the
teamwork of the organizing committee in bringing together the experts in various
professions and the support by Varian Medical Systems in making this workshop
a great success.

Cancer is one of the leading causes of morbidity and mortality
worldwide. The World Health Organization (WHO) estimated that there were 14.1
million new cases and 8.2 million deaths annually. Like most developed and
advanced developing countries, Malaysia is experiencing an epidemiological
transition, where diseases related to lifestyle particularly cardiovascular diseases
and cancers have progressively become more prevalent. The trend of malignant
neoplasm in terms of absolute numbers has escalated and remains as one of the
five principal causes of national mortality for the past 20 years.

Head and neck cancer treatment is multifaceted and requires the
coordinated input of a range of clinical and allied health disciplines to deliver
treatment and support in a knowledge-based, effective and timely manner. There
is a need for better integration and collaboration across government and private
sectors as well as the non-governmental and professional organizations. Thus,
this workshop provides an excellent insight into the holistic multidisciplinary team
work in managing head and neck cancer and Allied Health Science Division
Ministry of Health Malaysia is committed in supporting such events.

I hope all of us will leverage on the workshop as a valuable platform to
share information and discuss new ideas especially in addressing the technical
and technological challenges ahead of us in managing head and neck cancer
planning and treatment in Malaysia. With that, I wish you a successful
conference and productive days ahead.


8.00 am DAY ONE (27th March 2021) DAY TWO (28th March 2021)
8.30 am
Welcoming Remarks Registration
8.45 am Prof. Dato’ Dr. Imran Ho Abdullah SLOT 6: Imaging & Margins in Head and Neck
9.30 am Dr. Jennifer Leong Siew Mooi
Deputy Vice-Chancellor (Industry, Alumni &
Community Partnerships) Sunway Medical Centre

Universiti Kebangsaan Malaysia

Dr. Kevin Lo, DHSc, MBA, MSc, MIET, FCIM, CMktr

Senior Managing Director of South East Asia, Korea,
Hong Kong & Macau

Varian Medical Systems

Officiating Speech
Pn. Hajah Farina Zulkernain

Director of Allied Health Sciences Division
Ministry of Health Malaysia

SLOT 1: Principles of IGRT
AP. Dr. Ung Ngie Min

University of Malaya

SLOT 2: Overview of the Clinical Workflow and Practical SLOT 7: Protocols for Outlining, Dose Constraints,
Considerations in IGRT and Motion Management Aspects IMRT/VMAT Planning and Image Verification

Ms. Sarahatul Bahiah Yusoff Mdm. Tan Chek Wee

National University Hospital, Singapore National University Hospital, Singapore

10.15 am Tea Break
10.30 am
SLOT 3: Patient Preparation and Immobilization in IGRT SLOT 8: Quality Assurance Considerations
11.15 am Patient Setup and Verification using Cone Beam, kV Dr. Mohd Hafiz Mohd Zin
12.00 pm
Mr. Mohd Khairul Mohd Zambri Universiti Sains Malaysia
12.45 pm
2.00 pm KPJ Ampang Puteri Specialist Hospital

4.00 pm SLOT 4: Image Fusion for Radiation Treatment Planning SLOT 9: Motion/Margins Effect on Dosimetry
4.15 pm Mr. Tay Guan Heng Ms. Ida Suzanah Abdul Malek

Varian Medical Systems Pantai Hospital Kuala Lumpur

Case Study: HyperArc - Brain Stereotactic Radiotherapy Case Study: IGRT for Head and Neck
From Simulation to Delivery
Mr. Lum Liang Soo Ms. Hau Jia Yi

Beacon International Specialist Center Sunway Medical Centre

Lunch Break

Velocity Expert Demo ARIA Expert Demo: TrueBeam Imaging
Mr. Tay Guan Heng Mr. Teo Jack Joo

MP: IR ARIA Expert Demo: Aria Offline Review
Mr. Yap Teik Ban
SLOT 5: Offline and Online Correction Strategies
Prof. Ben Heijmen RTT: Image Matching

Erasmus University Medical Center Rotterdam Tea Break

SLOT 10: Future Developments in Advanced

Mr. Kim Tae Yoon

National Cancer Center South Korea

5.15 pm End of Day One End of Day Two

Dr. Rozilawati binti Ahmad

Head of Programme
Diagnostic Imaging and Radiotherapy Programme
Health Science Faculty, Universiti Kebangsaan Malaysia

Dr. Nor Aniza binti Azmi
Universiti Kebangsaan Malaysia

Deputy Director I Deputy Director II
Dr. Rozilawati binti Ahmad Assoc. Prof. Dr. Ung Ngie Min
Universiti Kebangsaan Malaysia
University of Malaya

Secretary I Secretary II
Miss Nur Farhana binti Ab Kadir Madam Wan Ismawati binti Wan Ismail
Universiti Kebangsaan Malaysia Management and Science University

