This presentation highlights the implementation of Deep Inspiration Breath Hold (DIBH) treatment using VitalHold™️ on the Radixact®️ System X9, marking a significant advancement in precision radiation therapy. It will explore the technical and clinical aspects of DIBH, emphasizing how VitalHold enables superior motion management and patient safety during treatment. The workflow of the first DIBH patient will be discussed, detailing the integration of this technology into clinical practice. Furthermore, it will delve into patient-specific treatment planning and clinical aspects, showcasing the potential of VitalHold to improve radiation targeting and reduce exposure to surrounding healthy tissue and key aspects such as patient positioning, motion management and breath-hold monitoring.

Presenters:
Dr Sanjay M H, Lead Consultant Radiation Oncologist, Sahyadri Hospitals, Pune, India
Dr. Sanjay is the Lead Consultant Radiation Oncologist at Sahyadri Hospitals, Pune. He did his MBBS from Bangalore and then pursued his master’s in radiation oncology at the most prestigious and technologically sorted medical college—Amrita Institute Of Medical Sciences, Cochin. During his post-graduation training, he was extensively trained in radiation oncology and image guidance radiotherapy for head and neck, lung, and abdominal malignancies.
After that, he worked at HCG (Health Care Global) Bangalore, one of the largest Cancer network hospitals in South East Asia, therefore he got adequate exposure to cyber knife. He went to the National Cancer Centre, Singapore, to do his fellowship in Stereotactic Radiation. He was trained in Stereotactic Image Guidance and Helical Tomotherapy in lung, head and neck and brain tumours. He has been trained in respiratory gating techniques for prostate, lung, and abdominal tumours on True Beam STx. He worked at Tata Medical Centre in Kolkata and did his fellowship in Radiation Oncology.
He has vast experience in Radiation Oncology, including all types of Linac, CyberKnife® System, TomoTherapy® System and brachytherapy.

Amit Nirhali, MSc Physics, Dip. R.P ( BARC), MBA, MCMPI, Sahyadri Hospitals, Pune, India
He has completed a post-MSc diploma in radiological physics from RP and AD, HBNI University, and BARC Mumbai, the most reputed and pioneering institute for medical physics education. Currently working as the Chief Medical Physicist and RSO, with over 15 years of experience in medical physics and radiological safety. Extensive background in commissioning Medical Linacs and also experience in a variety of treatment planning ( Like 3DCRT, IMRT, VMAT, RapidARC, SRS, SRT, SBRT, FwIMRT, TomoDirect™, TomoHelical™, etc.). Also well aware and experienced in the quality assurance of RT machines, setting up and designing radiotherapy departments and leading radiotherapy departments.

Moderator: Musti Kadhim, Medical Physicist, Skåne University Hospital, Lund, Sweden
Musti Kadhim is a medical physicist at the Department of Radiotherapy at Skåne University Hospital (SUS) and a PhD student at Lund University. He has recently published an article about Surface guided ring gantry radiotherapy in deep inspiration breath hold for left-sided breast cancer patients and the prospect of introducing VitalHold™ to increase the accuracy of treatment delivery on the Radixact. Link to article: DOI: 10.1002/acm2.14463 [doi.org]