ESTRO Guide 2019

“This year it attracted more than a hundred participants from 36 different countries around the globe, and it remains one of the most popular courses offered by ESTRO.” - Stasa Jelercic, MD, Marko Kokalj, MD, Ivica Ratosa MD, Radiation oncologists | Institute of Oncology, Ljubljana, Slovenia -

COURSE CONTENT • Rationale of IMRT • Delivery modalities • Dosimetry and commissioning • Quality assurance • Imaging and contouring • Treatment plan optimisation • Normal tissue tolerance, dose-volume constraints • Impact of motion and geometrical uncertainties on IMRT • Clinical case discussions • IGRT and IMRT • Adaptive therapy and IMRT • Volumetric Modulated Arc Techniques Practical demonstrations will take place on- site in close collaborationwith the local staff. This course will be organised in close cooperation with the manufacturers of equipment for planning, delivery and QA of IMRT and conformal radiotherapy. Their practical demonstrations will be an important part of the course. PREREQUISITES Before commencing this course participants should: As a clinician: • Be familiar with clinical indications for conformal radiotherapy • Have a general understanding of the treatment planning process. As a physicist: • Be familiar with quality assurance measurements for conventional therapy • Have a general knowledge of dose calculation algorithms and 3D-treatment planning.

The participants will be asked to prepare a ‘homework’ based on three clinical cases sent by ESTRO. The results of such work will be discussed in small groups during the course. TEACHINGMETHODS • ~17 hours of lectures • 3 hours of practical demonstrations in a clinical department • 2 hours of software demonstration • 3 hours of case discussions.

ROADMAP

RADIOTHERAPY TREATMENT PLANNING AND DELIVERY

RADIATION ONCOLOGIST, MEDICAL PHYSICIST, RADIATION THERAPIST

FACULTY COURSE DIRECTOR

Mischa Hoogeman, Medical Physicist, Erasmus Medical Centre Rotterdam, Rotterdam (NL)

METHODS OF ASSESSMENT • MCQ • Clinical case discussion • Evaluation form • Practical demonstrations.

CO-CHAIR Frank Lohr, Radiation Oncologist, AOU Modena, Modena (IT)

TEACHERS • Sofie Ceberg, Medical Physicist, Skåne University Hospital, Lund (SE) • Lone Hoffmann, Medical Physicist, Aarhus University Hospital, Aarhus (DK) • Eva Onjukka, Medical Physicist, Karolinska University Hospital, Stockholm (SE) • Andrea Riccardo Filippi, Radiation Oncologist, Fondazione IRCCS Policlinico S. Matteo, Pavia (IT) • Carmen Rubio, Radiation Oncologist, Hospital Universitario HM Sanchinarro, Madrid (ES)

KEYWORDS IMRT, VMAT, IGRT, target definition, tolerance doses, inverse treatment planning, dose calculation, recent IMRT developments.

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

LOCAL ORGANISER Tibor Major, Physicist, National Institute of Oncology, Budapest

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.

Mischa Hoogeman

Frank Lohr

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SCHOOL