Treasurer Multimedia Unit
Mr. Abdul Khaliq Mohd Saparudin Assoc. Prof. Dr. Akmal Sabarudin
Madam Norhafidzah binti Mohamed Sharif
Universiti Kebangsaan Malaysia Dr. Iza Nurzawani binti Che Isa
Dr. Afifah binti Mohamed

Universiti Kebangsaan Malaysia

Promotion/Publicity and Marketing Unit Program & Protocol Unit
Assoc. Prof. Dr. Noramaliza binti Mohd Noor Madam Santhekumari a/p Sithamparam

Dr. Noor Diyana binti Osman Madam Amelia Anak Rejos
Dr. Nur Farhayu binti Omar Madam Wan Nur Eliza binti Wan Aziz
Madam Mahzom binti Pawanchek Madam Meera a/p Manickavasgar (Moderator)
Mr. Mohd Farihan bin Jaafar Mr. Rayvin Kumar a/l P Ganesan (Moderator)
Mr. Mohd Imran bin Mohd
Malaysian Association of Medical Physics ILKKM Sungai Buloh
Malaysian Society of Radiographers University of Malaya Medical Centre

Logistic and Technical Unit Special Task Unit
Dr. Mazlyfarina binti Mohamad Dr. Ying Chee Keat
Dr. Mohd Hafiz Mohd Zin
Dr. Noorazrul Azmie Yahya Miss Nor Hafizah binti Ishak
Dr. Muhammad Safwan Ahmad Fadzil Universiti Sains Malaysia
Dr. Norhashimah binti Mohd Norsuddin

Universiti Kebangsaan Malaysia

Souveniers and Certificates Unit Communication Unit
Madam Nani Adilah binti Suhaimi Assoc. Prof. Dr. Ung Ngie Min
Madam Noraini binti Ahmad Wahid Dr. Zulaikha binti Jamaluddin
Madam Nurain Suhairah binti Mohmad Kassim
Madam Nurul Husna binti Nor Mohammad
Universiti Kebangsaan Malaysia University of Malaya

Refreshment Unit Moderator
Miss Khadijah binti Mohamad Nassir Miss Nur Najwa binti Abdul Adam
Universiti Kebangsaan Malaysia
Universiti Kebangsaan Malaysia


Ung Ngie Min, PhD

Dr. Ung Ngie Min is currently Associate Professor & Medical Physicist at Clinical
Oncology Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur. He is Medical
Physics Division Coordinator and Research Coordinator. His clinical duties involve
providing medical physics services in Clinical Oncology Unit, University of Malaya,
developing special radiotherapy services such as stereotactic
radiosurgery/radiotherapy, Intensity-modulated radiotherapy and Intra-operative
radiotherapy, commissioning of newly acquired radiotherapy modalities such as linear
accelerator, treatment planning system and simulators, treatment planning for external
beam therapy and brachytherapy, quality assurance prior to radiotherapy treatment,
quality assurance on linear accelerator, CT and conventional simulator, remote
afterloader brachytherapy machine and, procurement of physics tools and calibration.

Dr. Ung is Expert reviewer of WHO/IAEA technical specification report for radiotherapy
equipment in cancer treatment. He is also editorial board member for Physics in
technology and medicine journal and reviewer of fourteen scientific journals. He has
received various awards and recognitions for his work in medical physics throughout his
career over the years. Dr. Ung has received fourteen grants for his research and
projects, authored and co-authored numerous journal publications, presented his
papers locally and internationally and is invited speaker in many conferences and
seminars throughout the country and abroad.

Ms. Sarahatul Bahiah binti Yusoff

Ms. Sarahatul Bahiah binti Yusoff is Principal Radiation Therapist at National University
Hospital, Singapore. Ms. Sarahatul Bahiah is Certified Medical Dosimetrist (CMD) by
Medical Dosimetrist Certification Board (MDCB), United States of America and
Radiation Therapist accredited by Australian Institute of Radiography (AIR). Ms.
Sarahatul is in charge of Dosimetry at Tan Tock Seng Hospital, Spearheaded the
treatment planning system transition project at Tan Tock Seng Hospital from XiO TPS to
Eclipse TPS. Successfully lead the team to completion and implementation of the
treatment planning room renovation together with new alignment of systems network
switches. She coached and supported staff training with new TPS environment and
deployment while supporting existing patient’s clinical treatment planning needs. She
has full mastery of the ECLIPSE/ARIA Radiotherapy Treatment Planning System. She is
also Head of Dosimetry Continuing Medical Education (CME) for all radiation therapists
and Preceptor to Radiation Oncology examinees/doctors for Dosimetry. She has
presented many papers on dosimetry and was often invited as speakers at numerous
international conferences and seminars.


