ESTRO Guide 2019

“I am sure that inspiration and electrifying fervour instilled by the faculties would bring forward interested and passionate institutional practice culminating in to a pan-India/Indo-European GYN network which would further propagate and augment the practices of image based brachytherapy in cervical cancers.” - Ajeet Kumar Gandhi, Radiation Oncologist | Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow -

PREREQUISITES Depending whether you opt for the general or experienced track, slightly different prerequisites will apply. Please consult the ESTRO website for more details. TEACHINGMETHODS • Lectures / tutorials: 16 hours • Practical workshop: 8 hours • Applicators commissioning and reconstruction: 6 hours - Physicists • Videopresentations by faculty andprevious year participants: 2-3 hours - Clinicians. Description: The tutorials include discussions of basics, evidence based treatments, contouring guidelines, various processes involved in advanced EBRT and brachytherapy techniques and quality assurance. The practical hands on demonstration covers a direct learning process involved in approach, brachytherapy techniques, contouring exercises, evaluation and discussions on 3D radiotherapy. METHODS OF ASSESSMENT • Contouring (FALCON tool) and dose planning exercises (pre- and post-course homework) • Interactive feedback through audience voting on specific questions during lectures • MCQ (interactive session at the end of the course) • ESTRO teaching course evaluation form. • Exclusive feedback sessions for “Experienced track” participants. KEYWORDS Evidence basedmulti-modalitymanagement guidelines, 2D to 3D transition, 3D Image GuidedAdaptive Brachytherapy (IGABT) in cervical cancers, contouring guidelines for advanced EBRT including IMRT/ IGRT and image based brachytherapy in cervical cancer.

• Application techniques in brachytherapy including combined intracavitary- interstitial applicators • Treatment planning for brachytherapy • ICRU 89 concepts: GTV, CTV, PTV at diagnosis and at time of brachytherapy for 2D and 3D brachytherapy • Dose, dose-rate and fractionation and overall treatment time • Radiobiological effects from combined external irradiation and brachytherapy, linear quadratic model • Prescribing, recording and reporting including ICRU- GEC-ESTRO 89 recommendations and ESGO/ESTRO/ ESP guidelines for the management of patients with cervical cancer • Therapeuticoutcome:radio-chemotherapy, image based EBRT and brachytherapy include ng EMBRACE • Reflexion of participants` clinical experience in image guided radiotherapy (experienced track). Two different tracks will be offered which are adapted to different levels of clinical experience among participants: “General track” and “Experienced track” (related to brachytherapy). The “General track” has a more elaborate educational component and will include all introductory lectures into image guided brachytherapy such as brachytherapy techniques, target contouring, and ICRU-GEC-ESTRO recommendations. The “Experienced track” will feature break-out sessions where participants present patient cases on power point (diagnostic work-up, EBRT target contouring and treatment planning as well as brachytherapy application, target contouring and treatment). The break- out sessions will be supervised by faculty members (MDs and physicists), so that individual feed-back on treatment practice can be obtained.

ROADMAP

RADIOTHERAPY TREATMENT PLANNING AND DELIVERY

RADIATION ONCOLOGIST, MEDICAL PHYSICIST, RADIATION THERAPIST, OTHER SPECIALIST

FACULTY ESTRO COURSE DIRECTORS

• Richard Pötter, Radiation Oncologist, Medical University Hospital, Vienna (AT) • Kari Tanderup, Medical Physicist, University Hospital, Aarhus (DK) AROI COURSE DIRECTORS • Umesh Mahantshetty, Radiation Oncologist, Tata Memorial Hospital, Mumbai (IN) • Jamema Swamidas, Medical Physicist, ACTREC, Tata Memorial Centre, Mumbai (IN) TEACHERS • Christine Haie Meder, Radiation Oncologist, Institut Gustave Roussy, Villejuif (FR) • D N Sharma, Radiation Oncologist, AIIMS, Delhi (IN) GUEST FACULTY • Abhishek Basu, Radiation Oncologist, Medical College Kolkata, Kolkata • A Dheera, Radiation Medical Physicist, Tata Memorial Hospital, Mumbai (IN) • Ajeet Gandhi, Radiation Oncologist, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow • Naidu Lavanya, Radiation Oncologist, Tata Memorial Hospital, Mumbai

LOCAL ORGANISER Manoj Gupta, Dean, Professor and Head, Radiation Oncologist, AIIMS, Rishikesh

Richard Pötter

Kari Tanderup

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

Umesh Mahantshetty

Jamema Swamidas

FALCON Fellowship inAnatomicdeLineation&CONtouring

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SCHOOL