The Total Body Irradiation Special Interest Group

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Welcome to the Total Body Irradiation Special Interest Group!

 

Overview:

Total body irradiation (TBI) can form part of the conditioning regimen prior to bone marrow transplant. TBI is a niche treatment currently delivered in 18 ANZ clinics. TBI practice is very variable [Fog 2019] [Li 2026].

We work towards improved knowledge of best clinical practice, improved networking and ROMPs increasingly taking on leadership roles in the TBI space, resulting in greater professional competence and – hopefully- improved patient outcomes.

The TBISIG is open to any ANZ ROMPs with an interest in TBI. Questions or comments? Contact Lotte S Fog at l.fog@alfred.org.au

Aims & Objectives:

  • Promote evidence-based TBI treatments in Australia and New Zealand
  • Provide education on TBI to its members
  • Maintain a network where members can help and support each other, and share new knowledge
  • Engage with members to discuss new ideas in the field of TBI
  • Collaborate, and communicate with, the ANZTCT (The Australian and New Zealand Bone Marrow transplant registry)
  • Collaborate with other relevant multidisciplinary groups as required

Terms of Reference:

As of April 2026, there are 52 ANZ ROMPs from 19 TBI clinics (including one clinic which is commissioning TBI but is not yet clinical)

LEADERSHIP GROUP 

  • Ethan Butson
  • Shrikant Deshpande
  • Lotte S Fog
  • Peta Lonski
  • Colm Morrison
  • Malgorzata Skorska
  • May Whittaker

Meetings Held:

1st

July 2021

Introductory meeting

2nd

Aug 2021

5 min presentations

3rd

Sept 2021

5 min presentations

4th

10/19/21

Talk by Ashley (haematologist)

5th

11/22/21

Talk on lung doses (Lotte)

6th

02/21/22

TBI audit

7th

03/21/22

TBI VMAT presentation from Manheim

8th

04/20/22

TBI VMAT - presentation from Perth

9th

05/16/22

ESTRO TBI things

10th

06/20/22

Journal club: Dr Peta Lonski on the Esiahvili: Higher Reported Lung Dose Received During Total Body Irradiation for Allogeneic Hematopoietic Stem Cell Transplantation in Children With Acute Lymphoblastic Leukemia Is Associated With Inferior Survival: A Report from the Children’s Oncology Group

11th

07/18/22

Journal club: Lotte: the ESTRO ACROP and SIOPE recommendations for myeloablative TBI in children

12th

08/15/22

  

13th

09/19/22

Journal club heart doses / Alicia Moggree

14th

11/21/22

The Australasian Bone Marrow Transplant recipient registry / Leonie Wilcox

15th

01/16/23

Journal club / Lotte

16th

03/20/23

Patient information video from St Lukes, Ireland

17th

05/15/23

Discussion and recap of the Perth CSI and TBI VMAT workshop

18th

07/17/23

Discussion of the ANZTCT, a phantom planning study shared planning aims and - if time allows - presentation of the Utrecht TBI workshop / Lotte

19th

09/18/23

Yousif Yousif on the journey towards a new TBI technique at the Crown Princess Mary Cancer Centre at Westmead Hospital

20th

11/20/23

10 minute clinic presentations

21st

01/15/24

10 minute clinic presentations

22nd

03/18/24

10 minute clinic presentations

23rd

  

10 minute clinic presentations

24th

15/7/24

10 minute clinic presentations

25th

16/9/24

10 minute clinic presentations

26th

11/11/24

Journal club

27th

16/1/24

6 pm - Presentation by Dr Enrica Seravalli on the UMC Utrecht VMAT TBI experience

28th

20/1/24

Watching the recording, and discussion

29th

11/03/25

Ethan Butson on the ROMP SIG satisfaction survey

30th

12/05/25

Group discussion - should we be a College SIG?

31st

3/6/2025

Journal club

32nd

11/8/2025

Journal club - Gosia on Rationale, implementation considerations, delineation and planning target objective recommendations for volumetric modulated arc therapy and helical tomotherapy total body irradiation, total marrow irradiation, total marrow and lymphoid irradiation and total lymphoid irradiation

33rd

22/9/25

The Utrecht TBI symposium

34rd

20/10/25

A presentation just what is dose rates are (Tom Kupfer)

35th

17/11/25

Physics consults for TBI - a presentation by Sarah Geneser, facilitated by Alicia Moggre

36th

5/12/2025

Follow-up discussion on the definition and effects of dose rates - suggested in the Oct meeting

37th

9/2/2026

A presentation on papers on circulating cells - May Whittaker


References:

[Fog 2020] Fog LS, Wirth A, MacManus M, Downes S, Grace M, Moggré A, Mugabe K, Neveri G, Nourbehesht L, Panettieri V, Pope D. Total body irradiation in Australia and New Zealand: results of a practice survey. Physical and Engineering Sciences in Medicine. 2020 Sep;43(3):825-35

[Li 2026] Li S, Hamad N, Le TT, Glassborow E, Kupfer T, Khor R, Viotto A, Pope D, Ford K, Moggré A, Kumar A. Total Body Irradiation in Australia and New Zealand: A 2024 Practice Survey on Changing Patterns of Care. Journal of Medical Imaging and Radiation Oncology. 2026 Feb 14 


ANZ TBI Clinic Locations:

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