1. Radiation Therapy for furry, four-legged patients Alexandra Atkins Radiation Therapist Palmerston North Radiation Therapy Department

2. Introduction Massey University Veterinary Teaching Hospital (MUVTH) Palmerston North Regional Cancer Treatment Service

3. First patient treated in July 2013 Six dogs treated to date Big industry internationally Radiation is important for animal cancer control Lots of research available

4. What we are doing… Palliative cases CT planning /mark up 3D planning Megavoltage treatment SXR treatment

5. Pre Treatment Masks Vacbags Mouthbites Tattooing Markup

7. Pre Treatment Masks- recycled clarity masks Vacbags Mouthbites Tattooing Markup

9. Pre treatment Masks- recycled clarity masks Vacbags Mouthbites Tattooing Markup

11. Pre Treatment Masks Vacbags Mouthbites Tattooing Markup

12. Marking/tattooing

13. Pre Treatment Masks Vacbags Mouthbites Tattooing Markup

16. Planning 3D planning Physical wedges and shielding Dose tolerances/tissue constraints

18. Treatment Quick procedure Two days a week Port film imaging Volunteer out of hours service

19. Patients responses to date.. Minimal side effects Enthusiastic responses to tumour progression Return of function Long term survival not assessed

22. Staff training Huge staff interest Exposure Changing techniques Frequency

23. Where to from here…

24. Thanks Jonathan Bray- Massey University Steve Crow- Massey Univesity Selena Hardman, Pauline McCheesney, Lisa Te Paiho- Radiation Therapists Dr Nikolay Nedev- Radiation Oncologist