ESTRO Guide 2019

“Once again, the course proved to be extremely popular, with a full house of attendees from Europe, North America, Australia, New Zealand and the Middle East. They included a mixture of experienced breast cancer physicians who oversee high-volume practices, as well as more junior oncologists and oncologists in training.”

- Dr Andrew See, Radiation oncologist and director of research | Radiation Oncology Centre, ICON Melbourne, Australia -

TEACHINGMETHODS • Lectures • Debates • Contouring homework using FALCON • Practical workshops • Clinical case discussions. The course will be very interactive through the integration of lectures, target volume delineation (prepared as homework in the framework of blended learning), guidance in treatment planning and patient management workshops. Focused on themultidisciplinary approach, the programme will outline the different treatments for breast cancer from evidence basedmedicine to ongoing research.

• Axillary surgery including limitations of the SN concept • Modern radiation therapy techniques from treatment planning to image guidance • Fractionation schedules • Systemic treatment: interactions with radiotherapy, primary versus adjuvant • Treatment of DCIS • Treatment possibilities for locally advanced disease • Summary on accelerated partial breast irradiation • Role of advanced treatment techniques including IMRT and breathing control • Lessons from meta-analyses of clinical trials • Cosmetic outcome after BCT • Long-term side-effects • Reconstructive surgery • Current clinical trials • Target volume delineation including homework and workshops • Patient management workshops. • Tailoring BC RT to both tumour and patient. PREREQUISITES Before commencing this course participants should: • Have at least basic experience with all aspects of radiation therapy for breast cancer patients. If you are not a radiation/ clinical oncologist (in training) you should be involved in the interdisciplinary and/ or multidisciplinary case discussions and perform work related to treating breast cancer patients • Read through the short selection of the literature (“essential reading”) that will be sent mid 2019, after your registration • Have completed an exercise beforehand on target volume delineation in breast cancer.

ROADMAP

MULTIMODAL CANCER TREATMENT

RADIATION ONCOLOGIST, OTHER SPECIALIST

FACULTY COURSE DIRECTOR Philip Poortmans, Radiation Oncologist, Institut Curie (FR) TEACHERS • Marianne Aznar, Medical Physicist, The Christie NHS Foundation Trust, Manchester (UK) • Liesbeth Boersma, Radiation Oncologist, Maastricht University Medical Center, Maastricht (NL) • David Dodwell, Clinical Oncologist, CTSU, Oxford (UK) • Sandra Hol, Radiation Therapist, Institute Verbeeten, Tilburg (NL) • Youlia Kirova, Radiation Oncologist, Institut Curie, Paris (FR) • Thorsten Kühn, Gynaecologist, Interdisciplinary Breast Center, Klinikum Esslingen, Esslingen (DE) • Birgitte Offersen, Clinical Oncologist, Aarhus University Hospital, Aarhus (DK) • Birgit Vriens, Medical Oncologist, Catharina Hospital, Eindhoven (NL) • Lynda Wyld, Surgeon, Sheffield University, Sheffield (UK)

METHODS OF ASSESSMENT • MCQ • Evaluation form.

KEYWORDS Breast cancer, radiation therapy, multidisciplinary, breast conserving therapy, APBI, clinical trials, volume delineation, side effects, quality of life.

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

CONTOURING ADMINISTRATOR Sandra Hol, Radiation Therapist, Institut Verbeeten, Tilburg (NL)

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.

LOCAL ORGANISER Tibor Major, Physicist, National Institute of Oncology, Budapest (HU)

An ESO Recommended Event

This course is using the FALCON platform (Fellowship in Anatomic deLineation and CONtouring) for the contouring exercises

Philip Poortmans

FALCON Fellowship inAnatomicdeLineation&CONtouring

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SCHOOL