ESTRO Guide 2019

“The ESTRO particle therapy course, now in its tenth year, continues to increase in popularity and now attracts delegates from all around the world.”

- Dr Peter Gorayski, Radiation oncologist | Royal Adelaide Hospital, Adelaide, Australia -

COURSE CONTENT • Physical aspects of particle therapy • Ion source accelerator, beam line and beam delivery technology • Biological aspects of particle therapy • RBEdetermination, biophysical modelling plan optimisation • Beamdelivery:passiveandactivetechniques. Physics: image guidance techniques, dosimetry and quality assurance • Imaging for treatment planning • Treatment planning for proton and carbon ion therapy • Plan evaluation, robustness, quality assurance • Intensity-modulated particle therapy, image-guided particle therapy, dose- painting, LET-painting • Physical and technical approaches to the treatment of moving organs. Clinical indications, anti-cancer effects, toxicity, challenges and limitations of particle therapy • Clinical challenges and pitfalls of proton and carbon ion therapy • Current clinical indications and applications for proton and carbon ion therapy according to pathological and anatomical disease characteristics • Review of the literature, clinical case reviews and discussions, review of clinical trials • New trends in radiation oncology and integration of particle therapy • Future clinical directions and developments. Roadmap for a particle therapy project • How to build a new particle therapy facility – fromproject planning to starting clinical operation • New technologies for hospital based particle centres • How to expand an existing radiotherapy department with particle therapy. Protocol and journal club about latest clinical and physics developments. Guided tour of particle therapy facility.

PREREQUISITES Before commencing this course participants should: • Haveabasicunderstandingofradiobiology and radiation physics • Know the basics of radiotherapy and radiotherapy planning • Have a general understanding about the evaluation of medical evidence.

ROADMAP

RADIOTHERAPY TREATMENT PLANNING AND DELIVERY

RADIATION ONCOLOGIST, MEDICAL PHYSICIST, RADIATION THERAPIST

FACULTY COURSE DIRECTORS • Oliver Jäkel, Medical Physicist, German Cancer Research Centre (DKFZ) and Heidelberg Ion Beam Therapy Centre, Heidelberg (DE) • Marco Krengli, Radiation Oncologist, University of Piemonte Orientale & Centro Nazionale Adroterapia Oncologica (CNAO), Pavia, (IT) TEACHERS • Dirk De Ruysscher, Radiation Oncologist/ Radiotherapist, MAASTRO Clinic, Maastricht (NL) • Piero Fossati, Radiation Oncologist, MedAustron, Wiener Neustadt (AT) • Semi Harrabi, Heidelberg University Hospital, Heidelberg (DE) • Anthony Lomax, Medical Physicist, Paul Scherrer Institute, Villigen (CH) • Alejandro Mazal, Medical Physicist, Institut Curie Proton Therapy Centre (CPO), Orsay (FR) • Marco Schippers, Medical Physicist, Paul Scherrer Institute, Villigen (CH) • Marco Schwarz, Medical Physicist, Proton Therapy Centre, Trento (IT) • Beate Timmermann, Radiation Oncologist, Klinik für Partikeltherapie, Universitätsklinikum, Essen (DE) LOCAL ORGANISER Hans Langendijk, Radiation Oncologist, University Medical Centre Groningen, Groningen

TEACHINGMETHODS Tutorials, journal club, case reviews and discussions, tour of the proton facility.

METHODS OF ASSESSMENT • MCQ • Evaluation form.

KEYWORDS Particle therapy, proton therapy, carbon ion therapy, radiotherapy.

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.

Oliver Jäkel

Marco Krengli

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SCHOOL