ESTRO Guide 2019

AROI Course in Collaboration with ESTRO on Advanced Technologies ENDORSED BY ESTRO 2019, India (date and venue to be announced)

TARGET GROUP The course is aimed at radiation oncologists, radiation physicists and radiation therapists (RTTs) who wish to participate in advanced technologies such as IMRT, IGRT and Adaptive Radiotherapy (ART) in their department. Some experience in the field of conformal therapy, target delineation and treatment planning is a prerequisite. Making advanced technologies work is a team effort therefore simultaneous participation of the above-mentioned three disciplines fromone team is strongly recommended. COURSE AIM The aim of the course is to provide: • Understanding of the principles and background of IMRT, IGRT and ART • Knowledge on the impact of various geometrical uncertainties and where they can be minimised • Knowledge of QA of IMRT, IGRT and ART • An overview of available techniques, being able to choose between techniques and knowledge of their limitations • Planar and 3D in room imaging your skills, this course on advanced technologies will enable you to tailor them for implementation in your own clinic. Do you know your IMRT from your IGRT or ART? If not, or you want to brush up on

COURSE CONTENT • Panel and participants discussion: IMRT and IGRT, the case for and against

• Workflow and efficiency at the department for implementation of IMRT, IGRT and ART • Clinical rationale, limitations and evidence for advanced technologies • Knowledge of inverse treatment planning optimisation, biological optimisation and dose painting. LEARNINGOUTCOMES By the end of this course participants should be able to: • Implement IMRT, IGRT and ART in their own clinic • Tailor IMRT, IGRT and ART to their specific home situation.

• Dose volume constraints • Methods of optimisation • Dosimetry of IMRT • Imaging and target delineation • Geometrical uncertainties • Planar and volumetric imaging • Image registration • Setup correction strategies

• Clinical sessions on thorax, pelvic and head and neck cancer covering the interaction of physics and clinic • Workflow in the clinic including “how they do that” tips.

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