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Program Agenda

Current as of 12/15/2011

     

Wednesday, January 25, 2012

3:00 p.m. - 6:00 p.m. Registration

Thursday, January 26, 2012

7:00 a.m. - 5:00 p.m.

Registration

7:00 a.m. - 8:00 a.m.

Breakfast

7:50 a.m. - 8:00 a.m.

Welcome - Ezra Cohen, MD

8:00 a.m. - 9:00 a.m.

General Session I - Controversies and New Directions in Chemoradiotherapy

Moderator: David J. Adelstein, MD

This session will review recent initiatives to improve upon current treatment standards for the post-operative management of high risk patients, the definitive treatment of nasopharynx cancer, and for laryngeal preservation. The implications for future investigation and treatment will be discussed.

Post-operative Management of the High-risk Patient. Can we Move Beyond Radiation and Cisplatin?

Paul M. Harari, MD, FASTRO

Nasopharynx Cancer - What's New Since 0099?

Nancy Lee, MD

What Can We Learn From the TREMPLIN Larynx Preservation Trial?

David J. Adelstein, MD

After this session, attendees will be able to:

  • Evaluate recent studies directed towards improving current post-operative management in high-risk patients.
  • Assess current initiatives aimed at defining optimal chemoradiotherapeutic strategies in nasopharynx cancer.
  • Discuss the implications and limitations of recent efforts to improve the results of laryngeal preservation protocols.

9:00 a.m. - 9:30 a.m.

General Session II - Keynote Address I: The Molecular Road to Defining and Targeting High-risk Head and Neck Patients

Scott Lippman, MD

Identifying and targeting patients with high cancer risk is an important area for cancer prevention research. This session will address approaches to personalized prevention including describing the Erlotinib Prevention of Oral Cancer (EPOC) trial, which targets EGFR for oral cancer prevention.

After this session, attendees will be able to:

  • Identify molecular risk markers for head and neck cancer.
  • Discuss approaches for personalized prevention for head and neck cancer.

9:30 a.m. - 10:00 a.m.

Break in the Exhibit Hall

10:00 a.m. - 11:30 a.m.

General Session III - Minimally Invasive Surgical Approaches - Who, When, How?

Moderator: Drew Ridge, MD, PhD

This session will address competencies in multidisciplinary teams, evidence-based practice and patient care.

Robotics in Oropharynx Cancer - Bert O'Malley, MD

Organ Preservation for Laryngopharyngeal Cancer: From ChemoRT to Endoscopic Surgery - Chris Holsinger, MD

Minimally Invasive Skull-base Surgery - Robert Ferris, MD, PhD

November Clinical Trials Planning Meeting - Drew Ridge, MD, PhD

After this session, attendees will be able to:
  • Identify the role of transoral robotic surgery (TORS) alone or in combination with radiation and chemotherapy in the management of oropharyngeal (OP) cancer.
  • Recognize the evolving indications, contraindications, benefits, and limitations of TORS for OP cancer.
  • Describe the role of endoscopic head and neck surgery, for laryngopharyngeal cancer, as transoral minimally invasive surgery using the carbon dioxide laser and robotics, utilizing a multidisciplinary team approach.
  • Evalute the role and techniques of endoscopic endonasal surgery for minimally invasive access to sinonasal/skull base tumors.
  • Describe the process and early results of the November 2011 Clinical Trials Planning Meeting for Transoral Resection of Oropharynx Cancer.

11:30 a.m. - 12:30 p.m.

Lunch in the Exhibit Hall

12:30 p.m. - 2:00 p.m.