Mr. Mohd Khairul Bin Mohd Zambri

Mr. Mohd Khairul is Radiation Therapist at KPJ Ampang Puteri Specialist Hospital, Kuala
Lumpur. Mr. Khairul was responsible in the development of written standard operating
procedure, work instruction and policy for Radiotherapy Department, KPJ Ampang
Puteri Specialist Centre. His clinical skill involves planning and treatment of
radiotherapy patients using GE Discovery RT CT Simulation with 4D gating, Elekta Versa
HD with HexaPOD, VMAT, IMRT, 3D conformal, 2D and 3D treatment, On and Off-line
review including (CBCT and OBI), SRT/SRS Fraxion Immobilisation Equipment, ORFIT AIO
and SBRT Immobilisation Devices and MONACO treatment planning. He is also
experienced in radiotherapy treatment using Siemens Biograph mCT 20 with 4D gating
(PET-CT machine), Truebeam Varian Linac with 6D couch, IORT (TARGIT ZEISS), Leksell
Gamma Knife (Mask or Frame), and Flexitron Brachytherapy, and Optical Surface
Monitoring System (OSMS). Mr Khairul was also responsible in implementing Deep
Inspiration Breath Hold technique (DIBH) using OSMS for treatment and using RPM
system for CT-simulation in Sunway Medical Centre.

Mr. Tay Guan Heng

Mr. Tay Guan Heng is Software Sales Specialist, South-East Asia & Korea for Varian
Medical Systems. Mr. Tay is responsible for sales of Varian's software and service
contracts, including Eclipse TPS, Velocity, Mobius3D etc. He has organized Varian
Webinar Series for Korea in May 2020 and supported Proton Treatment Planning
workshop at National Cancer Centre of Singapore (NCCS). Mr. Tay was a radiation
physicist at National Cancer Centre Singapore in 2017. His skills were on parameters
check software between Eclipse/MOSAIQ, in charge of commissioning of TrueBeam
Linac and mentoring of undergrad Final-Year-Project (FYP) students.

Mr. Lum Liang Soo

Mr. Lum Liang Soo is Head of Planning & QA and Medical Physicist at Beacon
International Specialist Center Selangor. He is responsible for machine acceptance and
beam data collection for Varian Halcyon & Truebeam HyperArc, OSMS, RGSC & RPM
implementation, and setting up QA protocols and procedures for the new machine. He
works closely with the oncologist, physicist and radiotherapy team to improve planning
and treatment quality. Mr. Lum has vast experience in machine acceptance and
commissioning, treatment planning systems, and in machine and patient specific QA.


Ben J.M. Heijmen, PhD

Dr. Ben J.M. Heijmen is currently Professor of Radiation Oncology Physics at the Cancer
Institute of the Erasmus University Medical Center Rotterdam (Erasmus MC),
Rotterdam, the Netherlands. Prof Ben J.M. Heijmen is a Member of the Board of
Directors of the European Society for Radiotherapy & Oncology (ESTRO). He was
honored with Emmanuel van der Schueren Award 2017 of the European Society for
Radiotherapy & Oncology (ESTRO), as a recognition of the excellence of his scientific
work and of the enormous contribution within ESTRO, in the field of education and in
the promotion of radiation oncology as a discipline. He is also active in activities for the
International Atomic Energy Agency (IAEA) for many years.

Prof Ben J.M. Heijmen has co-authored about 225 peer-reviewed publications in
medical and fundamental physics and 53 Scopus h-index journals. He is invited at
national and international courses and meetings. Prof Ben J.M. Heijmen research
projects are in the areas of automated treatment plan generation, computer
optimization of (non-coplanar) beam angles, image-guided radiotherapy (IGRT),
adaptive radiotherapy (ART), stereotactic body radiation therapy (SBRT) with the
Cyberknife robotic treatment unit, proton therapy, and development of procedures and
software for enhancement of patient safety, including electronic portal imaging (EPID)
based in-vivo dosimetry.

Dr. Jennifer Leong Siew Mooi

Dr. Jennifer is Consultant Clinical Oncologist at Sunway Medical Center. Dr Jennifer
provide patients diagnosed with cancer advice on suitable oncological treatment based
on the disease profile and suitability of patients to undergo the respective treatment.
She is experienced in both 3D and intensity-modulated radiotherapy planning (IMRT).
She also provides specialized interventions such as stereotactic radiosurgery (SRS),
stereotactic body radiotherapy (SBRT) as well as image-guided 3D brachytherapy for
gynaecologic malignancies. Besides being a clinician, Dr. Jennifer facilitate training
programs and workshops related to the development of the field of oncology, for
trainees and specialists. She is actively involved as a working committee member for
the National Breast Cancer Clinical Practice Guideline update. Her area of expertise is
intensity-modulated radiotherapy planning (IMRT), 3D conformal radiotherapy
planning, stereotactic radiotherapy (SRS/SRT), stereotactic body radiotherapy (SBRT),
3D brachytherapy, 2D brachytherapy, intra-luminal tracheal brachytherapy, systemic
chemotherapy, targeted therapy and immunotherapy.


