Online

Clinical practice and implementation of image-guided stereotactic body radiotherapy

The course is aimed at all professionals in the field of radiation oncology who are involved in the clinical practice of SBRT and cranial SRS at any point in the treatment chain: radiation oncologists, physicists and radiation therapists (RTTs) with a dedicated focus on SBRT and SRS. The course targets individuals who are currently at the planning stage of establishing a clinical stereotactic programme, and also those who already have a current stereotactic practice. The importance of integrating all professionals into a team will be highlighted.

Course directors

  • Matthias Guckenberger, Radiation Oncologist, University Hospital Zurich, Zurich (CH)
  • Dirk Verellen, Medical Physicist, Iridium Kankernetwerk, University of Antwerp, Antwerp (BE)

Teachers

  • Karin Dieckmann, Radiation Oncologist, Medical University of Vienna, Vienna (AT)
  • Mischa S. Hoogeman, Medical Physicist, Erasmus Medical Centre-Daniel den Hoed Cancer Centre, Rotterdam (NL)
  • Coen Hurkmans, Medical Physicist, Catharina Hospital, Eindhoven (NL)
  • Stephanie Lang, Radiation Oncologist, Medical University of Vienna, Vienna (AT)
  • Piet Dirix, Radiation oncologist, Iridium Network, GZA  Sint-Augustinus Department of Radiation Oncology, Antwerp (BE)
  • Suresh Senan, Radiation Oncologist, VU University Medical Centre, Amsterdam (NL)
  • Sophie Perryck, RTT, University Hospital Zurich, Zurich (CH)
  • Chiara Valentini, Radiation Oncologist, University Hospital Carl Gustav Carus Dresden, OncoRay, Dresden (DE)

 

Contouring administrator

  • Chiara Valentini, Radiation Oncologist, University Hospital Carl Gustav Carus Dresden, OncoRay, Dresden (DE)

 

 

This course aims to:

 

  • Inform about the historical background and development of cranial radiosurgery (SRS) and stereotactic- body radiotherapy (SBRT)
  • Illustrate the radiobiological consequences of hypo-fractionated, inhomogeneous dose distributions.
  • Discuss the practice of frame-less image-guided versus frame-based stereotactic cranial radiosurgery.
  • Identify potential sources of uncertainties in the work-flow of SBRT: imaging, target delineation, motion compensation, treatment planning, treatment delivery and treatment evaluation
  • Offer an overview of available treatment planning and delivery technologies and how to integrate these in clinical practice of SBRT •Compare available technologies and help define applicability for particular use
  • Give an evidence-based review on potential indications for SBRT: early stage NSCLC, primary and secondary liver metastases, prostate cancer, pancreatic cancer, vertebral metastases, oligometastases, re-irradiation
  • Give an overview of normal-tissue toxicity, tolerability and radiological changes in SBRT
  • Teach how to establish and implement a safe and clinical programme for SBRT.

Learning outcomes

By the end of this course participants should be able to:

 

  • Build a team to implement and practice SRS, SRT and SBRT
  • Understand the technical and physical requirements for SRS, SRT and SBRT
  • Know the clinical rationale of SRS, SRT and SBRT and their limitations
  • Understand the radiobiological basis of very high fraction doses
  • Know the details of indication, practice and outcome of SBRT for early stage NSCLC
  • Know the current clinical evidence for SRS, SRT and SBRT in the various clinical indications

 

Course content

The online course will consist of six modules:

  • Module 1: General aspects of SBRT
  • Module 2: SBRT for Stage I NSCLC
  • Module 3: SBRT for primary prostate cancer
  • Module 4: SBRT for pancreatic cancer
  • Module 5: SBRT for oligometastatic NSCLC
  • Module 6: SRS for brain metastases

 

Each module will put into focus a specific clinical case and will present challenges and solutions from a clinical, medical physics and also RTT perspective.