Plenary Session I

Moderators and Discussants - Robert Ferris, MD, Phd and Stuart Wong, MD

1     Long-term Follow-up of the RTOG 9501/Intergroup Phase III Trial: Postoperative Concurrent Radiation Therapy and Chemotherapy in High-Risk Squamous Cell Carcinoma of the Head and Neck

Jay Cooper

LBPL1      Prevalence of Oral HPV Infection in the United States, 2009-2010

Maura Gillison

2       P16 Status Does Not Influence the QOL Effects of Chemoradiation for Locally Advanced Oropharynx Cancer: Results ff TROG 02.02

Jolie Ringash

LBPL2      Correlates of Depression and Anxiety in Patients with Head and Neck Cancer Undergoing Radiation Therapy

Janet Ellis

Discussant - Stu Wong

LBPL3      Genomic and Pathway Profiling of Head and Neck Cancer Cell Lines and Correlation with Drug Sensitivity

Thomas Stricker

3     Circulating CD4-positive Lymphocyte Levels Predict Response to Induction Chemotherapy (ICT) in Advanced Laryngeal Cancer
Gregory Wolf

LBPL4     An International Collaboration to Harmonize the Quantitative Plasma Epstein-Barr Virus (EBV) DNA Assay for Future Biomarker-Guided Trials in Nasopharyngeal Carcinoma (NPC)

Quynh-Thu Le

Discussants - Robert Ferris, MD, PhD

2:00 p.m. - 3:30 p.m.

General Session IV - Molecular Biology in HNC for the Clinician: Breakthroughs in 2012

Moderator: Quynh-Thu Le, MD

This session will address the use of biomarkers for patient selection, prognostic and predictive markers for hypoxia and EGFR therapies as well as introduce a new targeted approach in head and neck cancer.

Predicting Response to EGFR Inhibitors

Ezra Cohen, MD

Hypoxia as a Target

Quynh-Thu Le, MD

Biomarkers to Select Patients for Specific Therapy

Ranee Mehra, MD

The Phoenix Rising Pathway in Head and Neck Cancer

Chuan Li, PhD

After this session, attendees will be able to:

  • Identify predictive marker for EGFR targeting.
  • Discuss the approach of selecting patients for specific therapy such as hypoxia targeting.
  • Describe the Phoenix Rising Pathway in head and neck cancer.

3:30 p.m. - 4:00 p.m.

Break in the Exhibit Hall

4:00 p.m. - 5:00 p.m.

Breakout Sessions I and II

Breakout Session I - PET in Managing the Neck Post Chemoradiation

Moderators: Val J. Lowe, MD, and Danny Rischin, MD

This session will review the recent studies indicating that 18FDG-PET could be of additional value specifically in staging the N0 neck, in radiation treatment planning, and in prediction of treatment efficacy.

Breakout Session II - Comparative Effectiveness Research (CER)/Health Services Research in Head and Neck Cancer

Moderator: Rathan Subramaniam, MD, PhD, MPH

This session will examine treatment costs, their effectiveness, as well as the advantages and disadvantages of using registry data in managing head and neck cancer patients.

Debate: FDG PET/CT is a Valuable Tool for Evaluation of the Neck Following Radiation +/- Chemotherapy -

Pro -Sandro Porceddu

Con - John Waldron, MSc, MD

Observational Study Designs for Comparative Effectiveness Research and Health Services Research in Head and Neck Cancer: a Humble Start

Bernardo Goulart, MD, MS

Use of Registry Data in Head and Neck Cancer: Opportunities and Limitations

Elizabeth Lamont, MD, MS

Do We Still Need Neck Dissections After CRT?

Mohan Suntha, MD

Treatment Costs and Effectiveness in Head and Neck Cancer

Jonas DeSouza, MD

PET With Non-FDG Tracers

Val J. Lowe, MD

Health Services Research and Outcomes: Is this Important for the Head and Neck Oncologist?

Panel Discussion

After this session, attendees will be able to:

  • Discuss the value of performing a PET/CT scan in patients with head and neck cancer post chemoradiation.
  • Describe the utility of non-FDG PET/CT tracers in evaluating head and neck cancer.
  • Review the role of neck dissection post chemoradiation in the head and neck.

After this session, attendees will be able to:

  • Define the importance of health services research in head and neck cancer.
  • Determine the cost effectiveness of radiotherapy in head and neck cancer.
  • Evaluate the registry based opportunities for research in head and neck cancer.

5:00 p.m. - 6:00 p.m.

Poster Session and Reception in the Exhibit Hall

6:15 p.m. - 7:15 p.m.