Ms. Tan Chek Wee

Ms. Tan Check Wee is currently senior lecturer, Singapore Institute of Technology and
Senior Principal Radiation Therapist at National University Hospital, Singapore. Ms. Tan
is Certified Medical Dosimetrist (CMD) with the American Medical Dosimetry Board.
She is elected as the Regional Director of the International Society of Radiographers
and Radiological Technologists (ISRRT) for Asia and Australasia Region from 2014 till
current. She has served as the President of the Singapore Society of Radiographers
from 2010-2016.

Dr Mohd Hafiz Mohd Zin, PhD, MInstP

Dr Mohd Hafiz is Deputy Director (Academic & International) Advanced Medical &
Dental Institute, Universiti Sains Malaysia. He is lecturer in Oncological & Radiological
Sciences Cluster, Advanced Medical & Dental Institute, Universiti Sains Malaysia. His
principle research interest is in clinical & experimental medical physics specifically
application of image sensors and radiation detectors in advanced radiotherapy
verification. Currently he is working in the following research projects:
• Application of proprietary treatment log data for real-time radiotherapy
treatment verification
• Optimisation of image-guided radiotherapy (Time of Flight (TOF) system and
cone-beam CT) and quality assurance programme

Dr Mohd Hafiz has authored and co-authored many publications, written books, owns
copyrights of Software for Safe Radiotherapy, invited speaker at many medical physics
conferences and seminars internationally.

Ms Ida Suzanah Abd Malek

Ms Ida Suzanah is Assistant Manager and Medical Physicist at Hospital Pantai Bangsar
Kuala Lumpur. Ms Ida Suzanah has vast experience in planning stereotactic
radiosurgery (SRS), stereotactic body radiotherapy (SBRT), VMAT, IMRT, 3D, Palliative &
QA. Her clinical skills include machine commissioning for Gamma Knife ICON, High Dose
rate Brachytherapy Planning, Intraoperative Radiation Therapy (IORT), Low Dose & High
Dose Radioiodine, QA & QC for PET-CT and nuclear medicine dosimetry.


Ms Hau Jia Yi (Caryn)

Ms Hau Jia Yi is Radiation Therapist at Sunway Medical Centre, Malaysia. Ms Hau has
extensive clinical experience palliative, 3D Conformal, IMRT, VMAT, and SBRT/SRS/SRT
techniques, Varian Motion Management with Gold Seed Marker Detection for Prostate
Cancer, Abdominal Compression for Pancreas Cancer and Liver Cancer, 4D Gating with
Real-Time Position Management (RPM) System for Lung Cancer and Total Body
Irradiation (TBI). She is also experience in Surface Guided RT; Optical Surface
Monitoring System (OSMS), Gamma Knife treatment, HDR brachytherapy, Breast
Cancer; Colorectal Cancer and Brain IORT and Computed Tomography/PET-CT

Mr. Teo Jack Joo

Mr Teo Jack Joo is application specialist for Varian Medical Systems. He is an expert in
providing application support for Varian hardware and software solution throughout
the country.

Mr. Yap Teik Ban

Mr. Yap Teik Ban is Application specialist for Varian Medical Systems. He specializes in
ARIA Radiation oncology information System and in Truebeam and halcyon radiation
treatment machine. He was previously working as Chief Radiation Therapist at Mt.
Miriam Cancer Centre from 2010 until 2017 and was involved in operating of
radiotherapy department, maintain the radiotherapy treatment quality, in charge of
simulation for radiotherapy patient and in planning and setting up various radiotherapy

Mr. Taeyoon Kim

Mr. Taeyoon Kim is a Clinical Supervisor and Medical Dosimetrist with over 19 years of
experience at the Proton Therapy Center of Korea National Cancer Center. Mr. Kim has
participated in various research, education, clinical protocols related to proton therapy
for years. He completed the proton therapy training program at the MD Anderson
Proton Center in 2009 and worked with many other proton centers in the US. Mr. Kim
has involved in many professional activities, including as Chair of International
Cooperative Committee of Korean Society of Radiation Therapy (KOSRT), board
member of ARTS, the Continuing Education Committee of American Association of
Medical Dosimetrist (AAMD) etc. He has also worked for ESTRO as a member of
Scientific Advisory Group in 2019. He was awarded the KOSRT’s Excellent Membership
Award for his efforts to build better relationships among the international community
and for his contribution to improve radiation therapy technologies. His special expertise
include Proton therapy planning, motion management, and plan robustness as well as
Tomotherapy and VMAT treatment planning.




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