ESTRO Guide 2019

“This course helped us to understand the basic concepts of modern physics and clinical radiotherapy, so we would recommend it to medical physicists, physicians, trainees physicians and physicists, and radiation therapists.”

- Anisoara Anghelache and Manuela Oprisan, Medical physicists | Regional Institute of Oncology, Iasi, Romania -

TEACHINGMETHODS • 21 plenary lectures

• Volumes in external beam radiotherapy • Imaging for GTV definition • Imaging for treatment preparation and planning • PTV margin calculation • IGRT (equipment for in-room imaging, set-up correction strategies, clinical examples) • Adaptive radiotherapy • Dose prescription and plan evaluation • Field junctions (how, when, and alternatives) • Commissioning and quality assurance/ control of equipment and software • Brachytherapy • Radiobiology in the clinic • Implementing patient-specific dosimetric QA • Radiation protection and risk analysis • Induction of secondary tumours. Specific for clinicians: • Basics of radiation physics • Dose calculation: principles and application in the TPS • Principles of radiotherapy equipment • Physical principles of advanced radiotherapy. Specific for physicists: • Reference and non-reference dosimetry • Modern dose calculation algorithms • QA for advanced delivery techniques • Oncologic concepts. 2. Clinical case discussions: The participants are invited to prepare treatment plans for selected clinical cases (homework) based on case descriptions and CT scans as provided prior to the course. During the course the plans are discussed in small groups regarding selected treatment techniques, planning solutions, constraints and objectives, choice of margins, protocols for image guidance, QA, etc, guided by a clinician and a physicist.

ROADMAP

• 5 lectures targeted at clinicians • 5 lectures targeted at physicists • 3 clinical case discussion sessions in small groups • 1 informal “meet the teacher” session for (individual) discussions between participants and faculty members, potentially covering all kinds of issues related to physics and technology in clinical radiotherapy as brought up by attendants.

RADIOTHERAPY TREATMENT PLANNING AND DELIVERY

RADIATION ONCOLOGIST, MEDICAL PHYSICIST, RADIATION THERAPIST

As the focus is on clinical application, the teachers’ team consists of both radiation oncologists (50%) and medical physicists (50%). FACULTY COURSE DIRECTOR Ben Heijmen, Medical Physicist, Erasmus MC - Cancer Institute, Rotterdam (NL) TEACHERS • Shaista Hafeez, Clinical Oncologist, Royal Marsden NHS Trust and The Institute of Cancer Research, Marsden (UK) • Vibeke Hansen, Medical Physicist, The Institute of Cancer Research, London (UK) • Ann Henry, Radiation Oncologist, Cookridge Hospital, Leeds (UK) • Silvia Molinelli, Medical Physicist, Fondazione CNAO, Pavia (IT) • Stephanie Peeters, Radiation Oncologist, MAASTRO Clinical, Maastricht (NL) • Milan Tomseij, Medical Physicist, CHU Charleroi, Hôpital André Vésale, Montigny- le-Tilleul (BE) • Esther Troost, Radiation Oncologist, Centre for Radiation Research in Oncology (Oncoray), Dresden (DE)

METHODS OF ASSESSMENT • Entry and exit exam • Evaluation form.

KEYWORDS Physics and technology in radiotherapy, modern treatment techniques.

FURTHER READING Please consult the ESTRO website page of this course for further information.

ACCREDITATION Application for CME recognition will be submitted to the European Accreditation Council for ContinuingMedical Education (EACCME), an institution of the European Union of Medical Specialists (UEMS). EACCME credits are recognised by the American Medical Association towards the Physician’s Recognition Award (PRA). Information on the status of the applications can be obtained from the ESTRO office. Application for CPDrecognition is submitted to the European Board for Accreditation in Medical Physics (EBAMP), as a CPD event for medical physicists.Information on the status of the applications can be obtained from the ESTRO office.

LOCAL ORGANISER Galina Boka, Medical Physicist, Riga East Clinical University Hospital

Ben Heijmen

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SCHOOL