Case-based Discussions I - Louis B. Harrison, MD, FASTRO (lead), David J. Adelstein, MD, Robert Ferris, MD, PhD, and Paul M. Harari, MD, FASTRO

Friday, January 27, 2012

7:00 a.m. - 5:00 p.m. Registration

7:00 a.m. - 8:00 a.m.

Breakfast

7:55 a.m. - 8:00 a.m.

Welcome -David Raben, MD

8:00 a.m. - 9:30 a.m.

General Session V - New Insights into Molecular Biology of SCCHN

Moderators: Christine H. Chung, MD, and Tanguy Seiwert, MD

This session will focus on the information gained from current molecular technology in the biology of head and neck cancer.

Pathway Mutations in SCCHN

Aaron Tward, MD

Molecular Profiling of Head and Neck Cancers / Head and Neck Cancer Genomics

Tanguy Seiwert, MD

Targetable Genetic Alterations in SCCHN

Christine H. Chung, MD

Targeted Agents in Phase I Head and Neck Cancer Trials

Antonio Jimeno, MD, PhD

After this session, attendees will be able to:

  • Describe the implications of recent genome wide analysis of somatic mutations in head and neck squamous carcinoma.
  • Discuss new targets that have shown promise in head and neck cancer.
  • Report the status of clinical development of promising anticancer targets in head and neck cancer.
  • Debate future opportunities of upcoming targets for development in head and neck cancer.

9:30 a.m. - 10:00 a.m.

Break in the Exhibit Hall

10:00 a.m. - 10:30 a.m.

General Session VI - Keynote Address II: Customizing Therapy for Patients with Local-regionally Advanced Head and Neck Carcinoma
K. Kian Ang, MD, PhD, FASTRO

This session will summarize strategies for customizing therapy for patients presenting with newly diagnosed local-regionally advanced head and neck carcinoma based on level I evidence. Data of pertinent randomized clinical trials and biomarker studies will be presented along with examples of ongoing research directions.

After this session, attendees will be able to:

  • Categorize patients into proper risk-groups based on histologic and biologic prognostic markers.
  • Select best treatment options based on risk features.
  • Understand the rationales and objectives of ongoing research.

10:30 a.m. - 12:00 p.m.

Oral Abstract Session I

Moderator: Joseph Rajendran, MD

4    Evaluating the Impact of Treatement and Tumor Characteristics in the Development of Osteoradionecrosis in Patients Treated for Oral Cancers: A SEER-Medicare Analysis Beth Beadle

5     Update of RTOG 0615, A Phase II Trial of Bevacizumab, Cisplatin, and IMRT for Loco-regionally Advanced Nasopharyngeal Carcinoma

Nancy Lee

6     Pre-treatment Neurocognitive Function (NCF) Evaluation in Head and Neck Cancer (HNC) Patients (pts) with Comparison to Healthy Control Participants

Albiruni Ryan Abdul Razak

7     The Relationship Between WHO Grade, EBV and HPV Status in Nasophagyngeal Carcinoma in Non-endemic Population

Brian Khong

8     Significant Reduction in Waiting Time for Diagnosis and Treatment of Head and Neck Cancer in Denmark in 2010 Compared to 2002. First Results of the Danish National Fast Track Program for Cancer

Cai Grau

9     Differences in Billing Charges in a Matched Pair Comparison of Intensity Modulated Radiation Therapy (IMRT) versus 3-D Conformal Radiation Therapy (CRT) for the Treatment of Head and Neck Cancer

Nathan Sheets

10 Do the Quantec Criteria Defined for the Radiation Dose to the Parotid Glands Protect Against Xerostomia?

Johannes Langendijk

11 Computed Tomography as a Predictor of Actual Cartilage Invasion in Advanced Laryngeal and Hypopharyngeal Carcinoma

Michael Dominello

12 Response to Induction Chemotherapy and Dosimetric Analysis of the use of Post-Induction Chemotherapy Target Volumes in Radiotherapy for Locally Advanced Head and Neck Cancer

Jimmy Caudell

12:00 p.m. - 1:00 p.m.