 

The covered topics will be:

  1. General aspects of SBRT
    1. What defines SBRT from a clinical and medical physics perspective?
    2. Dose and fractionation in SBRT and dose reporting based on ICRU 91
    3. Quality assurance and safety in SBRT
  2. SBRT for stage I NSCLC
    1. Current evidence and developments for SBRT in stage I NSCLC
    2. IGRT for targets with breathing motion
  3. SBRT for primary prostate cancer
    1. Current evidence for SBRT in primary treatment for prostate cancer
    2. IGRT for targets w/o breathing motion
  4. SBRT for pancreatic cancer
    1. Current evidence for SBRT in pancreatic cancer
    2. MRI-guided SBRT
  5. SBRT for oligometastatic NSCLC
    1. Current evidence for SBRT or local Tx in general in OMD
    2. SBRT treatment planning
  6. SRS for brain metastases
    1. Overview of SRS for treatment of brain metastases
    2. Split-up sessions by profession

 

Prerequisites

Before commencing this course participant should:

 

  • Know the basics of image-guided radiotherapy
  • Have experience and knowledge of advanced radiotherapy treatment planning
  • Have a basic understanding of radiobiological modelling.

 

Teaching methods

  • 12 hours of lectures
  • 4 hours of practical case discussions

 

Methods of assessment

  • MCQ
  • Evaluation form

 

Course structure

Each module will consist of:

A 2-hour general lecture:

10 min

Presentation of clinical case example

5 min

Q&A

45 min

Clinical aspects of SBRT

5 min

Q&A

45 min

Medical physics (and RTT) aspects of SBRT

10 min

Q&A

  • Participants will be able to discuss planning and practice contouring on that case after each general lecture
  • Benchmark contours and plans will be made available for contouring / planning
  • Contouring will be done via our software FALCON EduCase

 

A 45-minute benchmark case discussion, which will take place 1.5 weeks after:

15 min

Presentation of benchmark case: contours and plan

15 min

Presentation of variation between participants

15 min

Q&A

 

NB Module 1 will not include a case discussion.

TIMELINE

The online course will include six modules, which delivered from 10 December 2020 until 9 February 2021 with twice-weekly sessions. Participants can choose to attend the entire course or single modules. It is only possible to register to single modules, not to single lectures or case discussions.

Timeline per module

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Chronological timeline

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Membership

ESTRO members can order products at substantially reduced prices. Please note that in order to benefit from the member price, you must renew your membership for 2020 before registering to the course.To benefit from these member rates, please visit the membership page to become a member or renew your membership BEFORE proceeding with your order.

Fees

 

You can choose to:

  1. attend the full course
  2. to attend one or more modules (a module consists of a general lecture and a benchmark case discussion)  All information is on the New Concept New Dates page.

Fees for the full course (6 sessions)

 

Standard Rate

Desk Rate

ESTRO members working in countries with a less competitive economic background*/ In-training members**

 350 EUR

 600 EUR

Members

 400 EUR 

 600 EUR

Non Members

 500 EUR

 600 EUR

 

The one-off fee for a single module is EUR 150.00 (Registrations to individual modules will close 72hrs before the beginning of each module (general lecture)

*  All specialties: Albania, Belarus, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia,, Greece, Hungary, Latvia, Lithuania, Macedonia, Moldova, Montenegro, Poland, Portugal, Romania, Russian Federation, Serbia, Slovak Republic, Slovenia, Spain, Turkey, Ukraine

RTTs and physicists only: Cyprus  

RTTs only: Italy 

To apply for the above rate, please contact education@estro.org at least 2 weeks before the start of the course. Thereafter, the desk rate will be applied.

** Members with specialty Radiation Therapist (RTT) may register at the In Training fee

The standard rate is applied up to 2 weeks before the starting date of the course.

Desk rates are applied 2 weeks before the starting date of the course.

 

Advance registration & payment are required.              

Registration will close on the date published on the front page of the course.
 

Cancellation

A registration to the online workshop may be cancelled without any fees before pre-online course material is sent out. Pre-online course material is sent out a few days before the first workshop lesson. After the pre-online course material is sent out, no refund of the  registration fee is possible.

Fee for ESTRO members working in countries with a less competitive economic background:

ESTRO members working in countries with a less competitive economic background can benefit from the above fees if three conditions are met:

  1. Only ESTRO members for 2020 are eligible (please make sure your 2020 membership is in order before you apply for the reduced fees
  2. Sponsored candidates are not entitled to these fees (the invoicing address has to be the one of the participant)  
  3. Your application is submitted 2 weeks before the course start date