Radiation Oncology research

Alfred Health Radiation Oncology is a major service with treatment facilities at The Alfred (ARO) and LaTrobe Regional Hospital, Gippsland (GRO).

About our research

Clinical research in a radiotherapy setting looks to improve patient treatments, care and outcomes.

We do this by conducting research on new treatments, new equipment and new ways of working.

Research can be both:

  • Retrospective - looking back at data we have collected in the past
  • Prospective - collecting data from today and into the future

Much of our research involves clinical trials - comparing new treatments with current treatments in a controlled and safe manner.

Find out more about Radiation Oncology clinical trials.

Current research projects

We are currently conducting the following research projects:

  • Review of patient outcomes after total body irradiation from two large centres with different practices
  • A biochemical definition of cure following brachytherapy for prostate cancer
  • Dosimetric verification and nanoparticle dose enhancement of synchrotron microbeams
  • Development of real time source tracking systems and dosimetric verification techniques for high dose rate brachytherapy
  • LDR Brachytherapy Calibration Inter-comparison
  • Long Term Stability of a HDR Brachytherapy Well Chamber
  • Metal Artefact Reduction Algorithm Analysis 
  • Dose-response models of urethral strictures for prostate patients treated with HDR brachytherapy boost
  • Predictive Modelling for Radiotherapy Treatment Planning and Dose Escalation in Locally Advanced Prostate Cancer (Predict-PCa/RT Protocol)
  • Using deep learning with MRI scanning to improve diagnosis and management of brain tumours
  • Visualisation of the oesophagus on cone-beam computed tomography with oral contrast during radiotherapy to the chest
  • 3D printing in radiotherapy
  • Dosimetric impact of catheter displacement
  • Target coverage and organs-at-risk (OAR) doses of the left breast in female lung cancer patients treated with intensity modulated radiation therapy (IMRT) but not in deep inspiration breath hold (DIBH)
  • Exhale breath hold in liver
  • An investigation of parameters affecting grid size dependence in dose distributions

Our achievements

  • First centre in the world to have real time treatment verification imaging for high dose rate brachytherapy
  • First centre in Victoria to deliver stereotactic intracranial radiosurgery and radiotherapy treatment (ARO)
  • First centre in Asia-Pacific to receive the Novalis Certification of the stereotactic program. Received re-certification in 2020 (ARO)
  • First centre in Victoria to deliver permanent radioactive seed implants for prostate cancer (ARO) 
  • First Australian centre to employ electronic portal imaging (digital real-time imaging that replaced x-ray film) to verify treatment delivery (ARO)  
  • First Australian centre with AlignRT surface-guided imaging (ARO); with Gippsland Radiation Oncology the first regional centre to use AlignRT technology
  • First centre in Australia to enable skin mark-free set ups using SGRT (ARO/GRO)
  • Established 3D printing program for tissue equivalent accessories to aid in treatment
  • Second site in Victoria to implement Volumetric Modulated Arc Therapy (GRO)

Publications

HDR brachytherapy well chamber calibration and stability evaluated over twenty years of clinical use

Keehan S, Smith RL, Butler D

(2021), Brachytherapy, 20(1), 257-64

DOI: 10.1016/j.brachy.2020.08.017

Establishing a global quality of care benchmark report

Sampurno F, Cally J, Opie JL, Kannan A, Millar JL, Finelli A, Vickers AJ, Moore CM, Kowalski C, Foster C, Barocas DA, Galvin D, Van Basten JP, Gore JL, Ferencz J, Lawson KA, Ghani KR, Kwan L, Saarela O, Connor SE, Dieng S, Linsell S, Soeterik TFW, Villanti P, Litwin MS, Evans SM

(2021), HEALTH INFORM J, 27(2), 14604582211015704

DOI: 10.1177/14604582211015704

Evaluation of Hypofractionated Radiation Therapy Use and Patient-Reported Outcomes in Men With Nonmetastatic Prostate Cancer in Australia and New Zealand

Pryor DI, Martin JM, Millar JL, Day H, Ong WL, Skala M, FitzGerald LM, Hindson B, Higgs B, O'Callaghan ME, Syed F, Hayden AJ, Turner SL, Papa N

(2021), JAMA Netw Open, 4(11), e2129647

DOI: 10.1001/jamanetworkopen.2021.29647

View all publications for Radiation Oncology research