Lunch in the Exhibit Hall

Fellows/Resident Luncheon

1:00 p.m. - 2:30 p.m.

General Session VII - Thyroid Cancer

Moderator: Rathan Subramaniam, MD, PhD, MPH

This session will review and update surgical management strategies for recurrent thyroid cancer, imaging and management strategies for non radio iodine avid recurrent disease and medullary thyroid cancer and genetic testing.

Surgical Management - Partial vs. Total Thyroidectomy and Recurrent Disease

Jennifer Rosen, MD

Imaging of Thyroid Cancer

Rathan Subramaniam, MD, PhD, MPH

Managment of non-RAI Avid Disease

Marcia Simpson-Brose, MD, PhD

Medullary Thyroid Cancer

Herbert Chen, MD

After this session, attendees will be able to:

  • Review the indications for partial vs total thyroidectomy in upfront treatment of thyroid cancer and recurrent disease.
  • Recognize the imaging and management strategies for non RAI avid disease.
  • Describe the diagnosis and surgical management of medullary thyroid cancer (MTC) and the use of genetic testing.

2:30 p.m. - 2:45 p.m.

Break - Travel Time to Breakouts

2:45 p.m. - 3:45 p.m.

Breakout Sessions III and IV

Breakout SessionIII - Functional Outcomes and Insights into Reducing the Morbidity of Treatment

Moderator: Eric M. Genden, MD

This session will address the best approach to manage the often debilitating side effects of chemoradiotherapy. While most of the material will be derived from expert opinion, current literature has been used to formulate the approaches outlined in this session.

Breakout Session IV - Salivary Gland Cancers, Melanoma and Other Less Common Cancers of the Head and Neck

Moderator: Gerry Funk , MD

This session will review the recent advances in the areas of adenoid cystic carcinoma, melanoma and skin cancers involving the head and neck.

Prospective Mucositis Mitigation in the 21st Century - What Are We Doing to Reduce Acute Side Effects?

Adam Raben, MD

Adenoid Cystic Carcinoma: New Molecular Driven Approaches in 2012

Patrick K.Ha, MD

Cancer Cachexia in Head and Neck Cancer - How Do We Manage This Problem?

Marion Couch, MD, PhD

Surgical Head and Neck Cancer Melanoma
Michael Kupferman, MD

Prediction and Prevention of Swallowing Dysfunction After Chemoradiation

David Rosenthal, MD

Non-melanoma Skin Cancer Gerry Funk, MD

After this session, attendees will be able to:

  • Describe methods to mitigate Mucositis following chemoradiotherapy.
  • Define methods to manage cachexia as a result of chemoradiotherapy.
  • Identify methods preventing swallowing dysfunction in patients undergoing chemoradiotherapy.

After this session, attendees will be able to:

  • Determine molecularly targeted approaches to adenoid cystic carcinoma and understand how those may integrate into management of adenoid cystic carcinoma.
  • Define the role that surgery plays in head and neck melanoma.
  • Evaluate the overall approach to managing non-melanoma skin cancers including treatment modalities and predictors of outcome.

3:45 p.m. - 4:15 p.m.

Break in the Exhibit Hall
4:15 p.m. - 5:15 p.m. Breakout Sessions V and VI

Breakout Session V - Supportive Care During and After Treatment

Moderators: Barbara Murphy, MD, and Gerry Funk, MD

This session will review data, and increase knowledge on the interventions most effective in managing the late effects of therapy for head and neck cancer patients.

Breakout Session VI - Surgical Management of Residual/Recurrent Disease and Complications of Treatment

Moderators: Eric M. Genden, MD, and Ralph Gilbert, MD

Complications related to chemotherapy and radiotherapy can be significant and salvage surgery following the administration of these agents can be fraught with complications. This session will educate and review those techniques to limit complications and achieve a safe and effective outcome when managing the high risk patient.

