Thilo Schuler MD

Radiation Oncology doctor & PhD candidate in clinical informatics

[Thilo Schuler MD @th1loz]

💨 #SimfreeRT is gaining momentum 💨:

👉 #RoyalNorthShore treated >1000 pall courses & free @IJROBP paper out: https://t.co/mvKk0cufkV

👉 Greater @WUSTL organised edu session @ #ASTRO24 – 🙏 @JoshuaSchiffMD for last min slide update & “tweet out”

👉 Int #consensus underway…

[David Palma, MD, PhD @drdavidpalma]

Check out our new @IJROBP SBRT special issue podcast!

Highway to the Danger Zone - SBRT in difficult scenarios

With practical tips to avoid toxicity in difficult situations!

https://t.co/Dffbi0ld8E

[Melissa O'Neil, MSc, MRT(T) @Melissa_O_Neil]

So thrilled to have led this 🌍🌏🌎 international Delphi project with the pioneers of #simfreeRT.
📣 Consensus guidelines for clinical implementation of non-adaptive sim-free RT now available in AdvRadOnc!
➡️ https://t.co/vYG54mSYE4

[Pierre Blanchard, MD @PBlanchardMD]

Brilliant talk by @Melissa_O_Neil at #SABR2025 on sim-free SBRT. Sim-free palliative RT is reality NOW, & sim free SBRT is achievable in select indications using advanced platform but will be made more widely available.

Very exciting for patient convenience / system efficiency

[ASTRO @ASTRO_org]

And the winners are...

#ASTRO25 attendees voted to select AI and Machine Learning as the innovations that will most transform the field in the next 10 years. Thank you for taking time to vote!

[David Sher @DavidSherMD]

The Force was with us today @UTSW_RadOnc!

We treated our first HANSOLO patient using Ethos: Head And Neck radiotherapy with Simulation Omitted and setup and pLanning Online.

Patient needed emergent radiotherapy to control bleeding but may receive definitive treatment later, so we needed to deliver a short-course of IMRT quickly.

@MHLinPhD generated a treatment plan based on diagnostic imaging, with the mask made in the treatment room after aligning to a reference surface generated from the diagnostic CT. The typical online ART workflow then proceeded as usual.

The entire process took approximately 35 minutes, and he was in/out of the department in less than one hour.

Tremendous kudos to our incredible physics and therapy teams who made it seamless!

[Thilo Schuler MD @th1loz]

@AshwinShindeMD @drdavidpalma @IJROBP @Melissa_O_Neil @Shelley_WongRT 5. rarely (provided paper's global SFRT exclusion criteria are obeyed) not use SFRT and ask for sim.

[Thilo Schuler MD @th1loz]

@AshwinShindeMD @drdavidpalma @IJROBP @Melissa_O_Neil 2. using “self-made” curved couch top (see 2020 PRO paper by @Shelley_WongRT et al - vacc bag does not have to be remoulded between pts),
3. worst case assumption through bulk overrides (sometimes around diaphragm),
4. occasionally 3DCRT over IMRT/VMAT,
[final bullet next…]

[Thilo Schuler MD @th1loz]

🙏 @Melissa_O_Neil & @drdavidpalma

Your #Delphi leadership will produce further guidance re safe & #equitable sim-free RT. Widely implementable incl in community centres and #LMICs!

Our thoughts on #SFRT equity in same @IJROBP issue (DM if no access): https://t.co/JkB4k7rF9n

[C. Jillian Tsai, MD, PhD @CJTsaiMDPhD]

Congrats to @r_glicksman and the team @RadMedPM @RMPCRProgram @pmcancercentre for publishing this Ph2 single arm study of SBRT for OPD.

🔑1yr PFS 32%; median 4.7mo overall, different by histology
🔑1 patient had Gr3 tox; overall very well tolerated
🔑No significant decline in QOL

@ScottBratman @ldawsonmd @DKirschMDPhD @Dr_AliHosni @JoannaJavor @aislingbarryro @RebeccaKSWong

The Role of Stereotactic Body Radiotherapy in Oligoprogressive Malignant Disease (RADIANT): Oncologic Outcomes From a Phase 2 Nonrandomized Controlled Trial - International Journal of Radiation Oncology, Biology, Physics https://t.co/ZxNWD00EIm

[Harriet Gee @RadOncDoc_Gee]

1/ Thrilled that our paper is out today in @NatureCellBio. A collaboration between WSLHD Radiation Oncology Network and @TheCesareLab led by @szmyd_radoslaw
https://t.co/kUeN0SpNqG

[At The Beam Podcast @AtTheBeam]

We are excited to share this new episode on kidney sbrt, featuring @riche_mohan of the Northern Sydney Cancer Centre of New South Wales, Australia! Thank you to Professor Tom Eade of Royal North Shore for their review of this episode!
Listen 🎧via the link 🔗 below:

[Thilo Schuler MD @th1loz]

Proudly ran @RO_Institute 5k at #ASTRO24 in @TargetingCancer gear!

Told my 🇩🇪 friends @Mike_Oertel_MD & @RuehleAlex about this important 🇦🇺 and increasingly 🌎 #RT awareness initiative. Check it out too!

We highly enjoyed the damp run past iconic DC sites. 🙏🙏🙏 organisers.

[Joshua Schiff @JoshuaSchiffMD]

Come listen to @APrice_BeamOn, @KashaniRojano, Mu-Han Li and me discuss everything sim-free (including these awesome data from @th1loz and co) Monday afternoon at EDU 31 at #ASTRO2024 ☢️

[Thilo Schuler MD @th1loz]

Excellent #ASTRO24 session by @AnnaLaVigneMD, Sara Alcorn & co on disparities in palliative RT including awesome granular data on US „palliative RT deserts“.

[Thilo Schuler MD @th1loz]

Humbled by the 🩷 and interest in #sim_free. 🙏🙏🙏

Anyone keen on more details: the synchronously published @IJROBP article now available open-access!

https://t.co/B67hPNAaFr

@drdavidpalma @ErinGillespieMD @docpriyamvada @joostverhoeff @sandraturner49 @piet_ost @AIHI_MQ

[Thilo Schuler MD @th1loz]

Excited to present at #ASTRO24 on #sim_free #radiotherapy for #palliative pts.

We will share #real_world insights into this exciting paradigm from *1000* routine care courses...🇦🇺

👉SS 05 - Pall 1 Session
📅Sun, Sep 29
⏰ 3:15 – 3:25 PM ET
📍Room 151

@ASTRO_org @NthSydHealth

[Thilo Schuler MD @th1loz]

@changjeesuk1 @ASTRO_org @NthSydHealth @Shelley_WongRT @DasanthaJ @drdavidpalma @Melissa_O_Neil Thanks. Come to our talk and find out 😉. Otherwise, with the challenges of parallel sessions, find me anytime after for a chat…

[Thilo Schuler MD @th1loz]

Excited to present at #ASTRO24 on #sim_free #radiotherapy for #palliative pts.

We will share #real_world insights into this exciting paradigm from *1000* routine care courses...🇦🇺

👉SS 05 - Pall 1 Session
📅Sun, Sep 29
⏰ 3:15 – 3:25 PM ET
📍Room 151

@ASTRO_org @NthSydHealth

[Thilo Schuler MD @th1loz]

@JoshuaSchiffMD @ASTRO_org @NthSydHealth @Shelley_WongRT @DasanthaJ @drdavidpalma @Melissa_O_Neil Thanks mate, will definitely come to EDU 31 on Mon but maybe we can even catch up before… Currently south of Greenland with internet speeds rivalling dialup