The Accelerators Podcast

The Accelerators

Oncology News and Views from Photon Media. For more info, please visit photonmedia.org.

  1. 09/26/2025

    GammaTile on the Brain: Brachytherapy for Brain Tumors With Mike and Simon

    Send us a text The Accelerators co-host Dr. Matt Spraker is joined by two experts in brachytherapy for brain tumors, Radiation Onocologist and CMO of GT Medical Technologies Dr. Michael Garcia, MD, MS and Neurosurgeon Dr. Simon Hanft, MD, FAANS. We first review the origin story of GammaTile, an evolution of the practice of brachytherapy for brain tumors.  Simon then shares how he has deployed GammaTile in his practice. We dive in to patient selection, how the design facilitates a shallow technical learning curve, and the process of prescribing and placing the implant. Discussion then shifts to research. We review some of the published studies (see links below) that support use of GammaTile for both brain metastases and recurrent primary brain tumors, such as GBM and meningioma. We also discuss some recently completed and soon-to-open trials, including Mike's creative idea - time intensification! -  to move the needle on outcomes for glioblastoma.  Here are some of the studies we discussed and other useful links: The ROADS Study The GESTALT StudyEkhator et al., Review of GammaTile Studies Prasad et al., Radiation Protection Considerations for GammaTileGriffin et al., Fast Neutron Therapy for GBMBeckham et al., GammaTile for Salvage of Recurrent Brain Mets and a nice industry summary of findings in context (BioSpace)Dr. Simon Hanft, Building a Successful GammaTile Program (YouTube)A nice Insta patient video by a Dr. Bohnen, a neurosurgeon at Matt's centerEditor's Note: TAP were compensated for this episode and GT Medical Technologies participated in planning the content. The discussions in this episode are the opinions of the participants and are not clinical advice. Please see our website for complete information on our past and current sponsors. The Accelerators Podcast is a Photon Media production.

    1h 12m
  2. 06/10/2025

    “What Workforce Challenges Exist”: APRT Revisited With Marsha and Join

    Send us a text Welcome to Season 4!  The Accelerators (Dr. Matt Spraker and Cameron Tharp, MPH, RT(T)) kick it off with a sequel to our prior podcast on the Advanced Practice Radiation Therapist (APRT) role.  We host friends-of-the-show Drs. Join Luh and Marsha Haley, Radiation Oncologists who bring important past experiences and unique expertise to the discussion.  We kick off by examining some articles from the Spring 2025 issue of ASRT's Radiation Therapist: Caldwell and Lee, Defining Advanced Practice Radiation Therapy at MDACCBurch et al., Advanced Practice Role in IGSRT for Nonmelanoma Skin Cancer TreatmentBeckert, Implementation of an APRT in Online Adaptive Radiation TherapyWe then explore "scope creep", a phrase used to describe mid-level healthcare provider encroachment on traditional physician roles. One example is the UPenn study comparing the interpretations of Radiology Assistants with physician residents. Don't miss the excellent YouTube review of this study by Physicians for Patient Protection. Join shares his experience with another example, California Assembly Bill (AB) 890. Later, Join shares some discussion about the APRT among ASRT and CARROS members at the ACR 2025 meeting. This leads to an open discussion of what APRTs should do -- versus could do -- in a radiation oncology clinic. As evidenced by Table 1 in Caldwell and Lee, the tasks are wide ranging, may replicate existing roles of US radiation therapists, and might make more sense in international markets than in the United States. We close by reviewing Marsha's letter to the IJROBP editor in response to an APRT role scoping review.  Here are some other things we discussed in the episode. Physicians for Patient Protection WebsiteAMA successfully fights scope of practice expansions (2024)Patients at Risk Audio and Video PodcastCouncil of Affiliated Regional Radiation Oncology Societies (CARROS)Beckert et al., Impact of APRT for on-table adaptive radiotherapyShah et al., Radiation Oncology Workforce Analysis ReviewBook recommendation: Lower Ed by Tressie McMillan CottomPatients at Risk Video - Deficiencies in NP Education

    52 min
4.5
out of 5
36 Ratings

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Oncology News and Views from Photon Media. For more info, please visit photonmedia.org.

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