Physical Therapy for Head and Neck Cancer Patients: A Critical Review of the Literature

Ann Marie Flores, PT, PhD, MS, MA

Osteoradionecrosis: Prevention and
Management

Ralph Gilbert, MD

Post-treatment Lymphedema: Incidence, Severity and Associated Symptom Burden

Jie Deng, PhD, RN, OCN

Pharyngoesophageal Stenosis: Prevention and Management

Eric M. Genden, MD

Late Oral Effects of Head and Neck Cancer Therapy

Joel Epstein, DMD, MSD

Salvage Surgery: Management and Prevention of Complications in the High-risk Patient

Theodore Teknos, MD

After this session, attendees will be able to:

  • Review currently available data pertaining to the incidence, severity and impact of physical limitations on head and neck cancer patients.
  • Review data and identify gaps in the physical therapy literature pertaining to head and neck cancer patients.
  • Discuss the prevalence, severity and associated sequellea of lymphedema in the head and neck population.
  • Describe the incidence, severity and implications of late oral complications in the head and neck population.
After this session, attendees will be able to:
  • Evaluate techniques for prevention of complications related osteoradionecrosis.
  • Describe the approach to management of esophageal stenosis following chemoradiotherapy.
  • Determine patient populations that are at risk for wound break down following salvage surgery.
5:15 p.m. - 6:15 p.m.

Case-based Discussions II - Moderator:  Merril S. Kies, MD

Discussants - David M. Brizel, MD, FASTRO, Marshall Posner, MD, and Randal S. Weber, MD

Saturday, January 28, 2012
7:00 a.m. - 12:00 p.m. Registration
7:00 a.m. - 8:00 a.m. Breakfast
7:55 a.m. - 8:00 a.m.

Welcome - Randal Weber, MD

8:00 a.m. - 9:30 a.m.

General Session VIII - New Issues and Concepts in Radiotherapy for Head and Neck Cancer

Moderator: Louis B. Harrison, MD

This session will introduce innovative and personalized multidisciplinary management for patients with recurrent head and neck cancer.

Evolving Concepts in the Management of the Neck

Brian O'Sullivan, MD, FASTRO

Can We Spare the Opposite Submandibular Gland in Head and Neck Cancer Radiotherapy and is it Safe?

William Mendenhall, MD

The Implications of Tumor Volume on Treatment Decisions and Functional Outcomes for Patients With Locally Advanced Head and Neck Cancers

Mohan Suntha, MD

New Approaches to Salvage Therapy

Louis B. Harrsion, MD, FASTRO

Stereotacic Radioablation - How do we Incorporate This into Management?

David Raben, MD

After this session, attendees will be able to:
  • Discuss contemporary approaches to multi-modality therapy with surgery, radiation therapy and chemotherapy for locoregional recurrence of squamous cell cancer of the head and neck.
  • Identify evolving concepts in multimodality decision-making for squamous cell carcinoma of the head and neck to realize optimal control while minimizing morbidity for the elective(N0) and involved (N+) neck.
  • Recognize the impact of tumor volume on treatment decisions and outcome for patients with locally advanced squamous cell carcinomas of the head and neck.
  • Define the role of submandibular gland sparing IMRT in the treatment of head and neck cancer

9:30 a.m. - 10:00 a.m.

Break

10:00 a.m. - 11:30 a.m.

General Session IX - Human Papillomavirus Issues and Controversies in 2012

Moderators: Maura Gillison, MD, PhD, and Danny Rischin, MD, MBBS

This session will focus on the need to disseminate additional clinical expertise in the diagnostic and therapeutic implications of HPV-related disease.

HPV Positive Disease - Clinical Trial Design

Maura Gillison, MD, PhD

HPV Testing - What is the Optimal Algorithm to be Sure?

Tom Carey, PhD

Cellular Immunity and HPV: Should Patients Get Vaccinated? Sara Pai, MD, PhD

Investigational Therapy in HPV Negative Head and Neck Cancer Barbara Burtness, MD

After this session, attendees will be able to:
  • Discuss the prognostic impact of tumor HPV status.
  • Develop appropriate interpretation of HPV testing results.
  • Differentiate between preventative versus therapeutic HPV vaccines.
  • Describe novel approaches to HPV-negative cancers.
11:30 a.m. Meeting Adjourns